ATI RN
ATI Community Health Nursing Ch 7
1. Which of the following is not a therapeutic indication of bone marrow puncture?
- A. Analgesia
- B. Antibiotics
- C. Anaesthesia
- D. Inflammation
Correct answer: A
Rationale: Bone marrow puncture is not typically performed for analgesia purposes. It is primarily done for diagnostic or therapeutic reasons, such as obtaining a sample for testing, administering medications like antibiotics, providing anesthesia during the procedure, or treating conditions related to inflammation. Analgesia, which refers to pain relief, is not a direct therapeutic indication for bone marrow puncture.
2. A healthcare professional is assessing a client with obsessive-compulsive disorder (OCD). Which of the following findings shouldn't the healthcare professional expect?
- A. Recurrent, intrusive thoughts
- B. Compulsive behaviors
- C. Delusions of grandeur
- D. Avoidance of situations that trigger obsessions
Correct answer: C
Rationale: In obsessive-compulsive disorder (OCD), common findings include recurrent, intrusive thoughts (obsessions), compulsive behaviors, and avoidance of situations that trigger obsessions. Delusions of grandeur, which involve having an exaggerated sense of power, importance, or identity, are not typically associated with OCD. It is important to differentiate between the specific characteristics of OCD and other mental health conditions to provide accurate care and interventions for clients.
3. Which hormone is secreted by the Islets of Langerhans?
- A. Progesterone
- B. Testosterone
- C. Insulin
- D. Hemoglobin
Correct answer: C
Rationale: Insulin is the correct answer. It is the hormone secreted by the Islets of Langerhans in the pancreas. These specialized cells regulate blood sugar levels by releasing insulin in response to high blood glucose levels. Insulin aids in glucose absorption by cells, lowering blood sugar levels. Progesterone, testosterone, and hemoglobin are not secreted by the Islets of Langerhans and do not play a role in blood sugar regulation.
4. What is a major goal for home care nurses?
- A. Restoring maximum health function.
- B. Promoting the health of populations.
- C. Minimizing the progress of disease.
- D. Maintaining the health of populations.
Correct answer: A
Rationale: A major goal for home care nurses is restoring maximum health function. This involves helping patients achieve their highest level of health and independence, focusing on individualized care plans tailored to each patient's needs. Choice B, promoting the health of populations, is more aligned with public health nursing rather than home care nursing. Choice C, minimizing the progress of disease, is important but not as comprehensive as restoring maximum health function. Choice D, maintaining the health of populations, is more about preventive care at a population level rather than the individualized care provided by home care nurses.
5. According to Maslow’s hierarchy, what is the most advanced need provided by the home environment?
- A. Love
- B. Self-actualization
- C. Esteem
- D. Physiological
Correct answer: B
Rationale: The correct answer is B, self-actualization. Self-actualization is the highest level in Maslow's hierarchy of needs, representing the realization of one's full potential. While love is an essential need, self-actualization builds upon the fulfillment of basic needs like safety and love. Esteem needs relate to feelings of accomplishment and recognition, which come before self-actualization. Physiological needs such as food, water, and shelter are the most basic needs at the bottom of the hierarchy.
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