ATI RN
ATI Community Health Proctored Exam 2019
1. The public health RN is working with a client who desires to quit smoking. The client says to the RN, 'I want to quit but I just don't think I have it in me to really make it happen.' According to the Health Belief Model, this response relates to which factor:
- A. Susceptibility
- B. Self-efficacy
- C. Severity
- D. Cue to action
Correct answer: B
Rationale: The correct answer is B, 'Self-efficacy.' In the Health Belief Model, self-efficacy refers to a person's belief in their capacity to execute behaviors necessary to achieve specific goals or outcomes. In this scenario, the client's statement reflects a lack of confidence in their ability to successfully quit smoking, indicating low self-efficacy. By addressing and enhancing the client's self-efficacy, the public health RN can help empower the client to take steps towards successful smoking cessation.
2. When planning care for a patient with diabetes insipidus, what should the nurse include in the plan?
- A. Monitor serum albumin levels
- B. Avoid alcohol
- C. Teach the patient to increase fluids
- D. Increase exercise to reduce stress
Correct answer: B
Rationale: The correct answer is B: 'Avoid alcohol.' Alcohol consumption can exacerbate dehydration in patients with diabetes insipidus, so it is essential to advise them to avoid alcohol. Monitoring serum albumin levels (choice A) is not directly related to managing diabetes insipidus. Teaching the patient to increase fluids (choice C) is not recommended as it can worsen the condition by further diluting the urine. Increasing exercise to reduce stress (choice D) is not a primary intervention for managing diabetes insipidus.
3. The site of chemical communication in the brain is the ________.
- A. neuron
- B. synapse
- C. axon
- D. dendrite
Correct answer: B
Rationale: The synapse is the correct answer. It is the site where communication between neurons occurs through the release and reception of neurotransmitters. Choice A, neuron, is incorrect as it is the cell itself rather than a specific site of communication. Choice C, axon, is also incorrect as it is a part of the neuron that transmits signals away from the cell body. Choice D, dendrite, is not the correct answer either, as dendrites receive signals from other neurons but do not release neurotransmitters for communication.
4. When administering digoxin (Lanoxin) to a patient, the healthcare provider observes various signs and symptoms of an overdose. Which of the following should the healthcare provider give to reverse digoxin toxicity?
- A. Naloxone
- B. Vitamin K
- C. Digibind
- D. Flumazenil
Correct answer: C
Rationale: Digibind, also known as Digoxin immune Fab, is the specific antidote used to treat digoxin toxicity. It works by binding to digoxin in the body, forming a complex that can be excreted by the kidneys, thereby reversing the toxic effects of digoxin overdose. Naloxone is used for opioid overdoses, not digoxin toxicity. Vitamin K is used to reverse the effects of warfarin overdose. Flumazenil is used to reverse the effects of benzodiazepine overdose, not digoxin toxicity.
5. How can resilience impact the likelihood of developing a mental disorder?
- A. Resilience has no impact on mental health outcomes.
- B. Resilience can help individuals overcome significant stressors.
- C. Resilience is irrelevant to mental health.
- D. Resilience is the sole factor that determines mental health outcomes.
Correct answer: B
Rationale: The correct answer is B. Resilience plays a crucial role in mental health outcomes by enabling individuals to navigate and overcome stressors effectively, thus reducing the probability of developing mental disorders. Choice A is incorrect as resilience does have a positive impact on mental health. Choice C is incorrect as resilience is highly relevant to mental health outcomes. Choice D is incorrect because while resilience is important, it is not the only factor influencing mental health.
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