ATI RN
Multi Dimensional Care | Exam | Rasmusson
1. What can the nurse NOT teach a client with acquired immunodeficiency syndrome (AIDS) to reduce the risk of infection?
- A. Share toothpaste with family members
- B. Avoid raw fruits and vegetables
- C. Avoid cleaning your toothbrush with bleach
- D. Wash your hands thoroughly
Correct answer: Share toothpaste with family members
Rationale:
2. During a funduscopic examination of a school-age child, the nurse notes a brilliant, uniform red reflex in both eyes. The nurse should recognize that this is which?
- A. A normal finding
- B. A sign of a possible visual defect and a need for vision screening
- C. An abnormal finding requiring referral to an ophthalmologist
- D. A sign of small hemorrhages, which usually resolve spontaneously
Correct answer: A
Rationale: A brilliant, uniform red reflex in both eyes is a normal finding, indicating that the retina is healthy and there are no significant obstructions in the visual pathway.
3. The ______________ perspective in psychology takes into account biological, sociological, and psychological factors associated with a person's behaviors.
- A. Behavioral
- B. Cognitive-behavioral
- C. Psychodynamic
- D. Biopsychosocial
Correct answer: D
Rationale: The biopsychosocial perspective is the correct answer as it considers biological, sociological, and psychological factors associated with a person's behaviors. This perspective emphasizes the interconnection between these factors in understanding human behavior. Choice A, Behavioral perspective, focuses primarily on observable behaviors and how they are influenced by the environment. Choice B, Cognitive-behavioral perspective, combines elements of cognitive and behavioral theories to understand behavior but does not encompass sociological factors. Choice C, Psychodynamic perspective, emphasizes unconscious processes and early childhood experiences as determinants of behavior, neglecting the sociological aspect.
4. A client with generalized anxiety disorder (GAD) is being discharged. Which of the following instructions should the nurse include in the discharge teaching? Select one that does not apply.
- A. Practice relaxation techniques daily
- B. Avoid caffeine and alcohol
- C. Engage in regular physical activity
- D. Use benzodiazepines as the first line of treatment
Correct answer: D
Rationale: When discharging a client with GAD, it is important to provide instructions that promote holistic well-being and support without exacerbating the condition. Practicing relaxation techniques daily, avoiding caffeine and alcohol, and engaging in regular physical activity can help manage anxiety symptoms effectively. These strategies focus on self-care and healthy lifestyle choices. Seeking support from friends and family also plays a crucial role in maintaining mental health. However, using benzodiazepines as the first line of treatment is not recommended due to their potential for dependence and other associated risks. Non-pharmacological interventions and therapy are usually preferred as initial approaches in managing GAD. Therefore, the option 'D: Use benzodiazepines as the first line of treatment' is incorrect and should not be included in the discharge teaching for a client with GAD.
5. What is a critical element of program implementation in community health?
- A. Engaging community stakeholders
- B. Ensuring program sustainability
- C. Monitoring health outcomes
- D. Providing training for healthcare providers
Correct answer: A
Rationale: Engaging community stakeholders is a critical element of program implementation in community health because it ensures that the program is accepted and supported by the community. By involving stakeholders, the program can be tailored to meet the specific needs of the community, leading to better implementation and outcomes.
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