ATI RN
RN ATI Capstone Proctored Comprehensive Assessment 2019 B with NGN
1. What is a primary goal when managing a client with generalized anxiety disorder (GAD)?
- A. Encourage the client to engage in regular physical exercise
- B. Help the client avoid anxiety triggers through behavioral therapy
- C. Encourage the client to express feelings openly
- D. Teach relaxation techniques to help manage anxiety
Correct answer: D
Rationale: When managing a client with generalized anxiety disorder (GAD), a primary goal is to teach relaxation techniques to help manage anxiety. Relaxation techniques such as deep breathing, progressive muscle relaxation, and mindfulness can be effective in reducing anxiety symptoms. Encouraging the client to engage in regular physical exercise (Choice A) can be beneficial but teaching relaxation techniques is more specific to managing anxiety. Avoiding anxiety triggers through behavioral therapy (Choice B) may be part of the treatment plan but teaching relaxation techniques is more directly aimed at managing anxiety. While encouraging the client to express feelings openly (Choice C) can be important for overall emotional well-being, teaching relaxation techniques is more focused on addressing the symptoms of anxiety.
2. You are doing discharge teaching with a patient who has hypophosphatemia during his time in hospital. The patient has a diet ordered that is high in phosphate. What foods would you teach this patient to include in his diet? Select all that do not apply
- A. Milk
- B. Beef
- C. Poultry
- D. Liver
Correct answer: Beef
Rationale:
3. Does the reduction in oxidative damage that occurs with energy restriction in animals also occur in people whose diets include _____?
- A. fiber and carbohydrates
- B. fatty acids and protein
- C. probiotics
- D. antioxidants and phytochemicals
Correct answer: D
Rationale: The correct answer is 'antioxidants and phytochemicals'. Antioxidants and phytochemicals help reduce oxidative damage in the body, contributing to healthy aging and a lower risk of chronic diseases. This is the same effect observed in animals when their energy intake is restricted. The other choices are incorrect as there is no direct evidence connecting reduced oxidative damage with diets high in fiber and carbohydrates, fatty acids and protein, or probiotics.
4. Latresha is not hungry, is extremely tired, and doesn't feel like doing much of anything. She often feels that life is just hopeless. These symptoms have been going on for 2 months now. She probably is suffering from which mood disorder?
- A. Generalized anxiety disorder
- B. Bipolar disorder
- C. Major depressive disorder
- D. Obsessive-compulsive disorder
Correct answer: C
Rationale: The correct answer is C, Major Depressive Disorder. Latresha's symptoms of prolonged sadness, fatigue, and lack of interest in activities lasting for 2 months indicate a major depressive episode. Generalized anxiety disorder (A) is characterized by excessive worry and anxiety, not necessarily prolonged sadness. Bipolar disorder (B) involves episodes of both mania and depression, not solely prolonged sadness. Obsessive-compulsive disorder (D) is characterized by obsessions and compulsions, not the symptoms described in the scenario.
5. The nurse knows which phenomenon listed below is an accurate statement about axonal transport?
- A. Anterograde and retrograde axonal transport allow for the communication of nerve impulses between a neuron and the central nervous system (CNS).
- B. Materials can be transported to the nerve terminal by either fast or slow components.
- C. The unidirectional nature of the axonal transport system protects the CNS against potential pathogens.
- D. Axonal transport facilitates the movement of electrical impulses but precludes the transport of molecular materials.
Correct answer: B
Rationale: The correct answer is B. Axonal transport involves the movement of materials to the nerve terminal by either fast or slow components, which is essential for cell survival. Choice A is incorrect because while anterograde and retrograde axonal transport are involved in the movement of materials, they do not specifically relate to the communication of nerve impulses between a neuron and the CNS. Choice C is incorrect because the unidirectional nature of axonal transport does not primarily function to protect the CNS against pathogens. Choice D is incorrect as axonal transport is responsible for the movement of various materials, not just electrical impulses.
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