ATI RN
ATI Community Health Nursing Ch 7
1. Which action demonstrates secondary prevention?
- A. Screening for early signs of disease
- B. Providing rehabilitation services
- C. Administering medications
- D. Providing health education
Correct answer: A
Rationale: The correct answer is A: Screening for early signs of disease. Secondary prevention involves activities that aim to detect health issues early to provide timely treatment. Screening for early signs of disease falls under secondary prevention as it helps identify diseases in their early stages, allowing for prompt intervention and management.
2. You are the surgical nurse caring for a 65-year-old female patient who is postoperative day 1 following a thyroidectomy. During your shift assessment, the patient complains of tingling in her lips and fingers. She tells you that she has an intermittent spasm in her wrist and hand and she exhibits increased muscle tone. What electrolyte imbalance should you first suspect?
- A. Hypophosphatemia
- B. Hypocalcemia
- C. Hypermagnesemia
- D. Hyperkalemia
Correct answer: Hypocalcemia
Rationale:
3. A client has been diagnosed with histrionic personality disorder. Which of the following behaviors should the nurse expect?
- A. Attention-seeking behavior
- B. Dramatic expressions of emotion
- C. Seductive behavior
- D. Dependency on others
Correct answer: A
Rationale: Individuals with histrionic personality disorder often display attention-seeking behaviors as a way to draw focus and validation from others. This behavior may manifest as exaggerated emotions and dramatic expressions to maintain the spotlight. While seductive behavior and dependency on others are potential characteristics of histrionic personality disorder, attention-seeking behavior is the hallmark trait. Therefore, the correct answer is attention-seeking behavior (Choice A). Dramatic expressions of emotion (Choice B) can be a feature of histrionic personality disorder, but it is not as characteristic as attention-seeking behavior. Seductive behavior (Choice C) may also be present in individuals with histrionic personality disorder, but it is not the primary behavior to expect. Dependency on others (Choice D) is not a core feature of histrionic personality disorder, although individuals with this disorder may seek attention and validation from others.
4. An important role of the nurse in ambulatory settings and schools is the identification of communicable diseases for treatment and the prevention of spread. What is an important component related to the first period of the contagiousness of disease?
- A. Source
- B. Causative agent
- C. Prodromal stage
- D. Constitutional symptoms
Correct answer: C
Rationale: The prodromal period is the interval between the early manifestations of the disease and the time when the overt clinical syndrome is evident. Most communicable diseases are contagious during this time. Identifying the prodromal stage is crucial for early intervention and preventing the spread of the disease. While the source and causative agent are important aspects of disease control, recognizing the early signs in the prodromal stage allows the nurse to take timely actions. Constitutional symptoms occur during the active disease phase, indicating that the child has already been contagious, and early intervention opportunities may have passed.
5. When the parent returned in the strange situation experiment, babies with ____ attachment tend to remain upset for long periods of time, kicking, screaming, refusing to be distracted with toys, and sometimes arching back and away from contact?
- A. Secure
- B. Avoidant
- C. Ambivalent
- D. Disorganized
Correct answer: C
Rationale: In the strange situation experiment, babies with ambivalent attachment display distress and have difficulty calming down when a parent returns. They may kick, scream, refuse toys, and show signs of physical discomfort or resistance. This behavior is characteristic of ambivalent attachment, where the infant shows mixed emotions and finds it hard to be soothed by the returning parent. Secure attachment (Choice A) refers to babies who seek comfort from the parent but can be soothed upon return. Avoidant attachment (Choice B) involves babies showing little emotion upon reunion with the parent. Disorganized attachment (Choice D) displays inconsistent or confused behaviors in the strange situation experiment.
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