ATI RN
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1. Which of the following scenarios would be an example of shared governance on a nursing unit?
- A. Staff nurses delegate activities to CNAs.
- B. Procedure manuals are written by a committee of nurse managers.
- C. Staff nurses and CNAs make their own schedules.
- D. A unit manager seeks advice from her supervisor.
Correct answer: C
Rationale: The correct answer is C. Shared governance in a nursing unit involves staff nurses and CNAs having autonomy and decision-making power in aspects like scheduling, which is reflected in them making their own schedules. This scenario aligns with the philosophy of shared governance where nursing practice is best determined by nurses. Choices A, B, and D do not exemplify shared governance as they involve hierarchical delegation, managerial decision-making, and seeking advice from superiors rather than autonomous decision-making by frontline staff.
2. Why is cultural competence important in health promotion?
- A. Ensuring that health messages are tailored to diverse populations
- B. Providing translation services for non-English speakers
- C. Training health workers on cultural sensitivity
- D. Standardizing health education materials
Correct answer: A
Rationale: Cultural competence in health promotion is crucial as it involves tailoring health messages to suit the diverse cultural backgrounds of populations. This ensures that the information provided is not only relevant but also effectively communicated to different groups, promoting better health outcomes and reducing disparities.
3. A healthcare provider is assessing a client diagnosed with antisocial personality disorder. Which of the following behaviors should the provider expect the client to exhibit?
- A. A lack of remorse for wrongdoing
- B. A fear of gaining weight
- C. A need for constant reassurance
- D. A willingness to take responsibility for actions
Correct answer: A
Rationale: Individuals with antisocial personality disorder typically exhibit a lack of remorse for their actions. They may disregard the rights of others, engage in deceitful and manipulative behaviors, and show a consistent pattern of irresponsibility and disregard for social norms. This behavior is a key characteristic of this disorder. Choices B, C, and D are incorrect because they do not align with the typical behaviors associated with antisocial personality disorder. Fear of gaining weight is more indicative of an eating disorder rather than antisocial personality disorder. Needing constant reassurance is not a common trait of individuals with antisocial personality disorder. Additionally, individuals with this disorder often avoid taking responsibility for their actions.
4. Which of the following clinical findings in a 51-year-old woman is consistent with Graves disease?
- A. Thin hair, exophthalmos, hyperreflexia, and pretibial edema.
- B. Thin hair, exophthalmos, weight gain, and constipation.
- C. Thick hair, bradycardia, weight loss, and dry skin.
- D. Thick hair, bradycardia, weight gain, and constipation.
Correct answer: A
Rationale: The clinical findings of thin hair, exophthalmos (bulging eyes), hyperreflexia, and pretibial edema are classic manifestations of Graves disease, an autoimmune condition that results in hyperthyroidism. Choice B is incorrect because weight gain and constipation are more indicative of hypothyroidism, not hyperthyroidism seen in Graves disease. Choice C is incorrect as the symptoms described are more characteristic of hypothyroidism, not hyperthyroidism. Choice D is also incorrect as the symptoms listed are not consistent with Graves disease but rather suggest hypothyroidism.
5. A nurse is providing dietary teaching to the parent of a school-age child with cystic fibrosis. Which of the following statements should the nurse make?
- A. You should offer your child high-protein meals and snacks throughout the day
- B. Your child should decrease dietary fats to less than 10% of their caloric intake
- C. Your child will need to take a 1-gram sodium chloride tablet daily throughout their lifetime
- D. You should calculate your child's carbohydrate needs based on their daily activities
Correct answer: A
Rationale: The parent should provide a well-balanced diet that is high in protein and calories for a child with cystic fibrosis. This diet helps meet the child's increased energy requirements. Offering high-protein meals and snacks throughout the day is essential to ensure adequate nutrition and energy intake for children with cystic fibrosis. Choices B, C, and D are incorrect because children with cystic fibrosis actually need a higher fat intake for proper absorption of fat-soluble vitamins, sodium chloride supplementation is not a general recommendation for all children with cystic fibrosis, and carbohydrate needs are usually based on maintaining adequate weight and growth rather than daily activities.
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