ATI RN
RN ATI Capstone Proctored Comprehensive Assessment 2019 B
1. A nurse is preparing an in-service about family violence for a group of newly licensed nurses. Which of the following statements should the nurse include in the teaching?
- A. Perpetrators of family-directed violence do not recognize their behavior as abnormal.
- B. Female clients who experience partner violence are at greater risk for chronic diseases.
- C. The victim's risk for homicide is greatest when they decide to leave the relationship.
- D. The level of violence increases over time in abusive relationships.
Correct answer: C
Rationale: The correct answer is C because the risk of homicide increases significantly when a victim decides to leave an abusive relationship. This is a crucial point to emphasize in educating healthcare professionals about family violence. Choice A is incorrect because perpetrators often do not acknowledge their behavior as abnormal. Choice B is incorrect as victims of partner violence are at greater risk for chronic, not acute, diseases. Choice D is incorrect as the level of violence tends to escalate rather than decrease over time in abusive relationships.
2. What is a recommended nursing action for a client who experiences short-term memory loss after Electroconvulsive Therapy (ECT)?
- A. Provide cognitive-behavioral therapy
- B. Offer frequent orientation and reassurance
- C. Administer a sedative to improve memory recall
- D. Refer the client to a neurologist for further evaluation
Correct answer: B
Rationale: The correct nursing action for a client experiencing short-term memory loss after ECT is to offer frequent orientation and reassurance. This helps the client feel supported and aids in memory retention. Providing cognitive-behavioral therapy (Choice A) may be beneficial for other conditions but is not the primary intervention for memory loss post-ECT. Administering a sedative (Choice C) is not recommended as it may further affect memory recall. Referring the client to a neurologist (Choice D) for further evaluation is not the initial action needed; offering support and orientation should be the first approach to manage memory issues post-ECT.
3. A nurse is performing a pain assessment for a client who is alert. The nurse should recognize that which of the following measures is the most reliable indicator of pain?
- A. Self-report of pain
- B. Nonverbal behavior
- C. Severity of the condition
- D. Vital signs
Correct answer: A
Rationale: The correct answer is A: Self-report of pain. Pain is a subjective experience, and the most reliable way to assess it is through the client's self-report. While nonverbal behaviors and vital signs can provide additional information, they are not as reliable as the client's own report of pain. The severity of the condition may influence the experience of pain but is not a direct indicator of the client's pain level.
4. A client is being taught about which foods to include in a low fiber diet. Which statement indicates understanding?
- A. Choosing a fresh pear would be a good snack option
- B. I should make refried beans for supper
- C. Selecting white rice as a side dish is a good choice
- D. Opting for bran cereal would be a good breakfast choice
Correct answer: C
Rationale: The correct answer is C because white rice is a low-fiber food suitable for a low-fiber diet, making it an appropriate choice. Choices A, B, and D are incorrect because fresh pear, refried beans, and bran cereal are high-fiber foods and not suitable for a low-fiber diet.
5. A client with diabetes mellitus is prescribed prednisone for a rash. Which statement by the client indicates the need for further teaching?
- A. I might have trouble falling asleep while taking prednisone
- B. I might feel emotional when I am on this medicine
- C. I might need to increase my regular insulin during this time
- D. I will gradually stop the prednisone when my rash goes away
Correct answer: D
Rationale: The correct answer is D. Prednisone should never be stopped abruptly; it must be tapered down. Stopping it suddenly can lead to adrenal insufficiency. Choices A, B, and C are all potential side effects or considerations when taking prednisone and do not indicate a need for further teaching.
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