ati health assessment test bank

Correct Answer: B

Rationale: The correct answer is B: Be totally honest with him, even if the information is unpleasant. This is the best approach because honesty builds trust and credibility, crucial in a healthcare setting. It allows the teenager to make informed decisions about his care and fosters a therapeutic relationship. Explanation for why the other choices are incorrect: A: Using periods of silence may be misinterpreted as indifference or lack of engagement. C: Promising total confidentiality may not be feasible in healthcare settings and could lead to potential harm if critical information needs to be shared with others for the patient's safety. D: Using slang language may come across as unprofessional and may hinder effective communication and understanding between the nurse and the patient.

Correct Answer: A

Rationale: The correct answer is A: Severe headaches and blurred vision. Hypertension can lead to complications such as hypertensive crisis, causing symptoms like severe headaches and blurred vision due to increased pressure in the blood vessels. This can indicate a serious health issue requiring immediate medical attention. Weight loss and dizziness (B), increased appetite and tremors (C), and nausea and vomiting (D) are not typically associated with hypertension complications. It's crucial for the nurse to educate the patient on recognizing these signs to prevent further health risks.

Correct Answer: B

Rationale: The correct answer is B, Health screenings such as mammograms, because secondary prevention focuses on early detection and treatment of diseases to prevent progression. Health screenings help identify conditions at early stages, allowing for timely intervention. Routine immunizations (A) are considered primary prevention as they prevent diseases from occurring. Smoking cessation programs (C) and health education on healthy eating (D) are examples of primary prevention, as they aim to prevent the development of diseases by promoting healthy behaviors.

Correct Answer: A

Rationale: The correct answer is A: Inspecting feet daily for signs of injury. This is crucial for patients with diabetic neuropathy to prevent complications like foot ulcers. Daily foot inspections can catch any signs of injury early, allowing for prompt treatment. It helps in preventing infections and serious complications. Summary of why other choices are incorrect: B: Exercising to improve circulation - While exercise is beneficial for overall health, it may not directly address the risk of injury due to neuropathy. C: Eating more protein-rich foods - While a balanced diet is important for managing diabetes, protein-rich foods do not specifically address the risk of foot injuries in diabetic neuropathy. D: Using tight-fitting shoes to prevent blisters - Tight-fitting shoes can actually increase the risk of blisters and injuries, especially in patients with diabetic neuropathy.

Correct Answer: D

Rationale: The correct answer is D because it directly acknowledges the patient's distress and sets the stage for gathering essential information. By stating the need to ask questions about what happened, it shows empathy and readiness to provide help. Choice A is too formal and lacks empathy. Choice B shifts the focus away from the patient's distress. Choice C is similar to D but lacks the crucial element of acknowledging the patient's emotional state. Thus, D is the best choice for an opening statement in this scenario.