ATI RN Fundamentals Proctored EXAM PDF

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ATI RN FUNDAMENTALS PROCTORED EXAM - (9 DIFFERENT VERSIONS)-

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ATI RN FUNDAMENTALS PROCTORED EXAM VERSION 1 1. A nurse working with clients at or below the poverty level recognizes that the life expectancy of these clients is lower than the general population because of: (select all that

apply.)

1 2 3 4 5 6

Inadequate nutritional diets High-risk work environments Hazardous living environments Addictive and abusive lifestyles Predisposition to chronic diseases Ineffective decision making abilities

ANS: 1, 2, 3, 4 People who live in poverty are more likely to live in hazardous environments, work at high-risk jobs, eat less nutritious diets, abuse substances, and have multiple stressors in their life. When researchers compared the life expectancies of European Americans and African-Americans, the causes of the differences were related to low socioeconomic status rather than ethnicity. Predisposition to chronic disease in part is genetic in nature and research has confirmed no such link between poverty and chronic disease. Decision-making ability is not the only factor affecting decision making. Poverty negatively affects the individuals ability to access recourses and adds stressors such as finding shelter that can alter the decision-making process. Chapter 4. Theoretical Foundations of Nursing Practice MULTIPLE CHOICE

1. In preparing to review different theories, the nurse reviews basic information to assist in understanding the material. Theories are defined as:

1 2 3 4

Mental formulations of objects or events Aspects of reality that can be consciously sensed Statements that describe concepts or connect concepts Concepts or propositions that project a systematic view of phenomena

www.testbanktank.co m ANS: 4 A theory is a set of concepts, definitions, relationships, and assumptions that project a systematic view of phenomena. Mental formulations of objects or events are called concepts. Aspects of reality that can be consciously sensed are called phenomena. Statements that describe concepts or connect concepts are called assumptions.

DIF: A REF: 46 OBJ: Knowledge TOP: Nursing Process: Assessment MSC: NCLEX test plan designation: Health Promotion and Maintenance 2. There are different types of theories that may be used by nurses seeking to study the basis of nursing practice. When the goal of a theory is to speculate on why phenomena occur, it is termed a:

1 2 3 4

Grand theory Prescriptive theory Descriptive theory Middle range theory

ANS: 3 Descriptive theories describe phenomena, speculate on why phenomena occur, and describe the consequences of phenomena. Grand theories provide the structural framework for broad, abstract ideas about nursing. Prescriptive theories address nursing interventions and predict the consequence of a specific nursing intervention. Middle range theories address specific phenomena or concepts and reflect practice. DIF: A REF: 47 OBJ: Knowledge TOP: Nursing Process: Assessment MSC: NCLEX test plan designation: Health Promotion and Maintenance

3. Which one of the four linkages of interest in the nursing paradigm refers to factors in the home or school?

1 2 3 4

Person Health Nursing care Environment

www.testbanktank.co m ANS: 4 Environment/situation includes all possible conditions affecting the client and the setting in which health care needs occur, such as the home, school, workplace, or community. Person refers to the recipient of nursing care, including individual clients, families, and the community. Health is the goal of nursing care. Nursing care refers to the diagnosis and treatment of human responses to actual or potential health problems (ANA, 1995).

DIF: A REF: 45 OBJ: Knowledge TOP: Nursing Process: Assessment MSC: NCLEX test plan designation: Health Promotion and Maintenance 4. The nurse is working within a health care system that employs Neumans theory. A client is having difficulty breathing and requires oxygen and medication. Within Neumans theory, the nurse approaches the client to:

1 2 3 4

Achieve the 14 basic needs Promote attainment of biological self-care requisites Assist in physiological adaptation to internal changes Strengthen the line of defenses at the secondary level of prevention

ANS: 4 Neumans framework for practice included nursing actions as primary, secondary, or tertiary levels of prevention in caring for clients holistically. Secondary prevention strengthens internal defenses and resources by establishing priorities and treatment plans for identified symptoms. In Hendersons theory, nurses help the client to perform 14 basic needs. The goal of Orems theory is to promote attainment of self-care. Roys theory focuses on adaptation. DIF: A REF: 49 OBJ: Comprehension

TOP: Nursing Process: Assessment MSC: NCLEX test plan designation: Health Promotion and Maintenance

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