ATI RN
Pathophysiology Practice Questions
1. A client has approached the nurse asking for advice on how to deal with his alcohol addiction. The nurse should tell the client that the only effective treatment for alcoholism is:
- A. psychotherapy.
- B. total abstinence.
- C. Alcoholics Anonymous (AA).
- D. aversion therapy.
Correct answer: B
Rationale: The correct answer is B: total abstinence. Total abstinence from alcohol is considered the most effective treatment for alcoholism. This approach eliminates the risk of relapse and helps individuals maintain sobriety. While psychotherapy can be beneficial in addressing underlying issues, total abstinence is crucial in overcoming alcohol addiction. Alcoholics Anonymous (AA) is a supportive group that can complement treatment, but it is not the only effective approach. Aversion therapy aims to create a negative association with alcohol but may not address the underlying causes of addiction, making total abstinence a more comprehensive and recommended approach.
2. How do defense mechanisms contribute to psychopathology?
- A. They do not contribute to psychopathology as they are healthy coping mechanisms.
- B. They contribute to psychopathology by allowing individuals to avoid confronting painful realities.
- C. Defense mechanisms have no connection to psychopathology.
- D. Defense mechanisms are unconscious strategies that can lead to the development of psychopathology.
Correct answer: B
Rationale: The correct answer is B. Defense mechanisms contribute to psychopathology by allowing individuals to avoid confronting painful realities. This avoidance can prevent individuals from dealing with underlying issues, leading to the development or exacerbation of psychopathological conditions. Choice A is incorrect because while defense mechanisms may serve as coping mechanisms, they can also contribute to psychopathology when used excessively or inappropriately. Choice C is incorrect as defense mechanisms are indeed connected to psychopathology. Choice D is incorrect because defense mechanisms, when maladaptive, can contribute to psychopathology rather than being considered healthy coping strategies.
3. A patient is being treated for active tuberculosis with ethambutol (Myambutol). The patient states to the nurse that he cannot identify the red and green on the traffic lights when he is driving. Based on this finding, what medical intervention is most appropriate?
- A. Assess for photosensitivity.
- B. Discontinue ethambutol (Myambutol).
- C. Decrease the ethambutol (Myambutol) dose.
- D. Administer vitamin B.
Correct answer: A
Rationale: The correct answer is to assess for photosensitivity. Ethambutol can cause optic neuritis, leading to visual disturbances, including difficulty differentiating red and green colors. This is a sign of optic nerve damage and requires immediate evaluation. Discontinuing ethambutol may be necessary if optic neuritis is confirmed, but this decision should be made by a healthcare provider. Decreasing the dose of ethambutol may not address the visual changes. Administering vitamin B does not directly address the side effect caused by ethambutol.
4. People at higher risk for drug-nutrient interactions include:
- A. Infants
- B. People with diabetes
- C. Women of childbearing age
- D. Older men and women
Correct answer: D
Rationale: Older men and women are at a higher risk for drug-nutrient interactions due to factors like polypharmacy, changes in metabolism, and physiological changes associated with aging. Infants are less likely to be exposed to a wide range of medications, reducing their risk. People with diabetes and women of childbearing age may have specific nutrient needs or considerations, but they are not typically at a higher risk for drug-nutrient interactions compared to older adults.
5. Which of the following organs is in the abdominopelvic cavity?
- A. The heart
- B. The trachea
- C. The thymus
- D. The liver
Correct answer: The liver
Rationale: The correct answer is the liver. The liver is located in the abdominopelvic cavity, which is the space between the diaphragm and the pelvic floor. The heart, trachea, and thymus are not located in the abdominopelvic cavity. The heart is situated in the thoracic cavity, the trachea is in the neck region, and the thymus is located in the upper chest. Understanding the anatomical locations of organs is crucial for medical professionals to accurately diagnose and treat patients.
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