ATI RN
Psychology 101 Final Exam
1. A model of understanding mental illnesses that attempts to integrate the contributions of many different types of actors is called the ________ viewpoint.
- A. biopsychosocial
- B. sociocultural
- C. Gestalt
- D. neuroscience
Correct answer: A
Rationale: The correct answer is A: biopsychosocial. The biopsychosocial viewpoint considers the interplay of biological, psychological, and social factors in understanding mental illnesses. This model recognizes that mental health and illness are influenced by a combination of biological, psychological, and social factors. Choice B, sociocultural, focuses more on societal and cultural influences on mental health, while Choice C, Gestalt, relates to holistic psychology. Choice D, neuroscience, emphasizes the role of the nervous system and brain in mental processes, but it does not encompass the broader integration of biological, psychological, and social aspects seen in the biopsychosocial viewpoint.
2. Which of the following should be included in a discussion of advance directives with new nurse graduates?
- A. According to the Patient Self-Determination Act, nurses are required to inform clients of their right to create an advance directive.
- B. The advance directive designates an individual who will make financial decisions for the client if he or she is unable to do so.
- C. A living will designates who will make health-care decisions for an individual in the event the individual is unable or incompetent to make his or her own decisions.
- D. The advance directive designates a health-care surrogate who will make known the client�s wishes regarding medical treatment if the client is unable to do so.
Correct answer: D
Rationale: One function of the advance directive is to appoint a health-care surrogate who will make known the client�s wishes for medical treatment to the medical and nursing team if the client is unable to do so.
3. James is a 42-year-old patient with schizophrenia. He approaches you as you arrive for the day shift and anxiously reports, 'Last night, demons came to my room and tried to rape me.' Which response would be most therapeutic?
- A. There are no such things as demons. What you saw were hallucinations.
- B. It is not possible for anyone to enter your room at night. You are safe here.
- C. You seem very upset. Please tell me more about what you experienced last night.
- D. That must have been very frightening, but we'll check on you at night and you'll be safe.
Correct answer: C
Rationale: Response C is the most therapeutic as it shows empathy and encourages the patient to express their feelings and share more about their experience. By actively listening and inviting the patient to talk, the nurse creates a supportive environment that can help the patient feel heard and understood, which is essential in building trust and rapport in therapeutic communication with individuals experiencing schizophrenia.
4. During peacetime, most CONUS hospital military personnel are organized into what type of organization?
- A. DVA
- B. TOE
- C. TDA
- D. NDMS
Correct answer: C
Rationale: During peacetime, most CONUS hospital military personnel are organized into a TDA (Table of Distribution and Allowances) type of organization. TDA defines the structure and personnel requirements of a unit. Choice A, DVA (Department of Veterans Affairs), is not the typical organizational structure for military hospital personnel. Choice B, TOE (Table of Organization and Equipment), refers to the organization and equipment of a unit, not the personnel organization. Choice D, NDMS (National Disaster Medical System), is a federal program that coordinates medical responses to disasters and emergencies, but it is not the primary organizational structure for military hospital personnel during peacetime.
5. A client with tuberculosis is receiving a new prescription for isoniazid (INH). The nurse should instruct the client to report which of the following findings as an adverse effect of the medication?
- A. You might notice yellowing of your skin.
- B. You might experience pain in your joints.
- C. You might notice tingling of your hands.
- D. You might experience loss of appetite.
Correct answer: You might notice tingling of your hands.
Rationale: Tingling of the hands is a common adverse effect of isoniazid (INH) due to its potential to cause peripheral neuropathy. This sensation can be an early sign of nerve damage, and thus, the client should be instructed to report it promptly to the healthcare provider for further evaluation and management.
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