ATI RN
Growth and Development Exam
1. Alfred Binet and Theodore Simon __________.
- A. wrote the first book of its time on aging
- B. were among the first to make child development knowledge meaningful to parents
- C. regarded development as a maturational process
- D. constructed the first successful intelligence test Answer: D Page Ref: 14 Skill Level: Remember Topic: Scientific Beginnings Difficulty Level: Moderate
Correct answer: D
Rationale: Alfred Binet and Theodore Simon constructed the first successful intelligence test, known as the Binet-Simon scale, in an effort to measure a child's intelligence level. This test was groundbreaking at the time and laid the foundation for the development of future intelligence tests.
2. A client is being discharged with a new prescription for an antihypertensive medication. Which of the following statements should the nurse provide?
- A. Be sure to limit your potassium intake while taking the medication.
- B. You should check your blood pressure every 8 hours while taking this medication.
- C. Your medication dosage will be increased if you develop tachycardia.
- D. Change positions slowly when you move from sitting to standing.
Correct answer: D
Rationale: The correct answer is D. Orthostatic hypotension is a common adverse effect of antihypertensive medications. The client should move slowly to a sitting or standing position and should be taught to sit or lie down if lightheadedness or dizziness occurs. Choices A, B, and C are incorrect. Limiting potassium intake is usually not necessary with antihypertensive medications. Checking blood pressure every 8 hours is not a standard recommendation unless specified by a healthcare provider. Increasing medication dosage due to tachycardia is not a typical practice for antihypertensive medications.
3. Which parental statement at the conclusion of a teaching session regarding environmental controls for childhood asthma indicates correct understanding of the information presented?
- A. ''We're glad the dog can continue to sleep in our child’s room.''
- B. ''We’ll keep the plants in our child’s room dusted.''
- C. ''We’ll be sure to use the fireplace often to keep the house warm in the winter.''
- D. ''We will replace the carpet in our child’s bedroom with a hard surface.''
Correct answer: D
Rationale: The correct answer is D. Replacing carpet with hard flooring helps to reduce allergens and asthma triggers in the child’s environment. Choice A is incorrect as having a dog in the child’s room can worsen asthma symptoms due to pet dander. Choice B is incorrect because keeping plants in the child’s room can increase mold spores and allergens. Choice C is incorrect as using a fireplace can introduce smoke and other irritants into the air, worsening asthma symptoms.
4. Which of the following is not a cultural aspect related to mental illness?
- A. Local or cultural norms define pathological behavior.
- B. The higher the social class, the greater the recognition of mental illness behaviors.
- C. Psychiatrists typically see patients when the family can no longer deny the illness.
- D. The greater the cultural distance from the mainstream of society, the greater the likelihood that the illness will be treated with sensitivity and compassion.
Correct answer: D
Rationale: The statement in option D is incorrect. The greater the cultural distance from the mainstream of society, the more likely there will be negative responses to mental illness. In such cases, coercive treatments and involuntary hospitalizations are more common, rather than sensitivity and compassion.
5. A client with bipolar disorder and experiencing mania is under the care of a nurse. Which intervention should the nurse include in the plan?
- A. Encourage the client to spend time in the day room.
- B. Withdraw the client's TV privileges if they do not attend group therapy.
- C. Encourage the client to take frequent rest periods.
- D. Place the client in seclusion when they exhibit signs of anxiety.
Correct answer: C
Rationale: Encouraging the client to take frequent rest periods is an appropriate intervention for managing mania in a client with bipolar disorder. During a manic episode, individuals often have increased energy levels, decreased need for sleep, and may engage in high-risk behaviors. Encouraging regular rest periods can help reduce stimulation and promote relaxation, which may assist in stabilizing mood. Choices A and B are not as effective in managing manic symptoms, as they do not directly address the client's need for rest and relaxation. Choice D is inappropriate because placing the client in seclusion can increase feelings of anxiety and agitation, worsening the manic episode.
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