ATI RN
Exam 4 Psychology 101
1. Arrange the three stages of prenatal development in the correct order.
- A. Germinal stage, fetal stage, embryonic stage
- B. Fetal stage, embryonic stage, germinal stage
- C. Embryonic stage, germinal stage, fetal stage
- D. Germinal stage, embryonic stage, fetal stage
Correct answer: D
Rationale: The correct order of the three stages of prenatal development is germinal stage, embryonic stage, and fetal stage. During the germinal stage, the fertilized egg rapidly divides and implants in the uterine wall. The embryonic stage follows, where major organs and systems begin to develop. Finally, during the fetal stage, the developing organism is known as a fetus and continues to grow and mature. Choice A is incorrect because it has the stages in the wrong order. Choice B is incorrect as it also presents the stages out of order. Choice C is incorrect as it reverses the order of the stages. Therefore, the correct answer is D.
2. What is the fundamental difference between nursing diagnoses and collaborative problems?
- A. Collaborative problems are managed by nurses using physician-prescribed interventions.
- B. Collaborative problems can be addressed by independent nursing interventions.
- C. Physician-prescribed interventions are incorporated into nursing diagnoses.
- D. Nursing diagnoses include physiologic complications that nurses monitor to detect status changes.
Correct answer: B
Rationale: The correct answer is B, as collaborative problems necessitate the collective expertise and skills of numerous healthcare professionals, including nurses. These problems can be dealt with through independent nursing interventions in cooperation with other team members. Option A is incorrect because collaborative problems aren't strictly managed with physician-prescribed interventions. Option C is incorrect because nursing diagnoses aim at identifying and treating actual or potential health issues, rather than merely integrating physician-prescribed interventions. Option D is incorrect because nursing diagnoses aim at identifying patient issues, not solely physiologic complications, and guide the necessary nursing care, not just monitor for changes.
3. While taking the history of an older adult client, which assessment finding alerts the nurse that the client needs further assessment for fluid or electrolyte imbalance?
- A. “I am often cold and need to wear a sweater.”
- B. “I seem to urinate more when I drink coffee.”
- C. “In the summer, I feel thirsty more often.”
- D. “My rings seem to be tighter this week.”
Correct answer: “My rings seem to be tighter this week.”
Rationale: The correct answer is 'My rings seem to be tighter this week.' This assessment finding indicates possible fluid retention, which can be a sign of fluid or electrolyte imbalance in an older adult. Choices A, B, and C do not specifically point towards fluid or electrolyte imbalance. Feeling cold, increased urination with coffee consumption, and feeling thirsty in the summer are not direct indicators of fluid or electrolyte imbalance in this context.
4. What is the role of the Joint Commission in healthcare?
- A. Advocacy for patients
- B. Setting standards for patient care
- C. Providing direct patient care
- D. Approving healthcare facilities
Correct answer: D
Rationale: The correct answer is D: 'Approving healthcare facilities.' The Joint Commission's primary role is to accredit and certify healthcare organizations and programs in the United States. This accreditation ensures that healthcare facilities meet specific quality and safety standards. Choices A, B, and C are incorrect because the Joint Commission focuses on evaluating and accrediting healthcare facilities rather than advocating for patients, providing direct care, or setting standards for patient care.
5. What long-term risks should the nurse discuss with a patient starting on hormone replacement therapy (HRT)?
- A. HRT is associated with increased risks of cardiovascular events and breast cancer, so these risks should be discussed with the patient.
- B. HRT can improve mood and energy levels, but it also increases the risk of osteoporosis.
- C. HRT can increase the risk of venous thromboembolism, so patients should undergo regular screening.
- D. HRT decreases the risk of fractures, but it also increases the risk of developing diabetes.
Correct answer: A
Rationale: The correct answer is A. When starting on hormone replacement therapy (HRT), the nurse should discuss the increased risks of cardiovascular events and breast cancer with the patient. These risks are important to consider to make an informed decision. Choice B is incorrect as HRT does not increase the risk of osteoporosis; in fact, it may help prevent it. Choice C is incorrect as while HRT can increase the risk of venous thromboembolism, regular screening is not the primary focus for discussion. Choice D is incorrect as HRT does not decrease the risk of fractures and is not primarily associated with an increased risk of developing diabetes.
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