ATI RN
Human Growth and Development Final Exam Answers
1. Chinara is Rh-negative and Savon, her first child, is Rh-positive. Chinara's doctor will probably __________.
- A. give Savon a vaccine to prevent heart damage and intellectual disabilities
- B. advise Chinara not to have another child due to Rh incompatibility
- C. give Chinara a vaccine to prevent the buildup of antibodies to the foreign Rh protein
- D. do nothing because firstborn children are not affected by Rh incompatibility
Correct answer: C
Rationale: Chinara is Rh-negative and Savon, her first child, is Rh-positive. This presents a risk of Rh incompatibility in future pregnancies. To prevent the buildup of antibodies to the foreign Rh protein and protect future pregnancies, Chinara's doctor will likely give her a vaccine known as RhoGAM to prevent her immune system from reacting to Rh-positive blood cells. This vaccine helps to minimize the risks of complications in subsequent pregnancies. Choice A is incorrect because the vaccine is given to the mother, not the child. Choice B is incorrect as advising against having more children is not a typical response when preventive measures are available. Choice D is incorrect because all subsequent pregnancies are at risk of Rh incompatibility, not just the firstborn child.
2. A client prescribed sertraline for depression is receiving discharge instructions. Which statement by the client indicates an accurate understanding of the medication?
- A. I should take this medication at bedtime to avoid nausea.
- B. I should avoid drinking alcohol while taking this medication.
- C. I should take this medication with food to avoid stomach upset.
- D. It may take several weeks for this medication to be effective.
Correct answer: D
Rationale: The correct answer is D because sertraline, used for depression, typically takes several weeks to become effective. It is important for clients to understand this delayed onset of action to manage their expectations and continue taking the medication as prescribed despite not seeing immediate results.
3. A nurse in the oncology clinic is providing preoperative education to a client just diagnosed with cancer. The client has been scheduled for surgery in 3 days. What action by the nurse is best?
- A. Call the client at home the next day to review teaching.
- B. Give the client information about a cancer support group.
- C. Provide all the preoperative instructions in writing.
- D. Reassure the client that surgery will be over soon.
Correct answer: A
Rationale: Clients are often overwhelmed by a sudden cancer diagnosis; therefore, it is best for the nurse to call the client at home the next day to review teaching. This approach allows the client time to process the information before the surgery. Choice B may be beneficial but is not the priority at this time. Providing written instructions (Choice C) is helpful but does not offer the personalized interaction needed. Reassuring the client (Choice D) is important but does not address the educational aspect of preoperative preparation.
4. What would a humanist most likely say about Manny's passivity?
- A. Manny will find it difficult to change because he probably has deep-seated feelings of inferiority.
- B. Manny can become more assertive once he begins to feel better about himself and recognizes that he has the ability to fulfill his potential.
- C. Manny simply needs to take an assertiveness training class in which he can learn and practice assertive behaviors.
- D. Manny should undergo analysis so that he can begin to resolve whatever unconscious conflict is at the root of his passivity.
Correct answer: B
Rationale: Humanists believe in the inherent goodness and potential of individuals. They would most likely say that Manny can become more assertive by improving his self-esteem and recognizing his abilities. Choice A is incorrect because humanists focus on self-actualization rather than deep-seated feelings of inferiority. Choice C is incorrect as it oversimplifies the issue by suggesting a training class can solve the problem without addressing underlying beliefs. Choice D is incorrect as it suggests a psychoanalytic approach, while humanists usually emphasize personal growth and self-improvement.
5. A client is experiencing a panic attack. Which action should the nurse take first?
- A. Remain with the client and offer reassurance.
- B. Administer an anti-anxiety medication as prescribed.
- C. Encourage the client to engage in physical activity.
- D. Encourage the client to breathe deeply and slowly.
Correct answer: A
Rationale: During a panic attack, the immediate priority for the nurse is to provide support and reassurance to the client. Remaining with the client helps establish a sense of safety and trust, which can help calm the client during an episode of panic. Administering medication, encouraging physical activity, and deep breathing techniques are beneficial interventions, but offering reassurance and support should be the initial step to address the immediate emotional distress and anxiety experienced by the client.
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