ATI RN
Exam 4 Psychology 101
1. Colleen found herself attracted to her psychology instructor. She would frequently go by his office just to be near him. When he didn't respond to her advances, Colleen eventually told him that she had thoughts of killing herself so that he would spend time trying to counsel her. What personality disorder best describes Colleen's thinking and behavior?
- A. Borderline personality disorder
- B. Schizoid personality disorder
- C. Schizotypal personality disorder
- D. Antisocial personality disorder
Correct answer: A
Rationale: Colleen's behavior of seeking attention and manipulating others by threatening self-harm to elicit a response from her psychology instructor aligns with the characteristics of borderline personality disorder. This disorder is characterized by unstable relationships, impulsive actions, and efforts to avoid real or imagined abandonment. Choices B, C, and D are incorrect because they do not match Colleen's behavior as described in the scenario. Schizoid personality disorder is characterized by a lack of interest in social relationships, Schizotypal personality disorder involves social anxiety and odd behavior, and Antisocial personality disorder is characterized by a disregard for others' feelings and violating their rights.
2. A nurse is caring for a client who has septic shock. Which of the following findings should the nurse report to the provider?
- A. Temperature of 38°C (100.4°F).
- B. Urinary output of 40 mL/hr.
- C. Heart rate of 92/min.
- D. Capillary refill time of 2 seconds.
Correct answer: B
Rationale: The correct answer is B. A urinary output of 40 mL/hr is below the expected range and should be reported to the provider as it may indicate impaired kidney function, which is crucial to monitor in a client with septic shock. Choices A, C, and D are within acceptable ranges for a client with septic shock and do not indicate immediate concerns. A temperature of 38°C (100.4°F) is slightly elevated but can be expected in septic shock. A heart rate of 92/min is within the normal range for an adult. A capillary refill time of 2 seconds is also normal, indicating adequate peripheral perfusion.
3. What is the priority action when the nurse administers insulin for a misread blood glucose reading?
- A. Monitor for signs of hypoglycemia
- B. Monitor for hyperglycemia
- C. Administer glucose IV
- D. Document the incident
Correct answer: A
Rationale: The priority action when the nurse administers insulin for a misread blood glucose reading is to monitor for signs of hypoglycemia. Insulin administration based on a misread blood glucose could lead to hypoglycemia due to an unnecessary dose. Monitoring for signs of hypoglycemia is crucial for prompt intervention if blood glucose levels drop dangerously low. Option B, monitoring for hyperglycemia, is incorrect in this situation as the concern is over-treatment with insulin causing hypoglycemia. Option C, administering glucose IV, is only necessary if hypoglycemia occurs. Option D, documenting the incident, is important for reporting and learning purposes but is not the immediate priority when the focus is on patient safety and preventing complications.
4. A nurse is providing discharge teaching to a client who has had a stroke. Which of the following instructions should the nurse include?
- A. Avoid taking anticoagulant medication.
- B. Limit fluid intake to 1,000 mL per day.
- C. Avoid isometric exercises during recovery.
- D. Perform range-of-motion exercises daily.
Correct answer: D
Rationale: The correct answer is D: Perform range-of-motion exercises daily. After a stroke, performing range-of-motion exercises can help prevent complications such as joint stiffness and contractures. Options A, B, and C are incorrect. Anticoagulant medications are often prescribed to prevent blood clots after a stroke, fluid intake should be adequate unless indicated otherwise, and isometric exercises can be beneficial during recovery.
5. Match the energy-yielding nutrient to the amount of energy it provides to the body: Carbs, Fats, Proteins.
- A. Carbs - 4kcal/g
- B. Fats - 9kcal/g
- C. Proteins - 4kcal/g
- D. All of the above
Correct answer: D
Rationale: The correct answer is D, All of the above. Carbohydrates and proteins provide 4 kcal per gram, while fats provide 9 kcal per gram. Therefore, all three energy-yielding nutrients provide different amounts of energy to the body. Choice A, B, and C are incorrect because each of them individually provides a specific amount of energy per gram, but when considering all nutrients together, they collectively cover the spectrum of energy provision to the body.
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