ATI RN
Psychology 101 Final Exam
1. Cross-cultural research on stress demonstrates that ________.
- A. Depression is a common response to life challenges in all countries studied.
- B. Stress rarely leads to any evidence of illness in non-Western cultures.
- C. Responses to stress vary cross-culturally.
- D. Culture-specific reactions are not seen to respond to alterations in the environment.
Correct answer: C
Rationale: Cross-cultural research on stress demonstrates that responses to stress vary cross-culturally. Choice A is incorrect because depression being a common response in all countries studied is not supported by cross-cultural research findings. Choice B is incorrect as it generalizes that stress rarely leads to illness in non-Western cultures, which is not universally true. Choice D is incorrect as culture-specific reactions can indeed respond to alterations in the environment, as observed in various cross-cultural studies.
2. A new head nurse on a unit is distressed about the poor staffing on the 11 p.m. to 7 a.m. shift. What should she do?
- A. Complain to her fellow nurses
- B. Wait until she knows more about the unit
- C. Discuss the problem with her supervisor
- D. Inform the staff that they must volunteer to rotate
Correct answer: C
Rationale: In this scenario, the new head nurse should discuss the problem with her supervisor. This is the most appropriate action as the supervisor is in a position to address staffing concerns effectively and make necessary changes. Complaining to fellow nurses may not lead to a solution, waiting may exacerbate the issue, and demanding staff rotation without proper discussion is not a collaborative approach to resolving the problem.
3. A client with a history of gastric ulcer suddenly complains of a sharp-severe pain in the mid epigastric area, which then spreads over the entire abdomen. The client’s abdomen is rigid and board-like to palpation, and the client obtains most comfort from lying in the knee-chest position. The nurse calls the physician immediately suspecting that the client is experiencing which of the following complications of peptic ulcer disease?
- A. Perforation
- B. Obstruction
- C. Hemorrhage
- D. Intractability
Correct answer: A
Rationale: The signs and symptoms described in the question are consistent with perforation of the ulcer, which then progresses to peritonitis if the perforation is large enough. The client with intestinal obstruction most likely would complain of abdominal pain, distension, and nausea and vomiting. The client with hemorrhage would be vomiting blood or coffee-ground-like material or would be expelling black, tarry, or bloody stools. Intractability is a term that refers to continued symptoms of a disease process, despite ongoing medical treatment.
4. The client on a beta blocker has a blood pressure of 88/58 mm Hg. What is the nurse’s priority action?
- A. Hold the beta blocker and notify the healthcare provider.
- B. Administer the beta blocker as ordered.
- C. Increase the dose of the beta blocker.
- D. Continue to monitor the client and reassess in 30 minutes.
Correct answer: A
Rationale: The correct action for the nurse to take when a client on a beta blocker presents with a blood pressure of 88/58 mm Hg is to hold the beta blocker and notify the healthcare provider. Beta blockers can further decrease blood pressure, which is already low in this case. Administering the beta blocker as ordered (Choice B) would exacerbate the hypotension. Increasing the dose of the beta blocker (Choice C) would be inappropriate and unsafe given the low blood pressure. Continuing to monitor the client and reassessing in 30 minutes (Choice D) could lead to a delay in necessary intervention. Therefore, the priority is to hold the medication and seek guidance from the healthcare provider.
5. A nurse is providing instructions to a client who has a prescription for Amoxicillin and Clarithromycin to treat a Peptic Ulcer. Which of the following information should the nurse include in the teaching?
- A. Take these medications with foo '
- B. These medications can turn your stool black.'
- C. These medications can cause photosensitivity.'
- D. The purpose of these medications is to decrease the pH of gastric juices in the stomach.'
Correct answer: A
Rationale: The nurse should instruct the client to take these medications with food to reduce GI disturbances.
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