ATI RN
Psychology 101 Exam 3 Test
1. Distinguish between assimilation and accommodation.
- A. Assimilation refers to adjusting our mental frameworks to incorporate new information.
- B. Assimilation is when new experiences are interpreted in terms of existing schemas.
- C. Assimilation is adapting our behaviors to match societal norms.
- D. Assimilation and accommodation are unrelated to cognitive development.
Correct answer: B
Rationale: The correct answer is B. Assimilation is when new experiences are interpreted in terms of existing schemas, meaning individuals try to fit new information into their pre-existing understanding of the world. Accommodation, on the other hand, involves adjusting our schemas to fit new information, which means changing our existing mental frameworks when new information doesn't fit. Choice A is incorrect because it describes accommodation rather than assimilation. Choice C is incorrect as it confuses assimilation with social adaptation. Choice D is incorrect as assimilation and accommodation are fundamental processes in cognitive development, as described by Piaget.
2. Devastated by a divorce from an abusive husband, a wife completes grief counseling. Which statement by the wife should indicate to a nurse that the client is in the acceptance stage of grief?
- A. If only we could have tried again, things might have worked out.
- B. I am so mad that the children and I had to put up with him as long as we did.
- C. Yes, it was a difficult relationship, but I think I have learned from the experience.
- D. I still don't have any appetite and continue to lose weight.
Correct answer: C
Rationale: The nurse should recognize that the client is in the acceptance stage of grief based on the statement 'Yes, it was a difficult relationship, but I think I have learned from the experience.' In this statement, the client is acknowledging the difficulty of the relationship but also expressing personal growth and learning from the experience, indicating acceptance. Choices A, B, and D do not reflect the acceptance stage of grief. Choice A shows a sense of regret and a wish for things to have turned out differently. Choice B demonstrates lingering anger towards the ex-husband. Choice D suggests ongoing physical manifestations of grief like loss of appetite and weight loss, which are more indicative of earlier stages of grief.
3. During early tooth development, vitamin A deficiency leads to enamel hypoplasia and defective dentin formation. Because of its effect on soft tissues and bone, vitamin A contributes to normal spacing of teeth.
- A. Both statements are true.
- B. Both statements are false.
- C. The first statement is true; the second is false.
- D. The first statement is false; the second is true.
Correct answer: A
Rationale: Both statements are true. The effect of vitamin A on the growth of soft tissues and bones naturally extends to the teeth and surrounding structures. Enamel hypoplasia, involving defective enamel matrix and incomplete calcification of enamel and dentin, can be due to vitamin A deficiency. The effect of this vitamin upon surrounding bone directly affects spacing patterns of the teeth within the bone and dentition. Choice A is correct because both statements accurately describe the influence of vitamin A on tooth development. Choices B, C, and D are incorrect as they do not reflect the accuracy of the statements provided.
4. A client has a new prescription for Ferrous sulfate. Which of the following instructions should be included?
- A. Take this medication with milk.
- B. Take this medication on an empty stomach.
- C. Take this medication before bedtime.
- D. Take this medication with antacids.
Correct answer: B
Rationale: The correct answer is B: 'Take this medication on an empty stomach.' Ferrous sulfate is best absorbed on an empty stomach. Instruct the client to take it 1 hour before or 2 hours after meals to maximize absorption and avoid interactions with food or beverages that may decrease absorption. Choice A is incorrect because taking Ferrous sulfate with milk can decrease its absorption. Choice C is incorrect as there is no specific benefit to taking it before bedtime. Choice D is incorrect as antacids can interfere with the absorption of Ferrous sulfate.
5. A nurse is caring for a client receiving theophylline for chronic obstructive pulmonary disease (COPD). Which of the following client findings indicates the need for immediate intervention?
- A. Productive cough
- B. Drowsiness
- C. Vomiting
- D. Polyuria
Correct answer: D
Rationale: Polyuria is a sign of theophylline toxicity and requires immediate intervention. Theophylline toxicity can lead to serious complications, and polyuria is a concerning symptom that indicates the need for urgent medical attention. Productive cough, drowsiness, and vomiting are common side effects of theophylline but are not typically indicative of immediate life-threatening issues like polyuria in the context of theophylline toxicity.
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