ATI RN
Exam 4 Psychology 101
1. Elliot became widowed after nearly 40 years of marriage. He has convinced himself that no one will ever love him again. His irrational thinking has caused him to suffer from depression, and he rarely leaves his house. What perspective might best explain his behavior?
- A. Psychodynamic
- B. Behavioral
- C. Biological
- D. Cognitive
Correct answer: D
Rationale: The cognitive perspective might best explain Elliot's irrational thinking and resulting depression. In this case, Elliot's belief that he will never be loved again is a cognitive distortion, leading to depressive symptoms and social withdrawal. The psychodynamic perspective primarily focuses on unconscious processes and unresolved conflicts from the past, which do not directly address Elliot's current cognitive distortions. The behavioral perspective would focus on observable behaviors and how they are reinforced, which is not the central issue in this scenario. The biological perspective would examine the role of genetics, brain chemistry, and other physiological factors, which are not the primary cause of Elliot's behavior in this context.
2. A client in a prenatal clinic is being taught by a nurse in her second trimester with a new diagnosis of gestational diabetes. Which of the following client statements indicates a need for further teaching?
- A. I should limit my carbohydrates to 50% of caloric intake.
- B. I will reduce my exercise schedule to 3 days a week.
- C. I will take my glyburide daily with breakfast.
- D. I know I am at increased risk of developing type 2 diabetes.
Correct answer: I will reduce my exercise schedule to 3 days a week.
Rationale: Choice B, 'I will reduce my exercise schedule to 3 days a week,' indicates a need for further teaching. Regular exercise is beneficial in managing gestational diabetes and should not be reduced without proper guidance. Choices A, C, and D demonstrate understanding and appropriate actions in managing gestational diabetes.
3. What is the likely reason that a client with acquired immunodeficiency syndrome (AIDS) would succumb to pneumonia while a healthy person exposed to the same infection did not?
- A. The client with AIDS is a susceptible host
- B. The client with AIDS has greater immune defenses
- C. The client with AIDS was not as careful
- D. The client with AIDS has more portals of entry
Correct answer: The client with AIDS is a susceptible host
Rationale:
4. A client with tuberculosis is starting combination drug therapy. Which of the following medications should the nurse NOT plan to administer?
- A. Rifampin
- B. Isoniazid
- C. Acyclovir
- D. Pyrazinamide
Correct answer: Acyclovir
Rationale: Acyclovir is an antiviral medication used to treat herpes virus infections, not tuberculosis. Rifampin, Isoniazid, and Pyrazinamide are all commonly used in the treatment of tuberculosis. Therefore, the nurse should not plan to administer Acyclovir to a client with tuberculosis.
5. A patient is being administered chemotherapeutic agents for the treatment of cancer. Which of the following blood cells will be stimulated by the colony-stimulating factors in response to the effects of the chemotherapy?
- A. White blood cells
- B. Red blood cells
- C. Phagocytes
- D. Myocardial cells
Correct answer: A
Rationale: The correct answer is White blood cells. Colony-stimulating factors stimulate the production of white blood cells in response to the effects of chemotherapy, as it can lead to myelosuppression. Red blood cells are not directly stimulated by colony-stimulating factors. Phagocytes are a type of white blood cell involved in immune responses, but they are not specifically stimulated by colony-stimulating factors. Myocardial cells are cardiac muscle cells and are not directly involved in the response to chemotherapy-induced myelosuppression.
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