ATI RN
Psychology 2301 Exam 1
1. Finding meaning in life and dealing with death form core values in which of the following perspectives?
- A. Existential
- B. Humanistic
- C. Behavioral
- D. Object Relations
Correct answer: A
Rationale: The correct answer is A: Existential. Existentialism is a philosophical perspective that emphasizes individual existence, freedom, and choice. It focuses on finding meaning in life and dealing with fundamental issues such as death. This perspective is characterized by concepts like authenticity, responsibility, and the search for purpose. Choices B, C, and D are incorrect because while they may address certain aspects of human behavior or relationships, they do not specifically emphasize the search for meaning and the confrontation with death as core values.
2. A client is about to undergo surgery and is unsure about the procedure despite signing the consent. What should the nurse do?
- A. Reassure the client and proceed with the surgery.
- B. Stop the surgery and consult with the surgeon.
- C. Proceed with the surgery but document the client's concerns.
- D. Postpone the surgery until further clarification is provided.
Correct answer: B
Rationale: When a client expresses doubts about a procedure after signing the consent form, it is crucial to stop the surgery and consult with the surgeon. This is important to ensure that the client's concerns are addressed, and there is a clear understanding of the procedure. Reassuring the client and proceeding with the surgery (choice A) may violate the client's autonomy and right to informed consent. Proceeding with the surgery but documenting the concerns (choice C) is not sufficient as the client's doubts should be resolved before proceeding. Postponing the surgery until further clarification is provided (choice D) may be necessary, but the immediate step should be to consult with the surgeon to address the client's concerns.
3. A healthcare professional is reviewing the medical record of a client with a new prescription for Epoetin Alfa. Which of the following findings should the professional report to the provider?
- A. The client has a history of hypertension.
- B. The client has a hemoglobin level of 10 g/dL.
- C. The client has a history of chronic kidney disease.
- D. The client has a blood pressure of 140/90 mm Hg.
Correct answer: C
Rationale: The correct answer is C. Chronic kidney disease is a contraindication for the use of Epoetin Alfa because it can worsen hypertension, increase the risk of cardiovascular events, and lead to adverse outcomes. Epoetin Alfa is used to treat anemia by stimulating red blood cell production, but in the presence of chronic kidney disease, it can exacerbate hypertension and contribute to cardiovascular complications. Choices A, B, and D are not directly related to the contraindication of Epoetin Alfa in the presence of chronic kidney disease.
4. The nurse manager is compiling a report for a hospital committee on the quality of nursing-sensitive indicators for a nursing unit. Which does the nurse manager include in the report?
- A. The average age of the nurses on the unit
- B. The salary ranges for the nurses on the unit
- C. The education and certification of the nurses on the unit
- D. The number of nurses who have applied but were not hired for the unit
Correct answer: C
Rationale: The education and certification of nurses are key nursing-sensitive indicators that reflect the quality of care provided on the unit.
5. How will working in a high-volume, noisy emergency room in an urban area with a high incidence of assault victims affect staff?
- A. Feelings of extreme overload.
- B. Fear of failure.
- C. A pessimistic sense about the world.
- D. Inability to separate intense work situations from personal situations.
Correct answer: B
Rationale: Working in a high-volume, noisy emergency room in an urban area with a high incidence of assault victims can lead to feelings of extreme overload, a pessimistic sense about the world, and an inability to separate intense work situations from personal situations. Fear of failure is not specifically mentioned in the context of the question, so it is the correct answer. The constant noises and intense emotional situations can create tension, stress, and negative reactions among staff. Managers can help by assessing the environment, labeling situations, and debriefing with staff to make them more aware of how stressors impact their behaviors.
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