ATI RN
Exam 4 Psychology
1. What did Freud believe about castration anxiety among boys?
- A. Results in penis envy.
- B. Dissolves the Oedipus complex.
- C. Cognitive; learning.
- D. Biological; ecological.
Correct answer: B
Rationale: Freud believed that castration anxiety among boys leads to the resolution of the Oedipus complex, not penis envy or cognitive learning. The Oedipus complex is a central psychodynamic concept in Freudian theory, where boys develop unconscious desires for their mothers and view their fathers as rivals, fearing castration by their fathers as a consequence.
2. Which of the following is a clinical manifestation of hyperthyroidism?
- A. Tachycardia
- B. Constipation
- C. Weight gain
- D. Fatigue
Correct answer: A
Rationale: The correct answer is A: Tachycardia. Tachycardia, which is an increased heart rate, is a classic clinical manifestation of hyperthyroidism. In hyperthyroidism, there is an excess production of thyroid hormones, leading to an increased metabolic rate. This increased metabolism can cause symptoms such as a rapid heart rate. Choices B, C, and D are incorrect because constipation, weight gain, and fatigue are more commonly associated with hypothyroidism, where there is a deficiency of thyroid hormones leading to a slower metabolic rate.
3. The parents of a school-age child ask the nurse if she thinks that their child has attention deficit hyperactivity disorder (ADHD). Which statement regarding the child’s behavior at school is most indicative of ADHD?
- A. He finishes his work on time in order to go to recess.
- B. He occasionally gets into trouble for talking.
- C. He enjoys math but does not like reading.
- D. He cannot sit still in his seat and constantly moves his legs.
Correct answer: D
Rationale: The most indicative behavior of ADHD is the inability to sit still and constant movement, known as hyperactivity. This behavior is a hallmark symptom of ADHD, making option D the correct choice. Options A, B, and C do not specifically reflect the characteristic hyperactivity associated with ADHD, making them less indicative of the disorder. While option B suggests impulsivity, it is not as specific to ADHD as the hyperactivity described in option D.
4. How should a healthcare provider respond to a patient who is exhibiting signs of acute myocardial infarction (AMI)?
- A. Calling for emergency assistance immediately
- B. Administering nitroglycerin as prescribed
- C. Monitoring the patient's cardiac rhythm
- D. Administering oxygen and preparing for ECG
Correct answer: A
Rationale: When a patient is exhibiting signs of acute myocardial infarction (AMI), the priority action is to call for emergency assistance immediately. This ensures that the patient receives prompt and appropriate care, including interventions such as administering oxygen, nitroglycerin, and monitoring cardiac rhythm. Administering nitroglycerin should only be done if prescribed by a healthcare provider after assessment and confirmation of AMI. Monitoring the patient's cardiac rhythm is important but not the initial action needed in this critical situation. Administering oxygen and preparing for an ECG are important interventions but should follow the immediate step of calling for emergency assistance.
5. John Bowlby's attachment theory emphasized ________.
- A. the social environment in forming attachments.
- B. the quality of parental care in forming attachments.
- C. the quality of early reinforcers and stimulation in forming attachments.
- D. the necessity of independence from parental figures in forming attachments.
Correct answer: B
Rationale: John Bowlby's attachment theory emphasized the quality of parental care in forming attachments. This is because Bowlby believed that a child's early experiences with their primary caregiver, especially the quality of care and responsiveness received, significantly influence the child's ability to form secure attachments. Choice A is incorrect because while the social environment plays a role, Bowlby's theory focused more on the caregiver-child relationship. Choice C is incorrect as it does not capture the central role of parental care highlighted in Bowlby's theory. Choice D is also incorrect as Bowlby's theory actually emphasized the importance of a secure attachment to parental figures for healthy emotional development.
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