ATI RN
Human Growth and Development Final Exam Quizlet
1. Heaven was born several weeks before her due date. Although she was small, her birth weight was appropriate, based on time spent in the uterus. Heaven is a __________ infant.
- A. small-for-date
- B. small-for-weight
- C. mature
- D. preterm
Correct answer: D
Rationale: Heaven is a preterm infant because she was born early, but her weight is appropriate for the time she spent in the womb. Choice A, 'small-for-date,' is incorrect as it does not specifically indicate that the infant was born before the due date. Choice B, 'small-for-weight,' is incorrect because the infant's weight is appropriate for the gestational age. Choice C, 'mature,' is incorrect as it does not reflect the early birth of the infant.
2. Gilbert, age 19, is described by his parents as a moody child with an onset of odd behavior at age 14, which caused Gilbert to suffer academically and socially. Gilbert has lost the ability to complete household chores, is reluctant to leave the house, and is obsessed with the locks on the windows and doors. Due to Gilbert's early and slow onset of what is now recognized as schizophrenia, his prognosis is considered:
- A. Favorable with medication
- B. In the relapse stage
- C. Improvable with psychosocial interventions
- D. To have a less positive outcome
Correct answer: D
Rationale: The scenario describes Gilbert as having an early and slow onset of schizophrenia, which typically indicates a less positive prognosis. Individuals with such presentations may experience more severe symptoms and difficulties in functioning, leading to a poorer long-term outcome. In Gilbert's case, his challenges with completing tasks, social withdrawal, and fixation on security measures suggest a more challenging prognosis. Early detection and intervention are crucial in managing schizophrenia, but the described symptoms and onset pattern are concerning for a less favorable outcome.
3. A client has just had surgery for colon cancer. Which of the following disorders might the client develop?
- A. Peritonitis
- B. Diverticulosis
- C. Partial bowel obstruction
- D. Complete bowel obstruction
Correct answer: C
Rationale: After surgery for colon cancer, the client may develop a partial bowel obstruction.
4. Why is increasing the use of advanced practice nurses encouraged?
- A. A 2010 Institute of Medicine report recommended nurses practice to the full extent of their education.
- B. Advanced practice nurses act as an extension of physicians.
- C. The National League for Nursing advocates for the master of science in nursing (MSN) as the terminal degree for nurse practitioners.
- D. Advanced practice nurses lack the skills to diagnose.
Correct answer: A
Rationale: The correct answer is A because the 2010 Institute of Medicine report recommended that nurses practice to the full extent of their education, which includes utilizing advanced practice nurses. This supports the efficient delivery of healthcare services by leveraging the expertise and skills of advanced practice nurses. Choice B is incorrect as it describes the role of advanced practice nurses rather than providing a reason for increasing their use. Choice C is unrelated to the encouragement of increasing the use of advanced practice nurses as it focuses on the terminal degree for nurse practitioners. Choice D is incorrect as advanced practice nurses do possess the skills necessary to diagnose and provide advanced care, so the statement that they lack diagnostic skills is inaccurate.
5. A client says to the nurse “I am worthless person, I should be dead†The nurse best replies:
- A. “Don’t say you are worthless, you are not a worthless personâ€
- B. “We are going to help you with your feelingsâ€
- C. “What makes you feel you’re worthless?â€
- D. “What you say is not trueâ€
Correct answer: A
Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.
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