ATI RN
Human Growth and Development Exam 1
1. Like Piaget's theory, the information-processing approach __________.
- A. divides development into stages
- B. views development as discontinuous
- C. regards people as actively making sense of their own thinking
- D. has much to say about nonlinear cognition, such as imagination and creativity
Correct answer: C
Rationale: The correct answer is C: 'regards people as actively making sense of their own thinking.' The information-processing approach, similar to Piaget's theory, focuses on how individuals actively process information, encode it, store it, and retrieve it to understand the world around them. Choices A and B are incorrect because the information-processing approach does not necessarily divide development into stages or view development as discontinuous. Choice D is incorrect because the information-processing approach is more concerned with cognitive processes like encoding, storage, and retrieval, rather than nonlinear cognition such as imagination and creativity.
2. A client is being taught how to perform self-catheterization. Which of the following instructions should the nurse include?
- A. Clean the catheter with alcohol after each use.
- B. Perform self-catheterization while sitting on the toilet.
- C. Use a new catheter each time you perform self-catheterization.
- D. Lubricate the catheter tip with petroleum jelly before insertion.
Correct answer: C
Rationale: The correct answer is C: 'Use a new catheter each time you perform self-catheterization.' It is essential to use a new, sterile catheter each time to prevent infection during the procedure. Choice A is incorrect because cleaning the catheter with alcohol may not be sufficient to prevent infection. Choice B is incorrect because self-catheterization is typically done in a clean, private area, not necessarily on the toilet. Choice D is incorrect because lubricating the catheter tip with petroleum jelly is a common practice but not as crucial as using a new catheter each time to prevent infection.
3. Your patient with peritonitis is NPO and complaining of thirst. What is your priority?
- A. Increase the I.V. infusion rate.
- B. Use diversion activities.
- C. Provide frequent mouth care.
- D. Give ice chips every 15 minutes.
Correct answer: C
Rationale: Providing frequent mouth care is the priority for a patient with peritonitis who is NPO and complaining of thirst.
4. After reviewing the health and dental histories, the dental hygienist has adequate information to begin dietary counseling with the patient. Providing a standardized, low-carbohydrate menu is sufficient for most patients with a high caries rate.
- 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: B
Rationale: Both statements are false. Dietary counseling should be personalized, and a standardized low-carbohydrate menu is not sufficient for all patients.
5. When providing care for a patient with sickle cell crisis, what is important for the nurse to do?
- A. Monitor the patient's intake of oral and IV fluids
- B. Evaluate the effectiveness of opioid analgesics
- C. Encourage the patient to ambulate as much as tolerated
- D. Educate the patient about high-protein, high-calorie foods
Correct answer: B
Rationale: The correct answer is to evaluate the effectiveness of opioid analgesics. In sickle cell crisis, pain is the most common symptom and is usually managed with large doses of continuous opioids. Monitoring fluid intake (Choice A) is important, but limiting fluids may not be necessary. Encouraging ambulation (Choice C) is generally good but may not be the priority during a sickle cell crisis. Educating the patient about nutrition (Choice D) is important for overall health but may not be the immediate focus during a crisis.
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