ATI RN
Psychology 101 Exam 3 Test
1. Scientific research has demonstrated that the ________ parenting style is most likely to lead to healthy psychological development in children.
- A. authoritative
- B. authoritarian
- C. permissive
- D. neglectful/uninvolved
Correct answer: A
Rationale: The correct answer is A, authoritative. Authoritative parenting combines warmth and nurturing with reasonable limits and consistent discipline. This style promotes independence, self-regulation, and social competence in children, leading to healthy psychological development. Choice B, authoritarian parenting, is characterized by strict rules and harsh punishment without much warmth, which can lead to anxiety and lower self-esteem in children. Choice C, permissive parenting, involves few demands and little control, resulting in children lacking self-discipline and social skills. Choice D, neglectful/uninvolved parenting, is characterized by a lack of responsiveness to a child's emotional needs and can lead to various negative outcomes such as poor self-esteem and emotional issues.
2. A nurse is planning care for a client who is postoperative following a laminectomy. Which of the following interventions should the nurse include in the plan of care?
- A. Elevate the client's legs while in bed.
- B. Reposition the client every 2 hours.
- C. Maintain bed rest for the first 24 hours postoperatively.
- D. Ambulate the client on the first postoperative day.
Correct answer: D
Rationale: Ambulating the client on the first postoperative day is crucial to prevent complications like deep vein thrombosis and aid in the recovery process. Elevating the legs while in bed can help with circulation but is not as effective in preventing complications related to immobility post-surgery. Repositioning every 2 hours is important for preventing pressure ulcers but does not directly address postoperative care. Maintaining bed rest for the first 24 hours postoperatively can increase the risk of complications associated with immobility, making early ambulation a more appropriate intervention.
3. A nurse is providing teaching to an obese client who has gestational diabetes and is at 25 weeks of gestation. Which of the following statements made by the client indicates a need for further teaching?
- A. This does not mean that my baby will have this disease.
- B. This means that I will have diabetes for the rest of my life.
- C. If I feel dizzy, I should drink six ounces of a non-diet soda.
- D. Being obese might be one reason why I developed diabetes.
Correct answer: B
Rationale: The belief that gestational diabetes results in lifelong diabetes is incorrect; it often resolves after pregnancy, though it does indicate a higher risk for developing type 2 diabetes in the future.
4. When assessing a child with chronic renal failure, which clinical manifestations would the nurse expect to find?
- A. Uremic frost
- B. Hypotension
- C. Massive hematuria
- D. Severe metabolic acidosis
Correct answer: A
Rationale: When assessing a child with chronic renal failure, the nurse would expect to find uremic frost as a clinical manifestation. Uremic frost, a white powdery deposit of urea on the skin, occurs in severe cases of chronic renal failure due to the accumulation of urea and other waste products in the blood. Hypotension and massive hematuria are less common in chronic renal failure, while severe metabolic acidosis is typically mild to moderate and not a prominent clinical manifestation.
5. A 51-year-old woman has the following clinical findings: thin hair, exophthalmos, hyperreflexia, and pretibial edema. These findings are consistent with:
- A. Subacute thyroiditis.
- B. Autoimmune thyroiditis.
- C. Graves disease.
- D. Hashimoto’s disease.
Correct answer: C
Rationale: The clinical findings of thin hair, exophthalmos, hyperreflexia, and pretibial edema are classic features of Graves disease, an autoimmune disorder that results in hyperthyroidism. Exophthalmos (bulging eyes) and pretibial edema (swelling in the lower legs) are particularly associated with Graves disease due to the autoimmune stimulation of the thyroid gland, leading to increased thyroid hormone production. Subacute thyroiditis (Choice A) typically presents with neck pain and tenderness, while autoimmune thyroiditis (Choice B) is commonly known as Hashimoto's thyroiditis, which presents with hypothyroidism symptoms. Hashimoto's disease (Choice D) is characterized by goiter and hypothyroidism, which contrasts with the hyperthyroidism seen in this patient.
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