ATI RN
Exam 4 Psychology 101
1. Skinner would agree with all the following statements except:
- A. All behavior is governed by external consequences.
- B. Individuals have free will.
- C. Organisms tend to repeat responses that lead to positive outcomes.
- D. Organisms tend not to repeat responses that lead to neutral or negative outcomes.
Correct answer: B
Rationale: Skinner's behaviorist perspective emphasized that behavior is influenced by external factors and reinforcement, rather than individual free will. Therefore, Skinner would not agree with the statement that individuals have free will. Choices A, C, and D align with Skinner's beliefs as he believed that behavior is shaped by external consequences, organisms tend to repeat behaviors leading to positive outcomes, and organisms tend to avoid behaviors leading to neutral or negative outcomes.
2. A clinic nurse is working with a patient who has a long-standing diagnosis of polycythemia vera. How can the nurse best gauge the course of the patient's disease?
- A. Document the color of the patient's palms and face during each visit.
- B. Follow the patient's erythrocyte sedimentation rate over time.
- C. Document the patient's response to erythropoietin injections.
- D. Follow the trends of the patient's hematocrit.
Correct answer: D
Rationale: The course of polycythemia vera can be best ascertained by monitoring the patient's hematocrit, which should remain below 45%. Hematocrit levels are a key indicator in assessing the progression of the disease. Choices A, B, and C are not the most appropriate methods for gauging the course of polycythemia vera. Monitoring the color of the patient's palms and face, or their response to erythropoietin injections, may not provide an accurate reflection of the disease's progression. Similarly, while erythrocyte sedimentation rate can be affected in polycythemia vera, it is not the primary marker for monitoring the disease's course.
3. A nurse is caring for a client who is receiving parenteral nutrition. Which of the following findings indicates the therapy is effective?
- A. Client has soft, formed bowel movements.
- B. Client’s mucous membranes are pink.
- C. Client reports ability to complete ADLs.
- D. Client’s blood glucose level is within the expected reference range.
Correct answer: D
Rationale: Having a blood glucose level within the expected reference range indicates that parenteral nutrition is effectively meeting the client's nutritional needs.
4. 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.
5. A nurse is assessing a client who has pneumonia. Which of the following findings should the nurse report to the provider?
- A. Crackles in the lung bases
- B. Oxygen saturation of 95%
- C. Heart rate of 88/min
- D. Frequent productive cough
Correct answer: A
Rationale: The correct answer is A: Crackles in the lung bases. In a client with pneumonia, crackles in the lung bases can indicate fluid accumulation, suggesting worsening respiratory status. This finding should be reported to the provider for further evaluation and management. Choice B, an oxygen saturation of 95%, is within the normal range and does not require immediate reporting. Choice C, a heart rate of 88/min, is also within normal limits and does not indicate an urgent need for intervention. Choice D, a frequent productive cough, is a common symptom in pneumonia and may not require immediate reporting unless it is severe or worsening. Therefore, crackles in the lung bases are the most concerning finding that warrants prompt attention.
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