ATI RN
Psychology 101 Final Exam
1. Studies on the cultural differences in parental tolerance of under- or over-controlled behavior suggest that ________.
- A. These different styles can produce different rates of problem behaviors in different cultures.
- B. Parental styles make no difference in rates of different behavior problems; they seem to be primarily genetic.
- C. Parental styles make no difference in rates of different behavior problems; they seem to be independent of culture.
- D. All cultures feel the same about bringing their children for treatment, regardless of the type of behavior problem.
Correct answer: A
Rationale: Studies on the cultural differences in parental tolerance of under- or over-controlled behavior suggest that these different styles can produce different rates of problem behaviors in different cultures. This is because cultural norms and expectations influence how parental tolerance and responses to behavior are shaped. Choice B is incorrect because parental styles do play a role in behavior problems, influenced by cultural factors. Choice C is incorrect as parental styles can vary across cultures and impact behavior problems differently. Choice D is incorrect because cultural attitudes towards seeking treatment for behavior problems can vary significantly.
2. A client has a new prescription for Lisinopril. Which of the following instructions should the nurse include?
- A. Avoid salt substitutes.
- B. Take this medication at bedtime.
- C. Increase your intake of potassium-rich foods.
- D. Take this medication with food.
Correct answer: A
Rationale: The correct instruction for a client prescribed Lisinopril is to avoid salt substitutes. Lisinopril, an ACE inhibitor, can lead to hyperkalemia, hence the importance of avoiding salt substitutes that may contain potassium. Instructing the client to avoid salt substitutes helps prevent potential adverse effects of increased potassium levels.
3. A client with a bone cancer states that he is in too much pain to walk today. What should the nurse do first?
- A. Inquire about the frequency, quality and location of the pain
- B. Get the client pain medication
- C. Ensure the client knows he will have negative effects from immobility
- D. Review the client’s medication administration record
Correct answer: A
Rationale: Assessing the pain characteristics helps in managing the client’s pain effectively.
4. What phase of wound healing occurs at the time of injury and lasts about 3-5 days?
- A. Maturation
- B. Intentional
- C. Inflammatory
- D. Proliferative
Correct answer: Inflammatory
Rationale:
5. The healthcare provider suspects the Somogyi effect in a 50-year-old patient whose 6:00 AM blood glucose is 230 mg/dL. Which action will the nurse teach the patient to take?
- A. Avoid snacking at bedtime.
- B. Increase the rapid-acting insulin dose.
- C. Check the blood glucose during the night.
- D. Administer a larger dose of long-acting insulin.
Correct answer: C
Rationale: The Somogyi effect, also known as rebound hyperglycemia, occurs due to an excessive insulin dose at night, leading to hypoglycemia in the early morning hours. To address this, the nurse should instruct the patient to check their blood glucose during the night to determine if hypoglycemia is present, which triggers the rebound hyperglycemia. By monitoring blood glucose levels during the night, the patient can identify if adjustments are needed to prevent this phenomenon and maintain stable glucose levels. Choices A, B, and D are incorrect. Avoiding snacking at bedtime, increasing rapid-acting insulin dose, or administering a larger dose of long-acting insulin are not appropriate actions to manage the Somogyi effect. Checking blood glucose during the night is crucial to identify and prevent the rebound hyperglycemia characteristic of this phenomenon.
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