ATI RN
Growth and Development Exam
1. The clinical method __________.
- A. allows investigators to see directly the everyday behaviors they hope to explain
- B. must be conducted with large groups of people at the same time Copyright © 2018 Laura E. Berk. All Rights Reserved. 26 Test Bank for Berk, Development Through the Lifespan, 7e
- C. provides little information on how children and adults actually behave
- D. yields richly detailed case narratives that offer valuable insights Answer: D Page Ref: 30 Skill Level: Understand Topic: Studying Development Difficulty Level: Moderate
Correct answer: D
Rationale: The clinical method yields richly detailed case narratives that offer valuable insights. This method involves in-depth interviews, direct observation, and structured interactions to gather detailed information about an individual's behavior and development. It focuses on understanding the unique aspects of an individual's experience and can provide rich insights into behavior and development.
2. When discussing group treatment and therapy with a client, which characteristic should the nurse include as being a characteristic of a therapeutic group?
- A. The group is organized in an autocratic structure.
- B. The group encourages members to focus on a particular issue
- C. The group must be led by a licensed psychiatrist.
- D. The group encourages clients to form dependent relationships.
Correct answer: The group encourages members to focus on a particular issue
Rationale: In therapeutic groups, the focus is often on addressing specific issues or topics. This approach allows group members to concentrate on their concerns, share experiences, and work towards common goals. Autocratic structures, mandatory leadership by a licensed psychiatrist, or fostering dependent relationships are not typical characteristics of therapeutic groups.
3. A client receiving warfarin is being taught by a nurse. Which of the following client statements indicates an understanding of the teaching?
- A. I will avoid eating leafy green vegetables while taking this medication.
- B. I will need to have my INR checked regularly while taking this medication.
- C. I will take this medication at the same time each day.
- D. I will avoid taking aspirin while taking this medication.
Correct answer: D
Rationale: The correct answer is D because clients taking warfarin should avoid aspirin to reduce the risk of bleeding, as both medications can thin the blood. Choice A is incorrect because it is essential to eat a consistent amount of leafy green vegetables to maintain a steady intake of Vitamin K, which can impact warfarin's effectiveness. Choice B is incorrect although important because INR checks are necessary but do not specifically show an understanding of the teaching. Choice C is incorrect because while taking warfarin at the same time each day is beneficial for consistency, it does not directly address the interaction with aspirin.
4. What factor predisposes an infant to fluid imbalances?
- A. Decreased surface area
- B. Lower metabolic rate
- C. Immature kidney functioning
- D. Decreased daily exchange of extracellular fluid
Correct answer: C
Rationale: Infants have immature kidneys that are less efficient at concentrating urine, making them more susceptible to fluid imbalances. Their higher surface area to volume ratio also contributes to greater insensible fluid losses.
5. In an extreme situation and when no other resident or intern is available, should a nurse receive telephone orders, the order has to be correctly written and signed by the physician within:
- A. 24 hours
- B. 36 hours
- C. 48 hours
- D. 12 hours
Correct answer: B
Rationale: In an extreme situation where no other resident or intern is available, if a nurse receives telephone orders, the order has to be correctly written and signed by the physician within 36 hours. This time frame ensures timely documentation and validation of the orders. Choice A (24 hours) is too short a period for busy physicians to fulfill the task. Choice C (48 hours) is too long and delays the incorporation of physician orders into the patient's care plan. Choice D (12 hours) may not provide enough time for the physician to review and sign the order, especially in situations where immediate attention is not required.
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