ATI RN
Nursing Care of Children Final ATI
1. What tool would be most useful to assess maternal and newborn attachment behaviors?
- A. Apgar
- B. Ballard scale
- C. NCAST (Nursing Child Assessment Satellite Training) Feeding Scale
- D. Brazelton Neonatal Behavioral Assessment Scale
Correct answer: C
Rationale: The NCAST Feeding Scale is the most suitable tool to evaluate maternal and newborn attachment behaviors during feedings. It focuses on observing the interaction between the parent and infant, providing insights into their bonding. The Apgar score is used to assess a neonate's immediate transition to life outside the womb, not specifically maternal and newborn attachment behaviors. The Ballard scale is used to estimate gestational age, not to assess attachment behaviors. The Brazelton Neonatal Behavioral Assessment Scale is designed to evaluate a newborn's responses to various stimuli, not specifically maternal and newborn attachment behaviors.
2. The child might see an orange and say 'apple' because both objects are round. This is known as ____?
- A. Accommodation
- B. Assimilation
- C. A detailed description of a single culture or context
- D. A study that tests a causal hypothesis
Correct answer: B
Rationale: The correct answer is B: Assimilation. Assimilation occurs when a child applies an existing schema (like 'apple' for round objects) to new objects. In this scenario, the child sees the round orange and calls it an 'apple' because they are both round. Choice A, Accommodation, involves modifying an existing schema to fit a new object or situation, which is not the case in the given scenario. Choices C and D are unrelated to the concept being tested in this question.
3. What should the nurse teach the boy about anabolic steroid abuse?
- A. The ability of anabolic steroids to build muscle is greatly exaggerated in the media.
- B. Anabolic steroids are universally dangerous but are especially harmful to adolescents.
- C. The muscle mass resulting from steroid use will atrophy unless doses are continually increased.
- D. Anabolic steroids will reduce the boy's ability to perform weight-bearing exercise later in life.
Correct answer: B
Rationale: The correct answer is B because anabolic steroids are indeed universally dangerous, but they pose greater risks to adolescents due to their impact on growth and development. Choice A is incorrect because anabolic steroids do have the potential to build muscle mass, though not to the extent often portrayed in the media. Choice C is incorrect as muscle mass gained from steroid use may persist for a period even after discontinuation. Choice D is incorrect as anabolic steroids can enhance muscle performance initially, though long-term use can have adverse effects on health and not specifically on the ability to perform weight-bearing exercises.
4. A female patient is concerned about the side effects of oral contraceptives. What should the nurse explain as a common side effect?
- A. Increased energy levels
- B. Decreased libido
- C. Weight gain
- D. Hair loss
Correct answer: C
Rationale: The correct answer is C: Weight gain. Weight gain is a common side effect of oral contraceptives due to hormonal changes. It is essential for healthcare providers to inform patients about this possibility to manage expectations. Choice A, increased energy levels, is not a common side effect of oral contraceptives. Choice B, decreased libido, can be a side effect for some individuals but is not as common as weight gain. Choice D, hair loss, is not typically associated with oral contraceptives. Therefore, it is important for the nurse to address the patient's concerns by discussing the more prevalent side effects like weight gain.
5. Which of the following statements is least likely to be made by a humanist?
- A. Humans are unique.
- B. The behavior of humans tends to be influenced by environmental circumstances.
- C. Humans have a basic need to fulfill their potentials.
- D. Research on animals has little relevance to understanding human behavior.
Correct answer: B
Rationale: The corrected question assesses the least likely statement made by a humanist. Choice B, 'The behavior of humans tends to be influenced by environmental circumstances,' is least likely to be made by a humanist. Humanists believe that human behavior is not simply dictated by environmental circumstances but is influenced by a combination of factors, including personal experiences, emotions, and conscious decisions. Choices A, C, and D are more aligned with humanist perspectives. Choice A acknowledges the uniqueness of humans, which is a common theme in humanistic psychology. Choice C reflects the humanistic belief that individuals strive to reach their full potential and self-actualization. Choice D contrasts with humanist views as humanists often consider research on animals to be relevant in understanding human behavior due to shared basic psychological processes.