ATI RN
ATI Leadership
1. Which of the following can cause negative effects on decision making among groups?
- A. Rationalization
- B. Groupthink
- C. Risky shift
- D. Dialectical inquiry
Correct answer: B
Rationale: The correct answer is B: Groupthink. Groupthink is a negative phenomenon occurring in highly cohesive, isolated groups where members tend to think alike, which hinders critical thinking and can lead to poor decision-making. Rationalization refers to justifying or explaining behaviors or decisions in a logical manner. Risky shift is a phenomenon in groups where decisions become riskier or more extreme than individual members would make on their own. Dialectical inquiry is a technique used to counteract groupthink by encouraging debate and presenting opposing viewpoints to arrive at more thoughtful decisions.
2. How does genetic predisposition influence mental health?
- A. Genetic predisposition guarantees the development of mental disorders.
- B. Genetic predisposition plays a role but is not the sole determinant of mental health.
- C. Genetic predisposition does not influence mental health.
- D. Genetic predisposition determines mental health without exception.
Correct answer: B
Rationale: Genetic predisposition indeed plays a significant role in influencing mental health by increasing the risk of developing certain disorders. However, it is crucial to note that it is not the sole determinant. Mental health is also influenced by various environmental factors, lifestyle choices, and individual experiences. Option A is incorrect because genetic predisposition does not guarantee the development of mental disorders; it only predisposes individuals to a higher risk. Option C is incorrect as genetic predisposition does have an influence on mental health. Option D is incorrect because mental health is a complex interplay of genetic, environmental, and other factors.
3. The client is on digoxin and has severe digoxin toxicity. What is the nursing priority action?
- A. Check the potassium level.
- B. Give Digibind as an antidote.
- C. Change the dosing of digoxin to every other day.
- D. Administer a potassium supplement to decrease digoxin toxicity.
Correct answer: B
Rationale: The correct answer is to give Digibind as an antidote in cases of severe digoxin toxicity. Digibind works by binding to digoxin and preventing it from causing further harm. Checking the potassium level (choice A) is important but not the priority when the client has severe toxicity. Changing the dosing to every other day (choice C) is not appropriate in the setting of severe toxicity where immediate action is required. Giving a potassium supplement (choice D) may be needed eventually, but the priority is to administer Digibind to counteract the toxic effects of digoxin.
4. A patient presents in the Emergency Department immediately following a shooting incident in a school where she has been teaching. There is no evidence of physical injury, but she appears very hyperactive and talkative. Which of these symptoms manifested by the patient is an uncommon initial biological response to stress?
- A. Constricted pupils
- B. Watery eyes
- C. Palpitations
- D. Increased heart rate
Correct answer: A
Rationale: Increased lacrimal secretions, palpitations, and increased heart rate are common initial biological responses to stress. Constricted pupils are not typical in the initial response to stress and are more associated with the opposite response, the Rest and Digest system. Watery eyes, palpitations, and increased heart rate are indicative of the body's fight or flight response to stress. Unusual food cravings are not a typical biological response to stress.
5. Which of the following factors are known to contribute to an individual's ability to adapt to stress? (Select all that apply.)
- A. Ethnicity
- B. Age
- C. Socioeconomic status
- D. Gender
Correct answer: B, C, D
Rationale: The correct factors that contribute to an individual's ability to adapt to stress are age, socioeconomic status, and gender. Age can influence coping mechanisms and resilience. Socioeconomic status can impact access to resources and support systems. Gender differences can also play a role in how individuals experience and manage stress. Ethnicity, while important in other contexts, is not directly mentioned in the provided rationale and is not one of the factors listed as contributing to an individual's ability to adapt to stress.
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