ATI RN
Psychological Exam
1. Which of the following groups of psychologists would be most likely to focus on individual uniqueness, freedom, and potential for growth as a person?
- A. Behaviorists
- B. Psychoanalysts
- C. Humanists
- D. Gestalt psychologists
Correct answer: C
Rationale: The correct answer is C: Humanists. Humanistic psychologists emphasize individual uniqueness, freedom, and the potential for personal growth. They believe in the importance of personal experiences and self-actualization. Behaviorists (choice A) focus on observable behaviors and environmental influences. Psychoanalysts (choice B) are more concerned with unconscious processes and early childhood experiences. Gestalt psychologists (choice D) concentrate on perception and the organization of experience, rather than individual uniqueness and personal growth.
2. A nurse is assessing a client who is postoperative following a transurethral resection of the prostate (TURP) and notices clots in the client's urinary catheter and decreased urinary output. Which of the following actions should the nurse take?
- A. Administer an antispasmodic
- B. Irrigate the catheter with 0.9% sodium chloride irrigation
- C. Apply gentle manual pressure to the bladder
- D. Clamp the catheter tubing
Correct answer: B
Rationale: In this situation, the nurse should irrigate the catheter with 0.9% sodium chloride irrigation. This action helps clear the clots in the catheter and restore proper urine flow after a TURP. Administering an antispasmodic (Choice A) is not the appropriate action for clots in the catheter and decreased urinary output. Applying gentle manual pressure to the bladder (Choice C) or clamping the catheter tubing (Choice D) could potentially worsen the situation by causing bladder distention or preventing urine drainage.
3. What dietary recommendations should be given to a patient with GERD?
- A. Avoid mint and spicy foods
- B. Eat large meals before bed
- C. Increase fluid intake during meals
- D. Drink milk as a snack
Correct answer: A
Rationale: The correct dietary recommendation for a patient with GERD is to avoid mint and spicy foods. These foods can trigger symptoms of GERD and lead to acid reflux. Choice B is incorrect because eating large meals before bed can exacerbate GERD symptoms by increasing the likelihood of acid reflux during sleep. Choice C is incorrect as increasing fluid intake during meals can worsen GERD symptoms by distending the stomach, leading to increased pressure on the lower esophageal sphincter. Choice D is also incorrect because while milk may provide temporary relief for some individuals, it is not a recommended long-term solution for managing GERD.
4. When monitoring a client on dobutamine, what is the most important parameter to assess?
- A. Blood pressure
- B. Heart rate
- C. Oxygen saturation
- D. Respiratory rate
Correct answer: A
Rationale: The correct answer is A: Blood pressure. When a client is on dobutamine, it is crucial to closely monitor their blood pressure as dobutamine can cause significant changes in blood pressure. While heart rate is also important to monitor during this time, blood pressure is the most critical parameter to assess. Oxygen saturation and respiratory rate are also important parameters to monitor in a patient receiving dobutamine, but they are not as crucial as blood pressure in this scenario.
5. Which foods are the biggest contributors of saturated fats consumed by Americans?
- A. Butter, coconut, and palm oils
- B. Corn oil
- C. Meat and milk
- D. Cheese, pizza, desserts, and chicken
Correct answer: D
Rationale: The correct answer is D: Cheese, pizza, desserts, and chicken. These foods are significant contributors to the intake of saturated fats in the American diet, often found in processed and fast foods. Choices A, B, and C are incorrect because while butter, coconut, and palm oils (A) are sources of saturated fats, they are not the biggest contributors in the American diet. Corn oil (B) is a source of unsaturated fats, and meat and milk (C) contain saturated fats but are not the primary contributors compared to cheese, pizza, desserts, and chicken.
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