ATI RN
Psychological Exam
1. Which of the following psychologists would be most likely to stress that each person has a drive to grow and fulfill his or her potential?
- A. Sigmund Freud
- B. F. Skinner
- C. G. Stanley Hall
- D. Abraham Maslow
Correct answer: D
Rationale: The correct answer is D, Abraham Maslow. He was a leading humanist psychologist who introduced the concept of the hierarchy of needs. Maslow emphasized the human drive for self-actualization, which involves fulfilling one's potential and striving for personal growth. Sigmund Freud (choice A) focused on psychoanalysis and the unconscious mind. B.F. Skinner (choice B) was a behaviorist who studied operant conditioning. G. Stanley Hall (choice C) was a pioneering psychologist in the field of child development.
2. A healthcare provider is providing discharge instructions to a client who is prescribed Enalapril. Which of the following adverse effects should the healthcare provider instruct the client to monitor?
- A. Dry cough
- B. Weight gain
- C. Diarrhea
- D. Nausea
Correct answer: A
Rationale: The correct answer is A: Dry cough. A persistent dry cough is a common adverse effect of Enalapril, an ACE inhibitor. Enalapril can cause a non-productive cough due to its effect on bradykinin levels. The client should be advised to report this symptom to their healthcare provider to consider alternative treatments. Choices B, C, and D are incorrect because weight gain, diarrhea, and nausea are not typically associated with Enalapril use.
3. A client is prescribed diazepam (Valium) for anxiety. Which statement by the client indicates a need for further teaching?
- A. I can drink alcohol while taking this medication.
- B. I should avoid drinking alcohol while taking this medication.
- C. I should take this medication only when I feel anxious.
- D. I can stop taking this medication when I feel better.
Correct answer: A
Rationale: The correct answer is A because clients should avoid alcohol while taking diazepam (Valium) due to potential interactions. Alcohol can increase the sedative effects of diazepam, leading to excessive drowsiness or respiratory depression. Choice B is correct as it reflects the need to avoid alcohol. Choice C is incorrect because diazepam is usually taken regularly, not just when feeling anxious. Choice D is incorrect as abruptly stopping diazepam can lead to withdrawal symptoms and should be done gradually under medical supervision.
4. To prevent recurrent attacks on client with glomerulonephritis, the nurse instructs the client to:
- A. Take a shower instead of tub baths
- B. Avoid situations that involve physical activity
- C. Continue the same restriction on fluid intake
- D. Seek early treatment for respiratory infection
Correct answer: C
Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.
5. Which of the following is not a desirable blood lipid value?
- A. low total cholesterol
- B. high LDL
- C. high HDL
- D. low blood triglycerides
Correct answer: B
Rationale: The correct answer is B. High levels of LDL (low-density lipoprotein) cholesterol are undesirable as they are associated with an increased risk of cardiovascular disease. Therefore, low total cholesterol (choice A), high HDL (choice C), and low blood triglycerides (choice D) are considered desirable blood lipid values. Low total cholesterol is beneficial as high levels can increase the risk of heart disease. High HDL cholesterol is considered good as it helps remove LDL cholesterol from the arteries. Low blood triglycerides are also preferred as high levels are associated with an increased risk of heart disease.
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