ATI RN
Exam 4 Psychology
1. Which therapy style requires the therapist to actively confront a client's irrational beliefs?
- A. Person-centered therapy
- B. Psychodynamic psychotherapy
- C. Electroconvulsive therapy
- D. REBT
Correct answer: D
Rationale: The correct answer is D, REBT (Rational Emotive Behavior Therapy). REBT involves actively confronting and changing irrational beliefs. Choice A, Person-centered therapy, is focused on providing a supportive and empathetic environment rather than confronting irrational beliefs. Choice B, Psychodynamic psychotherapy, emphasizes exploring unconscious processes and early life experiences rather than direct confrontation of irrational beliefs. Choice C, Electroconvulsive therapy, is a biological treatment for severe depression and other mental illnesses, not a therapy style that involves confronting irrational beliefs.
2. What intervention should the nurse implement for the client who has an ileal conduit?
- A. Pouch the stoma with a one-inch margin around the stoma
- B. Refer the client to the United Ostomy Association for discharge teaching
- C. Report to the healthcare provider any decrease in urinary output
- D. Monitor the stoma for signs and symptoms of infection every shift
Correct answer: C
Rationale: The correct intervention for a client with an ileal conduit is to report any decrease in urinary output to the healthcare provider. Decreased urinary output in these clients may indicate a blockage or another complication, which requires immediate attention. Monitoring the stoma for signs of infection (Choice D) is important but not the priority when compared to a decrease in urinary output. Pouching the stoma with a one-inch margin around it (Choice A) is incorrect as it does not address the issue of decreased urinary output. Referring the client to the United Ostomy Association (Choice B) is not necessary in this immediate situation where a potential complication is suspected.
3. A nurse is caring for a client who has a wound infection and is receiving gentamicin. Which of the following laboratory values should the nurse monitor to detect an adverse effect of this medication?
- A. Creatinine.
- B. Aspartate aminotransferase (AST).
- C. White blood cell count.
- D. Serum glucose.
Correct answer: A
Rationale: The correct answer is A: Creatinine. Gentamicin can cause nephrotoxicity, leading to impaired kidney function. Monitoring creatinine levels helps the nurse detect any potential kidney damage. Choice B, Aspartate aminotransferase (AST), is not typically affected by gentamicin. Choice C, White blood cell count, is not directly related to gentamicin adverse effects. Choice D, Serum glucose, is not specifically monitored for gentamicin adverse effects.
4. What is the primary purpose of turning and repositioning an immobile patient every 2 hours?
- A. To improve circulation and relieve pressure.
- B. To prevent contractures and muscle atrophy.
- C. To prevent skin breakdown and pressure ulcers.
- D. To improve respiratory function and prevent pneumonia.
Correct answer: C
Rationale: The primary purpose of turning and repositioning an immobile patient every 2 hours is to prevent skin breakdown and pressure ulcers. Prolonged immobility can lead to pressure ulcers, making this a crucial nursing intervention. Choice A is incorrect because while turning can help improve circulation and relieve pressure, the primary purpose is to prevent skin breakdown. Choice B is incorrect as preventing contractures and muscle atrophy is important but not the primary purpose of turning. Choice D is incorrect as improving respiratory function and preventing pneumonia are not directly related to turning and repositioning for skin integrity.
5. List 2 Dispensable amino acids
- A. Alanine
- B. Serine
- C. Glycine
- D. Proline
Correct answer: A
Rationale: Dispensable amino acids, such as alanine and serine, can be synthesized by the body and are not required to be obtained from the diet.
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