ATI RN
Exam 4 Psychology
1. With which of the following statements would a behaviorist agree?
- A. Conscious experiences can be studied in an objective, precise way.
- B. In order to understand behavior, one must understand the motives behind the behavior.
- C. Behavior can only be explained in terms of phenomenology, that is, an individual's interpretation of experience.
- D. Psychology should be the science of behavior that can be observed by others.
Correct answer: D
Rationale: The correct answer is D. Behaviorists argue that psychology should focus on observable behavior that can be studied objectively. Choice A is incorrect because behaviorists do not typically focus on conscious experiences, as they are not directly observable. Choice B is incorrect because behaviorists emphasize that behavior can be understood without delving into internal motives. Choice C is incorrect as behaviorists do not exclusively explain behavior through an individual's interpretation of experience; they focus on observable actions and reactions.
2. A nurse is planning care for a client who is receiving hemodialysis. What action should the nurse include in the plan?
- A. Withhold all medications until after dialysis.
- B. Rehydrate with dextrose 5% in water for orthostatic hypotension.
- C. Check the vascular access site for bleeding after dialysis.
- D. Give an antibiotic 30 minutes before dialysis.
Correct answer: C
Rationale: The correct action that the nurse should include in the plan for a client receiving hemodialysis is to check the vascular access site for bleeding after dialysis. This is important to prevent complications such as infection or excessive bleeding. Withholding all medications until after dialysis (Choice A) is not necessary unless specific medications need to be avoided due to the dialysis process. Rehydrating with dextrose 5% in water for orthostatic hypotension (Choice B) is not directly related to post-dialysis care. Giving an antibiotic 30 minutes before dialysis (Choice D) is not a standard practice unless there is a specific clinical indication.
3. What is the preferred electrical intervention for a patient with ventricular tachycardia and a pulse?
- A. Synchronized cardioversion
- B. Defibrillation
- C. Medication administration
- D. Pacing
Correct answer: A
Rationale: In a patient with ventricular tachycardia and a pulse, synchronized cardioversion is the preferred electrical intervention. Synchronized cardioversion is used to treat unstable tachyarrhythmias like ventricular tachycardia with a pulse. Choice B, defibrillation, is used for pulseless ventricular tachycardia or ventricular fibrillation. Choice C, medication administration, may not provide immediate correction for unstable ventricular tachycardia. Choice D, pacing, is not the first-line treatment for ventricular tachycardia with a pulse.
4. A client has been diagnosed with post-traumatic stress disorder (PTSD). Which intervention should the nurse implement to reduce the client's anxiety?
- A. Encourage the client to avoid discussing the traumatic event.
- B. Encourage the client to participate in group therapy sessions.
- C. Encourage the client to engage in relaxation techniques.
- D. Encourage the client to maintain a daily journal.
Correct answer: C
Rationale: Engaging in relaxation techniques, such as deep breathing, mindfulness, or progressive muscle relaxation, can help reduce anxiety for clients with PTSD. These techniques promote relaxation and help manage stress responses, contributing to a sense of calmness and improved coping mechanisms in dealing with anxiety triggers associated with PTSD. Avoiding discussing the traumatic event (Choice A) may hinder the client's progress in processing and coping with the trauma. While group therapy (Choice B) can be beneficial, relaxation techniques are more specific for reducing anxiety in this context. Maintaining a daily journal (Choice D) may be helpful for some clients but might not directly address anxiety reduction as effectively as relaxation techniques.
5. A nurse is planning care for a client who has chronic obstructive pulmonary disease (COPD). Which of the following interventions should the nurse include?
- A. Encourage the client to take deep breaths.
- B. Administer oxygen as needed.
- C. Teach the client pursed-lip breathing.
- D. Limit the client's fluid intake.
Correct answer: C
Rationale: The correct intervention for a client with COPD is to teach pursed-lip breathing. This technique helps improve oxygenation and reduce dyspnea by promoting better air exchange in the lungs. Encouraging deep breaths may not be suitable for clients with COPD as it can lead to air trapping. Administering oxygen is important in COPD, but teaching pursed-lip breathing is a more direct intervention to help the client manage their condition. Limiting fluid intake is not a standard intervention for COPD and may not be relevant to improving respiratory status.
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