ATI RN
Theoretical Basis for Behavior Modification Questions
Question 1 of 5
During the administration of chemotherapy agents, Nurse Oliver observed that the IV site is red and swollen, when the IV is touched Stacy shouts in pain. The first nursing action to take is:
Correct Answer: C
Rationale: The correct answer is C: Immediately discontinue the infusion. This action is necessary to prevent further harm to the patient in case of an adverse reaction to the chemotherapy agent. Discontinuing the infusion will stop the administration of the potentially harmful drug and allow for prompt assessment and intervention. Notifying the physician (choice A) can be done after discontinuing the infusion. Flushing the IV line (choice B) may not address the underlying issue of the redness and swelling at the site. Applying an ice pack followed by warm compress (choice D) may provide temporary relief but does not address the need to stop the infusion immediately.
Question 2 of 5
Letty says, "Give me ten (10) minutes to recall the name of our college professor who failed many students in our anatomy class." She is operating on her:
Correct Answer: B
Rationale: Step-by-step rationale for why answer B (Conscious) is correct: Letty's statement indicates she is actively engaging in a cognitive process to recall information, which aligns with conscious thought. Conscious thought involves awareness, reasoning, and decision-making, all of which Letty is demonstrating by setting a specific timeframe for memory recall. Subconscious (A) refers to processes below the level of awareness; Unconscious (C) pertains to mental processes inaccessible to consciousness; Ego (D) is a component of personality according to Freudian psychology, not directly related to cognitive processes like memory recall.
Question 3 of 5
Freud explains anxiety as:
Correct Answer: B
Rationale: Freud explains anxiety as a conflict between id (unconscious desires) and superego (internalized societal norms). This conflict creates tension, leading to anxiety. The id seeks immediate gratification, while the superego imposes moral standards. This conflict causes anxiety. Choice A is incorrect because it oversimplifies anxiety as solely related to satisfying needs. Choice C is incorrect as it focuses on a physiological response rather than a psychological conflict. Choice D is incorrect as it suggests anxiety is a learned response to stressors, rather than a result of internal conflicts within the mind.
Question 4 of 5
The nurse teaches the parents of a mentally retarded child regarding her care. The following guidelines may be taught except:
Correct Answer: A
Rationale: The correct answer is A: Overprotection of the child. Overprotecting a mentally retarded child can hinder their development and independence. The rationale is that it is important for the child to learn and grow within their capabilities. Patience, routine, and repetition (B) are essential for their learning process. Assisting parents in setting realistic goals (C) helps in creating achievable milestones. Giving reasonable compliments (D) helps boost the child's self-esteem. In summary, overprotection can hinder growth, while the other options support the child's development and well-being.
Question 5 of 5
A client is admitted with needle tracks on his arm, stuporous and with pin point pupil will likely be managed with:
Correct Answer: B
Rationale: The correct answer is B: Narcan (Naloxone). This medication is an opioid antagonist used for acute opioid overdose reversal. The client's symptoms of stupor, pinpoint pupils, and needle tracks suggest opioid use, making Narcan the appropriate choice to reverse the opioid effects quickly. Naltrexone (A) is used for opioid dependence treatment, not acute overdose. Disulfiram (C) is for alcohol aversion therapy, not opioid overdose. Methadone (D) is a long-acting opioid used for opioid addiction treatment, not for acute overdose reversal. Therefore, Narcan is the optimal choice in this scenario.