ATI RN
Theoretical Basis for Behavior Modification Questions
Question 1 of 5
Francis with leukemia has neutropenia. Which of the following functions must frequently assessed?
Correct Answer: D
Rationale: The correct answer is D: Breath sounds. In a patient with neutropenia, there is a higher risk of developing respiratory infections due to low white blood cell count. Assessing breath sounds can help detect early signs of respiratory distress or infection, which can be life-threatening in this population. Blood pressure (A), bowel sounds (B), and heart sounds (C) are important assessments, but in the context of neutropenia, monitoring breath sounds is crucial for early detection and intervention in respiratory complications.
Question 2 of 5
When Mr. Gonzales regained consciousness, the physician orders 50 ml of Lactose p.o. every 2 hours. Mr. Gozales develops diarrhea. The nurse best action would be:
Correct Answer: D
Rationale: The correct answer is D because frequent bowel movements can help reduce sodium levels in cases of diarrhea caused by lactose intake. Lactose intolerance can lead to osmotic diarrhea due to the unabsorbed lactose drawing water into the intestines. By encouraging frequent bowel movements, excess sodium is excreted along with the watery stools, helping to restore electrolyte balance. Choice A is incorrect because contacting the physician immediately is not necessary in this situation as the nurse can take appropriate action. Choice B is incorrect because withholding the drug may not address the root cause of the diarrhea. Choice C is incorrect because simply lowering the dosage may not be sufficient to address the diarrhea effectively.
Question 3 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 4 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 5 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.