ATI Capstone Exam 2 Final | Nurselytic

Correct Answer: C

Rationale: Concrete thinking is a common thought process in schizophrenia where individuals have difficulty understanding abstract concepts.
Choice C, "I am sure that each problem has only one solution," is indicative of concrete thinking as it presents a rigid and simplistic view of problem-solving. This statement lacks flexibility and fails to consider the complexity of real-world problems, which is a characteristic of concrete thinking.

Choices A, B, and D involve delusions, paranoia, and following auditory hallucinations, respectively, which are not directly related to concrete thinking.
Therefore, choice C is the correct answer as it best demonstrates the rigid and simplistic thought process associated with concrete thinking in schizophrenia.

Correct Answer: D

Rationale: The correct answer is D: Rest frequently throughout the day. Rest is essential for the body to recover from hepatitis B, as it helps reduce fatigue and allows the immune system to work effectively. Hepatitis B can cause fatigue and weakness, making rest vital for healing.
Choice A is incorrect because a high-protein diet is not specifically necessary for managing hepatitis B.
Choice B is incorrect as individuals with hepatitis B should not donate blood due to the risk of transmitting the infection.
Choice C is incorrect because acetaminophen can be harmful to the liver, which is already compromised in hepatitis B. Thus, the best option is D, as rest is crucial for managing the condition effectively.

Correct Answer: B

Rationale: The correct answer is B: Instruct the client about the use of a sequential compression device. This is important for preventing postoperative complications like deep vein thrombosis (DVT) by promoting circulation in the lower extremities. Discussing the visitation policy (
A) is not directly related to preventing postoperative complications. Teaching the client how to use the PCA pump (
C) is important for pain management but not specifically for preventing complications. Reviewing the pain scale (
D) is crucial for pain assessment but does not directly address postoperative complications.

Correct Answer: A

Rationale: The correct answer is A: Withhold oral fluids and food. In acute pancreatitis, the priority intervention is to rest the pancreas by withholding oral intake to reduce pancreatic stimulation and prevent further inflammation and digestive enzyme release. This is crucial in managing the condition and preventing complications. Auscultating the lungs (
B) is important but not the priority in this case. Providing oral hygiene (
C) and assisting the client to a side-lying position (
D) are not directly related to managing acute pancreatitis.

Correct Answer: A

Rationale: The correct answer is A: Dilated scalp veins. In hydrocephalus, there is an accumulation of cerebrospinal fluid within the brain ventricles, leading to increased intracranial pressure. This pressure can cause dilation of scalp veins as a compensatory mechanism to help drain excess fluid. Overriding suture lines (
B) are associated with craniosynostosis, not hydrocephalus. Hypertension (
C) is not a typical manifestation of hydrocephalus. A backward sloping appearance of the forehead (
D) is seen in some genetic conditions like Down syndrome, not specifically in hydrocephalus.