ATI RN
ATI Mental Health Exam IV Questions
Question 1 of 5
A nurse is teaching a newly licensed nurse about heparin-induced thrombocytopenia. Which of the following risk factors for this disorder should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Heparin therapy for deep-vein thrombosis. Heparin-induced thrombocytopenia (HIT) is a serious side effect of heparin therapy, characterized by a drop in platelet count due to an immune response to heparin. It is crucial for the nurse to include this risk factor in the teaching because patients on heparin therapy are at an increased risk for developing HIT. Systemic lupus erythematosus (choice
A) and placental abruption (choice
B) are not direct risk factors for HIT. Warfarin therapy for atrial fibrillation (choice
D) is not associated with HIT as warfarin works differently from heparin in preventing blood clots.
Question 2 of 5
A nurse is talking with the guardian of a school-aged child recently diagnosed with intermittent explosive disorder (IED). The guardian says,My child is impulsive, acts out aggressively, and then seems pleased with themselves. How can my child be happy? Which of the following responses should the nurse make?
Correct Answer: B
Rationale:
Correct
Answer: B
Rationale: The nurse should select response B because it acknowledges that the child's apparent pleasure after acting aggressively may not necessarily indicate happiness. Instead, it suggests that the child may be feeling relief rather than genuine happiness. This distinction is crucial in understanding the complex emotions and behaviors associated with intermittent explosive disorder. It is essential for the guardian to recognize that the child's reaction may be a coping mechanism rather than a reflection of true satisfaction. By choosing response B, the nurse provides a nuanced perspective that aligns with the clinical presentation of individuals with IED.
Summary of Incorrect
Choices:
A: This response is incorrect because there is a known association between intermittent explosive disorder and feelings of pleasure or satisfaction following impulsive or aggressive acts.
C: This response is incorrect as it oversimplifies the situation by suggesting a lack of empathy or compassion without considering the underlying emotional dynamics of the disorder.
D: This response is incorrect because it implies that the child has complete control over their reactions, which
Question 3 of 5
A nurse is assessing a child. The nurse should identify which of the following findings puts the child at risk for the development of conduct disorder?
Correct Answer: D
Rationale: The correct answer is D because being raised by a parent with recurrent major depressive disorder can lead to inconsistency in parenting, lack of emotional support, and increased risk of child experiencing neglect or abuse, all of which are factors contributing to the development of conduct disorder.
Choices A, B, and C do not directly relate to the risk factors associated with conduct disorder.
Question 4 of 5
Which of the following factors may contribute to an increased risk of suicide?
Correct Answer: D
Rationale: The correct answer is D: Experiencing a history of trauma or abuse. Trauma and abuse can lead to mental health issues such as depression and PTSD, increasing suicide risk. This is supported by research showing a strong correlation between trauma history and suicide. Other choices are incorrect because regular physical exercise (
A), positive self-esteem (
B), and strong social support system (
C) are typically protective factors against suicide, not risk factors. In contrast, a history of trauma or abuse (
D) is a well-established risk factor.
Question 5 of 5
A nurse is caring for a client who reports increased anxiety and nervousness,heat intolerance,and unintentional weight loss. Blood testing reveals decreased thyroid-stimulating hormone (TSH),elevated thyroxine (T4) and elevated triiodothyronine (T3) levels. Which of the following vital sign abnormalities does the nurse anticipate?
Correct Answer: B
Rationale: The correct answer is B: Tachycardia. In this scenario, the client is exhibiting symptoms of hyperthyroidism, including weight loss, heat intolerance, and anxiety. Elevated T4 and T3 levels are indicative of hyperthyroidism. Thyroid hormones directly affect the heart, leading to increased heart rate (tachycardia). Hypotension (
A) would be unlikely as hyperthyroidism typically causes hypertension. Slow respiratory rate (
C) and decreased body temperature (
D) are not characteristic of hyperthyroidism.