ATI RN
ATI Mental Health Exam IV Questions
Question 1 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 2 of 5
A nurse is caring for a young female adult client who reports weakness, fatigue, and heavy menstrual periods. The client has a hemoglobin level of 8 g/dL and a hematocrit level of 28 g/dL. The nurse suspects which of the following types of anemia?
Correct Answer: C
Rationale: The correct answer is C: Iron deficiency anemia. The client's low hemoglobin and hematocrit levels indicate a deficiency in red blood cells. Iron deficiency anemia is the most common cause of anemia worldwide and is characterized by inadequate iron levels needed for red blood cell production. The symptoms of weakness, fatigue, and heavy menstrual periods are classic signs of iron deficiency anemia. Pernicious anemia (
A) is caused by a lack of intrinsic factor needed for vitamin B12 absorption. Folic acid deficiency anemia (
B) is characterized by a lack of folic acid, leading to impaired red blood cell production. Sickle cell anemia (
D) is a genetic disorder causing abnormal hemoglobin production and sickle-shaped red blood cells.
Question 3 of 5
A nurse is obtaining a health history from a client who has iron deficiency anemia. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Fatigue. In iron deficiency anemia, the body lacks enough iron to produce hemoglobin, leading to decreased oxygen delivery to tissues, resulting in fatigue. Confusion (
A), pain (
C), and slurred speech (
D) are not typical findings in iron deficiency anemia. Confusion is more common in conditions like delirium, pain is not a direct symptom of anemia, and slurred speech is typically seen in neurological conditions.
Question 4 of 5
Claudette, the nurse, is conducting group therapy with a group of clients. Which of the following statements made by a client is an example of aggressive communication
Correct Answer: D
Rationale:
Correct Answer: D. "You'd better listen to me."
Rationale: This statement is an example of aggressive communication because it is demanding, threatening, and lacks respect for the other person's autonomy. It implies a power dynamic and coercion, which is characteristic of aggressive behavior. The client is attempting to control the situation through fear and intimidation rather than expressing their feelings or needs assertively. This type of communication can create tension and hinder effective communication within the group therapy session.
Summary of other choices:
A: Expresses feelings without aggression.
B: Expresses a wish without aggression.
C: Expresses feelings without aggression.
E, F, G: Not provided, but likely do not exhibit the same level of aggression as choice D.
Question 5 of 5
The nurse in the emergency room is reviewing the health record of a client who is being evaluated for Graves' disease. Which of the following laboratory results is an expected finding?
Correct Answer: D
Rationale: The correct answer is D: Decreased thyroid-stimulating hormone (TSH). In Graves' disease, there is an overproduction of thyroid hormones due to autoimmune stimulation of the thyroid gland. This leads to suppression of TSH production by the pituitary gland as a feedback mechanism.
Therefore, a decreased TSH level is an expected finding in Graves' disease.
Incorrect choices: A: Decreased thyrotropin receptor antibodies - In Graves' disease, there is an increase in thyrotropin receptor antibodies. B: Decreased free thyroxine index - In Graves' disease, there is an increase in free thyroxine levels. C: Decreased triiodothyronine - In Graves' disease, there is an increase in triiodothyronine levels.