ATI RN
Behavioral Theory of Mental Health Questions
Question 1 of 5
A 55-year old client underwent cataract removal with intraocular lens implant. Nurse Oliver is giving the client discharge instructions. These instructions should include which of the following?
Correct Answer: D
Rationale: The correct answer is D: Avoid straining during bowel movement or bending at the waist. After cataract surgery, it's crucial to avoid straining to prevent increased intraocular pressure that can affect the healing process. Bending at the waist can also increase pressure in the eyes. The other choices are incorrect because A: Lifting objects weighing more than 5 lb can strain the eyes. B: Lying on your abdomen can also increase pressure in the eyes. C: Keeping rooms brightly lit is not specifically related to post-cataract surgery care.
Question 2 of 5
During routine care, Francis asks the nurse, "How can I be anemic if this disease causes increased my white blood cell production?" The nurse in-charge best response would be that the increased number of white blood cells (WBC) is:
Correct Answer: A
Rationale: The correct answer is A: Crowd red blood cells. White blood cells (WBC) can crowd out red blood cells in conditions like leukemia, leading to anemia. This happens because the excess WBC takes up space in the bone marrow where red blood cells are produced, reducing their numbers. This directly contributes to anemia. Choice B is incorrect because WBC can indeed contribute to anemia by crowding out red blood cells. Choice C is incorrect as WBC do not utilize nutrients from other cells in a way that directly causes anemia. Choice D is incorrect as WBC typically have a normal life span and their impact on anemia is due to crowding out red blood cells rather than having a short life span.
Question 3 of 5
A 37-year-old client with uterine cancer asks the nurse, "Which is the most common type of cancer in women?" The nurse replies that it's breast cancer. Which type of cancer causes the most deaths in women?
Correct Answer: B
Rationale: The correct answer is B: Lung cancer. Lung cancer causes the most deaths in women due to factors such as late diagnosis, aggressive nature, and high mortality rate. It is often linked to smoking, which is a major risk factor. Breast cancer, although common, has a higher survival rate compared to lung cancer. Brain cancer and colon and rectal cancer, while serious, do not account for as many deaths in women as lung cancer does.
Question 4 of 5
Before Jacob undergoes arthroscopy, the nurse reviews the assessment findings for contraindications for this procedure. Which finding is a contraindication?
Correct Answer: C
Rationale: The correct answer is C because joint flexion of less than 50% indicates limited range of motion, which can affect the success and safety of arthroscopy. Limited flexion may hinder the surgeon's ability to maneuver instruments inside the joint. Joint pain (choice A) is a common reason for arthroscopy, not a contraindication. Joint deformity (choice B) may also be a reason for arthroscopy, not a contraindication. Joint stiffness (choice D) can be addressed during arthroscopy, so it is not a contraindication.
Question 5 of 5
Mr. Domingo with a history of hypertension is diagnosed with primary hyperaldosteronism. This diagnosis indicates that the client's hypertension is caused by excessive hormone secretion from which of the following glands?
Correct Answer: A
Rationale: The correct answer is A: Adrenal cortex. Primary hyperaldosteronism is a condition where there is excessive aldosterone production by the adrenal cortex. Aldosterone is a hormone responsible for regulating blood pressure by promoting sodium and water retention in the kidneys, leading to increased blood volume and subsequent hypertension. The adrenal medulla (C) secretes catecholamines such as epinephrine and norepinephrine, not aldosterone. The pancreas (B) secretes insulin and glucagon, not aldosterone. The parathyroid (D) secretes parathyroid hormone, which regulates calcium levels, not aldosterone. Therefore, the correct answer is A because primary hyperaldosteronism is specifically related to excessive aldosterone production by the adrenal cortex.