A nurse is caring for a client recovering from bowel surgery who has a nasogastric tube connected to low intermittent suction. Which of the following assessment findings should indicate to the nurse that the NG tube may not be functioning properly?

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ATI Final Mental Health Questions

Question 1 of 5

A nurse is caring for a client recovering from bowel surgery who has a nasogastric tube connected to low intermittent suction. Which of the following assessment findings should indicate to the nurse that the NG tube may not be functioning properly?

Correct Answer: C

Rationale: The correct answer is C: Abdominal rigidity. Abdominal rigidity can indicate a serious issue such as peritonitis, which may be caused by a malfunctioning NG tube allowing leakage of gastric contents into the peritoneal cavity. This requires immediate intervention. Choices A, B, and D are not indicative of NG tube malfunction. Greenish-yellow drainage is normal post-surgery, an aspirate pH of 3 is within the normal range for gastric contents, and air bubbles in the NG tube are common and do not necessarily indicate malfunction.

Question 2 of 5

A client with insomnia is prescribed zolpidem. When describing the action of this medication to the client, the nurse would incorporate information related to the medication's effect on which of the following?

Correct Answer: A

Rationale: Rationale: 1. Zolpidem enhances the action of GABA neurotransmitter. 2. GABA inhibits brain activity, promoting relaxation and sleep. 3. Therefore, correct answer is A: GABA. Summary: B: Serotonin - Not directly affected by zolpidem. C: Dopamine - Not the primary neurotransmitter involved in sleep regulation. D: Norepinephrine - Not directly targeted by zolpidem for sleep promotion.

Question 3 of 5

A nurse is developing a plan of care for a family who is experiencing problems related to their child's chronic illness. The nurse plans to have the family read a group of short stories written by parents of children with chronic illnesses. The nurse will be using which technique?

Correct Answer: C

Rationale: Rationale: 1. Bibliotherapy involves using written materials to help individuals understand and cope with emotional issues. 2. In this scenario, having the family read short stories written by parents of children with chronic illnesses can provide emotional support and guidance. 3. Psychoeducation focuses on educating individuals about their condition, not necessarily providing emotional support. 4. Social skills training and assertiveness training focus on developing specific skills, which are not the primary goal in this case.

Question 4 of 5

A 25-year-old legal secretary is seeking counseling because she recently lost her job unexpectedly. Which question would be most appropriate for the nurse to use in assessing the patient's response to losing her job?

Correct Answer: D

Rationale: The correct answer is D because it focuses on the patient's past behavior in response to stress, providing insight into her coping strategies. By understanding how she has dealt with stress before, the nurse can anticipate her current response. Choice A is too focused on the cause of job loss, not the patient's emotional response. Choice B is too narrow, not addressing broader coping mechanisms. Choice C is future-oriented, not addressing the patient's current emotional state.

Question 5 of 5

What is a type of hallucination?

Correct Answer: C

Rationale: The correct answer is C: gustatory, which refers to hallucinations related to taste. This is the correct answer because hallucinations can involve all senses, including taste. Erotomanic (A) hallucinations involve believing someone is in love with you, referential (B) hallucinations involve attaching personal significance to random events, and tangential (D) hallucinations involve diverging from the main topic in conversation. These choices are incorrect because they do not pertain specifically to the sense of taste in hallucinations.

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