ATI RN
Behavioral Theory of Mental Health Questions
Question 1 of 5
An elderly client is admitted to the nursing home setting. The client is occasionally confused and her gait is often unsteady. Which of the following actions, if taken by the nurse, is most appropriate?
Correct Answer: A
Rationale: The correct answer is A: Ask the woman's family to provide personal items such as photos or mementos. This is the most appropriate action because it can help provide familiar and comforting stimuli for the confused elderly client, potentially reducing her confusion and anxiety. Personal items can also serve as memory aids. Choice B is incorrect because the placement of the bed does not address the client's confusion and unsteady gait. Choice C is incorrect as it does not specifically address the client's confusion and gait issues. Choice D is incorrect because encouraging ambulation without addressing the underlying causes of confusion and unsteadiness may not be safe or effective.
Question 2 of 5
Kristine is scheduled for a bronchoscopy. When teaching Kristine what to expect afterward, the nurse's highest priority of information would be:
Correct Answer: A
Rationale: The correct answer is A because after a bronchoscopy, the patient should not eat or drink for at least 2 hours to prevent aspiration and allow the effects of sedation to wear off. Choice B is incorrect as warm saline gargles may not be necessary post-bronchoscopy. Choice C is incorrect as coughing and deep-breathing exercises are not the immediate priority. Choice D is incorrect because ice chips and cold liquids are not recommended initially to prevent aspiration and potential complications.
Question 3 of 5
Wilfredo with a recent history of rectal bleeding is being prepared for a colonoscopy. How should the nurse Patricia position the client for this test initially?
Correct Answer: B
Rationale: The correct answer is B: Lying on the left side with knees bent. This position allows for optimal visualization of the colon during a colonoscopy. By lying on the left side, the sigmoid colon falls naturally forward, making it easier to navigate the scope. The knees bent position also helps to relax the abdominal muscles and reduce discomfort for the client. Incorrect choices: A: Lying on the right side with legs straight would not provide the same optimal visualization of the colon as lying on the left side. C: Prone with the torso elevated is not the appropriate position for a colonoscopy as it does not facilitate the procedure. D: Bent over with hands touching the floor is an incorrect position for a colonoscopy as it does not allow for proper insertion and navigation of the scope through the colon.
Question 4 of 5
A male client has a reduced serum high-density lipoprotein (HDL) level and an elevated low-density lipoprotein (LDL) level. Which of the following dietary modifications is not appropriate for this client?
Correct Answer: B
Rationale: Correct Answer: B Rationale: B is not appropriate because a reduced fat intake below 30% of calories may lead to inadequate fat-soluble vitamin absorption and essential fatty acid deficiency. A, C, and D are appropriate dietary modifications that can help improve lipid profiles without risking essential nutrient deficiencies. A higher fiber intake can help reduce LDL levels, limiting cholesterol intake can help lower LDL, and reducing saturated fat intake can improve overall lipid profile.
Question 5 of 5
Arnold, a 19-year-old client with a mild concussion is discharged from the emergency department. Before discharge, he complains of a headache. When offered acetaminophen, his mother tells the nurse the headache is severe and she would like her son to have something stronger. Which of the following responses by the nurse is appropriate?
Correct Answer: C
Rationale: The correct response is C: "Narcotics are avoided after a head injury because they may hide a worsening condition." Rationale: 1. Narcotics can mask symptoms of a worsening condition, such as increased intracranial pressure, by providing pain relief without addressing the underlying issue. This can delay appropriate medical intervention. 2. Acetaminophen is a suitable option for mild headaches and poses a lower risk of masking symptoms compared to narcotics. 3. Aspirin (option B) is contraindicated due to the risk of Reye's syndrome in young adults with viral illnesses. 4. Option D is incorrect as vomiting itself does not necessarily lead to increased intracranial pressure; strong medications may have various side effects, but the primary concern is the potential for masking symptoms with narcotics in this scenario.