ATI RN
Behavioral Theory of Mental Health Questions
Question 1 of 5
Francis with anemia has been admitted to the medical-surgical unit. Which assessment findings are characteristic of iron-deficiency anemia?
Correct Answer: B
Rationale: The correct answer is B because dyspnea, tachycardia, and pallor are classic signs of iron-deficiency anemia. - Dyspnea is due to decreased oxygen-carrying capacity from low hemoglobin levels. - Tachycardia occurs as the heart compensates for the decreased oxygen by pumping faster. - Pallor results from reduced red blood cell production. The other choices are incorrect: - A: Night sweats, weight loss, and diarrhea are not typically associated with iron-deficiency anemia. - C: Nausea, vomiting, and anorexia are more commonly seen in other types of anemia or gastrointestinal issues. - D: Itching, rash, and jaundice are not specific to iron-deficiency anemia.
Question 2 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 3 of 5
Norma, with recent colostomy expresses concern about the inability to control the passage of gas. Nurse Oliver should suggest that the client plan to:
Correct Answer: C
Rationale: The correct answer is C: Avoid foods that in the past caused flatus. This is the most appropriate suggestion because it directly addresses the client's concern about controlling the passage of gas. By avoiding foods that have previously caused gas, the client can potentially reduce the likelihood of experiencing excessive gas with a colostomy. The other options (A, B, D) do not directly address the issue of controlling gas passage and may not be as effective in managing the client's specific concern. It is important to individualize dietary recommendations based on the client's unique needs and experiences to promote optimal comfort and well-being.
Question 4 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 5 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.