ATI RN
Behavioral Theory of Mental Health Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A 66-year-old client has been complaining of sleeping more, increased urination, anorexia, weakness, irritability, depression, and bone pain that interferes with her going outdoors. Based on these assessment findings, the nurse would suspect which of the following disorders?
Correct Answer: D
Rationale: The correct answer is D: Hyperparathyroidism. The symptoms described are indicative of hyperparathyroidism, which is characterized by increased levels of parathyroid hormone leading to high calcium levels in the blood. The symptoms such as bone pain, weakness, irritability, and depression are associated with hypercalcemia. The other choices (A: Diabetes mellitus, B: Diabetes insipidus, C: Hypoparathyroidism) are not consistent with the symptoms described in the scenario and would not typically present with bone pain, weakness, and irritability due to high calcium levels.
Question 5 of 5
Patrick is treated in the emergency department for a Colles' fracture sustained during a fall. What is a Colles' fracture?
Correct Answer: A
Rationale: The correct answer is A: Fracture of the distal radius. A Colles' fracture specifically refers to a fracture of the distal end of the radius bone in the forearm, typically occurring due to a fall on an outstretched hand. This type of fracture is characterized by a specific anatomical location and mechanism of injury. The other choices, B: Fracture of the olecranon, C: Fracture of the humerus, and D: Fracture of the carpal scaphoid, do not correspond to a Colles' fracture based on the specific location and characteristics of this type of injury.