ATI RN
Behavioral Theory of Mental Health Questions
Question 1 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 2 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 3 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 4 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 5 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.