ATI RN
ATI Mental Health Exam IV Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client about hypothyroidism. Which of the following potentially fatal conditions associated with hypothyroidism will the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Myxedema coma. Myxedema coma is a life-threatening condition that can occur in severe, untreated hypothyroidism. It is characterized by extreme hypothyroidism leading to decreased mental status, hypothermia, bradycardia, and respiratory depression. It requires immediate medical intervention. Goiters (
B) are enlarged thyroid glands but not usually life-threatening. Sjogren's syndrome (
C) is an autoimmune disorder affecting moisture-producing glands, not directly linked to hypothyroidism. Hashimoto's disease (
D) is a common cause of hypothyroidism but not a potentially fatal condition on its own.
Question 2 of 5
A nurse is reviewing the medical records of clients on a hospital floor. Which client would the nurse expect is most at risk for hyperthyroidism?
Correct Answer: D
Rationale: The correct answer is D: A 35-year-old male who has Graves' disease. Graves' disease is a common cause of hyperthyroidism, characterized by an overactive thyroid gland. This client is at the highest risk for hyperthyroidism because the disease directly affects the thyroid function.
Choice A is incorrect because a family history of autoimmune disorders does not directly correlate with hyperthyroidism.
Choice B is incorrect as iodine deficiency typically leads to hypothyroidism, not hyperthyroidism.
Choice C is incorrect as metabolic syndrome is not specifically linked to hyperthyroidism. In summary, the client with Graves' disease is most at risk for hyperthyroidism due to the direct impact of the disease on thyroid function.
Question 3 of 5
Susan,the nurse is caring for a client who states "I plan to commit suicide." Which of the following assessments should the nurse identify as the priority?
Correct Answer: A
Rationale: The correct answer is A. Assessing the lethality of the method and availability of means is the priority because it directly addresses the immediate risk of harm to the client. This assessment helps determine the potential for the client to carry out the suicidal plan.
Choices B, C, and D are important assessments but are not as urgent as determining the immediate danger of the client harming themselves. B focuses on background information, C on insight, and D on social support, which are valuable for understanding the client's overall situation but do not address the imminent risk of suicide.
Therefore, prioritizing the assessment of lethality and means is crucial in ensuring the client's safety.
Question 4 of 5
Which of the following is a risk factor for shaken baby syndrome?
Correct Answer: A
Rationale: The correct answer is A: Low socioeconomic status. Low socioeconomic status can lead to increased stress, lack of resources, and inadequate support, increasing the likelihood of caregiver frustration and potential for shaking a baby. Inadequate parental education (
B) can contribute to lack of knowledge on child development but may not directly lead to shaking. Having multiple siblings (
C) may increase caregiving responsibilities but does not directly correlate with shaken baby syndrome. Physical disability of the caregiver (
D) may pose challenges but is not a direct risk factor for shaken baby syndrome.
Question 5 of 5
A nurse is teaching the parent of an adolescent who was recently diagnosed with oppositional defiant disorder (ODD). The parent asks,Is there a medication that can help my child? Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "Medication is usually not prescribed to treat oppositional defiant disorder. Let's discuss some behavioral strategies you can use." This response is appropriate because ODD is primarily a behavioral disorder, and medication is not typically the first-line treatment. Behavioral interventions, such as therapy and parenting strategies, are more effective in managing ODD symptoms.
Choice B is incorrect because while medications may be prescribed for some symptoms associated with ODD, they are not the primary treatment.
Choice C is incorrect as it oversimplifies the nature of ODD by stating that it is solely a behavioral disorder.
Choice D is incorrect as it does not address the specific question asked by the parent and dismisses the possibility of behavioral strategies.