ATI RN
ATI 133 Mental Health Final Exam 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. In hypothyroidism, untreated individuals can develop myxedema coma, a severe condition characterized by extreme hypothyroidism leading to decreased mental status, hypothermia, and respiratory depression, which can be fatal if not promptly treated. Myxedema coma is a medical emergency requiring immediate intervention.
B: Goiters are enlarged thyroid glands and are not typically fatal.
C: Sjogren's syndrome is an autoimmune disorder affecting moisture-producing glands, not directly related to hypothyroidism.
D: Hashimoto's disease is an autoimmune condition causing hypothyroidism but does not lead to myxedema coma.
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. Individuals with Graves' disease often present with symptoms such as weight loss, tremors, and palpitations. The autoimmune nature of Graves' disease leads to the production of thyroid-stimulating immunoglobulins, resulting in excess thyroid hormone production.
Therefore, a client with a known diagnosis of Graves' disease is at the highest risk for hyperthyroidism.
A: A 45-year-old female with a family history of autoimmune disorders may be at risk for developing autoimmune conditions, including hyperthyroidism, but without a current diagnosis of hyperthyroidism, she is not the most at risk in this scenario.
B: A 73-year-old male with iodine deficiency is more likely to develop hypothyroidism rather than hyperthyroidism, as iodine deficiency is a common cause
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 client's immediate safety. Understanding how easily the client can access the means to commit suicide is crucial in preventing harm.
Choices B, C, and D are important aspects of a comprehensive assessment but do not directly address the immediate risk of suicide.
Choice B focuses on background information, which may be relevant for understanding the client but is not the priority in this urgent situation.
Choice C pertains to the client's insight, which is important for therapeutic interventions but does not address the imminent risk.
Choice D considers social support, which is valuable in long-term prevention but not the immediate concern.
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 levels and lack of access to resources, increasing the likelihood of caregiver frustration and potential for shaken baby syndrome. Inadequate parental education (
B) may contribute, but is not as directly linked. Having multiple siblings (
C) and physical disability of the caregiver (
D) are not direct risk factors 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. ODD is primarily a behavioral disorder, not a chemical imbalance, so medication is not typically the first-line treatment. Behavioral strategies such as cognitive-behavioral therapy, parent training, and family therapy are more effective in managing ODD symptoms. Other choices are incorrect because they either suggest medication as the primary treatment without acknowledging the behavioral aspect of ODD (
B), state inaccuracies about medication use for ODD (
C), or divert the conversation away from addressing the parent's concerns (
D).