Questions 51

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ATI Mental Health Exam 3 Questions

Extract:


Question 1 of 5

The nurse is preparing to transfer a client from the post-anesthesia care unit (PACU). Which assessment findings would delay the transfer of the client? (Select All that Apply.)

Correct Answer: B,C

Rationale: The absence of a gag reflex increases the risk of aspiration and a respiratory rate of 6 breaths per minute indicates respiratory depression both warranting delay in transfer. Cough normal urine output heart rate and capillary refill do not indicate complications requiring delay.

Question 2 of 5

A nurse at a walk-in mental health clinic is assessing a client experiencing severe anxiety. The nurse should recognize the client might exhibit which of the following manifestations?

Correct Answer: C

Rationale: Severe anxiety can lead to heightened agitation which may include threatening behaviors as the client struggles to cope with overwhelming feelings of fear or distress. Attention-seeking is typical of personality disorders mild fidgeting is common in less severe anxiety and mild difficulty problem solving is not as intense a manifestation as threatening behaviors in severe anxiety.

Question 3 of 5

A nurse is preparing to administer levothyroxine 100 mcg PO daily. Available is levothyroxine 50 mcg tablets. How many tablets should the nurse administer daily? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: 2

Rationale: Solution: 50 mcg is to 1 tablet as 100 mcg is to x tablets. So 50 / 1 = 100 / x. Cross-multiplying: 50x = 100. Dividing both sides by 50: x = 2.
Therefore the nurse should administer 2 tablets daily.

Question 4 of 5

A nurse is caring for a client who is experiencing excessive anxiety and worry in response to a variety of circumstances,and is unable to control their sense of worry. The nurse should identify that these manifestations indicate which of the following?

Correct Answer: B

Rationale: Generalized anxiety disorder (GA
D) is characterized by excessive anxiety and worry that is difficult to control and is associated with a variety of circumstances. Individuals with GAD often experience chronic worry about multiple life domains without a specific focus. Agoraphobia involves fear of situations where escape may be difficult separation anxiety disorder involves fear of being separated from loved ones and panic disorder involves recurrent panic attacks none of which match the described symptoms as closely as GAD.

Question 5 of 5

A symptom commonly associated with panic attacks?

Correct Answer: A

Rationale: A common symptom of panic attacks is the intense feeling of fear of impending doom which can overwhelm the individual during an attack. Obsessions are linked to OCD apathy to depression and fever to physical illness not panic attacks.

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