ATI RN
ATI 133 Mental Health Final Exam Questions
Extract:
Question 1 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 2 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).
Question 3 of 5
The nurse is planning care for a child who has intermittent explosive disorder (IED). The nurse should identify which of the following goals are appropriate for this client? (Select All that Apply.)
Correct Answer: A,E,F
Rationale:
Correct
Answer: A, E, F
Rationale:
A: The child demonstrating effective problem-solving skills is crucial for managing IED episodes.
E: Signing a behavior contract helps set clear expectations and consequences for behavior, aiding in self-regulation.
F: Learning to isolate when feeling angry can prevent harm and give time to calm down, a key skill for managing IED.
Incorrect
Choices:
B: Acknowledging a genetic disorder is not relevant to managing IED.
C: While important, verbalizing feelings of self-worth may not directly address the impulsivity of IED.
D: Expressing concerns is valuable but not a direct goal for managing IED.
Question 4 of 5
A nurse is educating a 28-year-old female client about the impacts of hypothyroidism on overall health. Which of the following statements would the nurse include in the teaching?
Correct Answer: A
Rationale:
Rationale: The correct answer is A because hypothyroidism, characterized by low thyroid hormone levels, can lead to complications during pregnancy, affecting fetal development. This is due to the essential role of thyroid hormones in fetal brain and nervous system development.
Summary of Incorrect
Choices:
B: Hypothyroidism is linked to autoimmune disorders, not a consequence of it.
C: Hypothyroidism actually slows down metabolism and heart rate due to decreased thyroid hormone levels.
D: Low blood pressure is more commonly associated with hyperthyroidism, where the thyroid is overactive.
Question 5 of 5
A nurse is caring for a client who has sickle cell anemia. The client asks,Why do I feel so tired and fatigued all of the time? Which of the following information should the nurse provide?
Correct Answer: B
Rationale:
Correct
Answer: B - You have fewer red blood cells.
Rationale: In sickle cell anemia, the abnormal hemoglobin causes red blood cells to become rigid, sticky, and crescent-shaped, leading to decreased oxygen delivery. This results in anemia, leading to fatigue and tiredness.
Choice A is incorrect as it does not directly relate to the pathophysiology of sickle cell anemia.
Choice C is unrelated to the client's symptoms.
Choice D is not specific to the underlying cause of fatigue in sickle cell anemia.