ATI 133 Mental Health Final Exam

ATI 133 Mental Health Final Exam Related

Review ATI 133 Mental Health Final Exam related questions and content

A nurse is assessing a school-age child who recently loaded a virus onto their teacher's computer after receiving a poor grade on a science project. The child's guardian tells the nurse their child often bullies the other kids at school. Which of the following diagnoses should the nurse expect?

  • A. Oppositional defiant disorder (ODD)
  • B. Attention deficit hyperactivity disorder (ADHD)
  • C. Intermittent explosive disorder (IED)
  • D. Conduct disorder (CD)
Correct Answer: D

Rationale: Correct Answer: D - Conduct disorder (CD)

Rationale:
1. Conduct disorder involves a pattern of behavior that violates the basic rights of others or societal norms.
2. The child's actions of loading a virus onto the teacher's computer and bullying classmates indicate a disregard for rules and the well-being of others.
3. Conduct disorder commonly presents with aggression, deceitfulness, and violation of rules.
4. These behaviors are more severe than those seen in Oppositional Defiant Disorder (A) and Attention Deficit Hyperactivity Disorder (B).
5. Intermittent Explosive Disorder (C) typically involves impulsive aggression, not premeditated actions like intentionally loading a virus.
6. Conduct disorder is the most appropriate diagnosis considering the child's behavior towards others.

Summary:
- A: Oppositional Defiant Disorder - less severe, lacks the pattern of aggression seen in the child's behavior.
- B: Attention Deficit Hyperactivity Disorder - does not fully capture the intentional harmful behavior

You may also like to solve these questions

A nurse is assessing a client diagnosed with schizophrenia who has been treated with fluphenazine (Prolixin) for several years. Which of the following findings should the nurse document as manifestations of tardive dyskinesia (TD)?

  • A. Sudden onset of high fever
  • B. Twisting tongue movements
  • C. Constant tapping of feet when sitting
  • D. Shuffling gait
Correct Answer: B

Rationale: Twisting tongue movements are a classic sign of tardive dyskinesia from long-term antipsychotic use.

A nurse is caring for a client who is experiencing a manic episode. Other clients begin to complain about her disruptive behavior on the unit. Which of the following actions should the nurse take?

  • A. Warn the client that further disruptions will result in seclusion.
  • B. Ask the client to recommend consequences for her disruptive behavior.
  • C. Set limits on the client's behavior and be consistent in approach.
  • D. Ignore the client's behavior,realizing it is consistent with her illness.
Correct Answer: C

Rationale: The correct answer is C: Set limits on the client's behavior and be consistent in approach. This is the best course of action because it maintains a therapeutic environment while ensuring the safety and well-being of all clients. By setting limits, the nurse establishes boundaries for acceptable behavior during the manic episode, helping to prevent harm and maintain order on the unit. Consistency in approach is crucial to provide the client with structure and predictability, which can help manage the manic symptoms and reduce potential disruptions.

Choice A is not the best option as it may escalate the situation and does not address the underlying issue. Choice B is not appropriate as it puts the responsibility on the client to determine consequences, which may not be effective in managing the behavior. Choice D is incorrect as ignoring the behavior can compromise the safety of other clients and is not a therapeutic approach to managing manic episodes.

The physician orders a Lidocaine drip to infuse at 2 mg/min. The drug is available as 2 gm in 500 mL of fluid. Solve for mL/hr.

Correct Answer: 3

Rationale: To solve for mL/hr, we first need to convert 2 gm to mg (2000 mg) and calculate the total volume in mL (500 mL). Then, we divide the total volume by the rate of infusion (2 mg/min) to get mL/min (250 mL/min). Finally, multiply this by 60 to get mL/hr (15000 mL/hr). Choice 3 is correct because it correctly follows these steps. Other choices are incorrect due to miscalculations or skipping a step.

Which of the following is a risk factor for shaken baby syndrome?

  • A. Low socioeconomic status
  • B. Inadequate parental education
  • C. Having multiple siblings
  • D. Physical disability of the caregiver
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.

A nurse has received a report on a group of clients. Which of the following client clients should the nurse assess first?

  • A. A client who has type 2 diabetes mellitus has a blood glucose level of 120 mg/dL (74 - 106 mg/dL)
  • B. A client who has diabetes insipidus has an intake of 1,500 mL and an output of 1,600 mL in 24 hr.
  • C. A client who has Graves' disease has a heart rate of 100/min and reports tremors.
  • D. A client who has a left-sided stroke reports severe headache and is manifesting confusion.
Correct Answer: D

Rationale: The correct answer is D. A client with a left-sided stroke reporting severe headache and confusion should be assessed first due to the potential risk of worsening neurological status. Headache and confusion could indicate a worsening condition such as hemorrhage or increased intracranial pressure, requiring immediate intervention to prevent further damage. Assessing this client first allows for prompt treatment and prevention of complications. Choices A, B, and C involve clients with chronic conditions or stable vital signs that do not indicate immediate danger. Assessing the client with a left-sided stroke takes priority over these cases due to the acute nature of the symptoms.

Copyright © 2025 Nokea. All rights reserved.