ATI RN
ATI Mental Health Practice B
1. A client has been prescribed lithium for the treatment of bipolar disorder. Which of the following instructions should the nurse include?
- A. Avoid driving until you know how the medication affects you.
- B. Take the medication with food to prevent stomach upset.
- C. You may experience mild nausea when initiating the medication.
- D. Do not double the next dose if you miss one.
Correct answer: A
Rationale: The correct instruction for the nurse to provide is to advise the client to avoid driving until they know how the medication affects them. Lithium can lead to side effects like dizziness and drowsiness, which could impair one's ability to drive safely. Choice B is incorrect because lithium is usually taken on an empty stomach. Choice C may be true but is not as critical as the potential side effects affecting driving. Choice D is important but not as immediate as ensuring the client's safety while driving.
2. The complete blood count (CBC) indicates that a patient is thrombocytopenic. Which action should the nurse include in the plan of care?
- A. Avoid intramuscular injections.
- B. Encourage increased oral fluids.
- C. Check temperature every 4 hours.
- D. Increase intake of iron-rich foods.
Correct answer: A
Rationale: The correct action to include in the plan of care for a thrombocytopenic patient is to avoid intramuscular injections. Thrombocytopenia is a condition characterized by a decreased number of platelets, which are essential for blood clotting. Intramuscular injections can pose a risk of bleeding in patients with low platelet counts. Encouraging increased oral fluids (choice B) is beneficial for hydration but does not directly address the risk of bleeding associated with thrombocytopenia. Checking temperature every 4 hours (choice C) is important for monitoring infection but does not specifically address the risk of bleeding. Increasing intake of iron-rich foods (choice D) is more related to addressing anemia, not the primary concern of bleeding in thrombocytopenia.
3. The staff of a medical-surgical unit is in disagreement about holiday scheduling. The nurse manager knows that this is what type of conflict?
- A. Intragroup conflict
- B. Intergroup conflict
- C. Interpersonal conflict
- D. Intrapersonal conflict
Correct answer: A
Rationale: The correct answer is A: Intragroup conflict. Intragroup conflict occurs within one group, in this case, the staff of the medical-surgical unit. Intergroup conflict, on the other hand, happens between two or more groups. Interpersonal conflict involves conflicts between two or more individuals, and intrapersonal conflict is conflict within one individual. Since the disagreement about holiday scheduling involves members within the same group (staff of the medical-surgical unit), it is an example of intragroup conflict. Therefore, the nurse manager would recognize this as an intragroup conflict rather than any of the other types mentioned.
4. The client on spironolactone should avoid which of the following?
- A. Foods high in potassium
- B. Foods high in sodium
- C. Foods high in calcium
- D. Foods high in chloride
Correct answer: A
Rationale: The correct answer is A: Foods high in potassium. Spironolactone is a potassium-sparing diuretic, meaning it helps the body retain potassium and excrete sodium. Consuming foods high in potassium while on spironolactone can lead to an excess of potassium in the body, potentially causing hyperkalemia. Choices B, C, and D are incorrect because spironolactone does not directly interact with sodium, calcium, or chloride in a way that would require specific dietary restrictions related to these minerals.
5. Studies on the cultural differences in parental tolerance of under- or over-controlled behavior suggest that ________.
- A. These different styles can produce different rates of problem behaviors in different cultures.
- B. Parental styles make no difference in rates of different behavior problems; they seem to be primarily genetic.
- C. Parental styles make no difference in rates of different behavior problems; they seem to be independent of culture.
- D. All cultures feel the same about bringing their children for treatment, regardless of the type of behavior problem.
Correct answer: A
Rationale: Studies on the cultural differences in parental tolerance of under- or over-controlled behavior suggest that these different styles can produce different rates of problem behaviors in different cultures. This is because cultural norms and expectations influence how parental tolerance and responses to behavior are shaped. Choice B is incorrect because parental styles do play a role in behavior problems, influenced by cultural factors. Choice C is incorrect as parental styles can vary across cultures and impact behavior problems differently. Choice D is incorrect because cultural attitudes towards seeking treatment for behavior problems can vary significantly.
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