The history of a child newly diagnosed with ADHD reveals that the child is experiencing sleeping difficulties. Which agent would the nurse most likely use?

Questions 19

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ATI 2019 Mental Health Proctored Exam Questions

Question 1 of 5

The history of a child newly diagnosed with ADHD reveals that the child is experiencing sleeping difficulties. Which agent would the nurse most likely use?

Correct Answer: B

Rationale: The correct answer is B: Atomoxetine. Atomoxetine is the preferred agent for ADHD in children with sleeping difficulties as it does not typically affect sleep patterns. Methylphenidate (A) may worsen sleep issues due to its stimulant properties. Bupropion (C) can also cause insomnia. Clonidine (D) may help with sleep but is not the first-line choice for ADHD without comorbid conditions like tics or aggression.

Question 2 of 5

Which statement by a patient would lead the nurse to suspect unsuccessful completion of the psychosocial developmental task of infancy?

Correct Answer: C

Rationale: The correct answer is C because depending on frequent praise from others to feel good about oneself indicates a lack of self-confidence and self-esteem, which are key components of successful completion of the psychosocial developmental task of infancy according to Erikson's theory. This statement suggests an inability to develop a sense of autonomy and self-reliance, which are crucial in the infancy stage. Choice A is incorrect because preferring to work alone rather than on a team may indicate a preference for autonomy, which is a positive trait related to the successful completion of the task of autonomy vs. shame and doubt in infancy. Choice B is incorrect because not allowing others to truly get to know oneself could indicate introversion or privacy preferences, which may not necessarily suggest unsuccessful completion of the infancy developmental task. Choice D is incorrect because needing to do things several times before getting them right may indicate a learning style or perfectionism rather than a sign of unsuccessful completion of the psychosocial developmental task of infancy.

Question 3 of 5

Malika agrees to try losing weight according to the nurse practitioner's outlined plan. Additional teaching is warranted when Malika states:

Correct Answer: C

Rationale: Rationale: C is correct because choosing gastric bypass over the outlined plan indicates a lack of commitment to the agreed weight loss plan. It suggests that Malika may not be fully engaged in following the recommendations provided by the nurse practitioner. This choice also implies a preference for a more invasive and potentially risky procedure over a more conservative approach. Options A, B, and D are incorrect because they do not challenge or contradict the nurse practitioner's plan, indicating a willingness to address depression, engage in psychotherapy, and recognize potential benefits of weight loss on comorbid conditions.

Question 4 of 5

Forensic nursing combines scientific knowledge and inquiry in an effort to serve:

Correct Answer: C

Rationale: The correct answer is C because forensic nursing serves both victims and perpetrators of crime. Forensic nurses provide care, collect evidence, and testify in legal proceedings for all individuals involved in a crime. Choice A is incorrect because forensic nursing is not exclusive to victims. Choice B is incorrect as it does not encompass the holistic approach of forensic nursing. Choice D is incorrect as it focuses solely on the families of crime victims, rather than the individuals directly involved.

Question 5 of 5

A nurse is reviewing common themes or social determinants among populations preventing clients' achievement of health care"“related goals. The nurse wants to include interventions into the clients' plan of care to help overcome effects of the identified social determinants. What would the nurse use to base conclusions?

Correct Answer: A

Rationale: The correct answer is A: Healthy People 2030. This is a comprehensive set of national health objectives designed to identify and address the most significant health issues facing the population. The nurse would use Healthy People 2030 to base conclusions because it provides evidence-based goals and strategies to improve health outcomes and address social determinants of health. Explanation: 1. Healthy People 2030 is a national initiative that focuses on improving the health and well-being of individuals and communities. 2. It includes specific objectives related to social determinants of health, such as poverty, education, and access to healthcare. 3. By using Healthy People 2030, the nurse can identify relevant interventions and strategies to address the identified social determinants and improve clients' health outcomes. Summary: B: Community-based outcomes may be relevant for specific interventions but do not provide the comprehensive national perspective needed to address social determinants. C: Culturally competent therapy is important but focuses on individualized care rather than addressing broader social determin

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