While interviewing a client, the client reports an intense fear of spiders, stating, I can't be near them. I get so upset. I start to sweat and hyperventilate if I see one. The nurse documents this finding as which of the following?

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ATI Mental Health 1 Questions

Question 1 of 4

While interviewing a client, the client reports an intense fear of spiders, stating, I can't be near them. I get so upset. I start to sweat and hyperventilate if I see one. The nurse documents this finding as which of the following?

Correct Answer: C

Rationale: The correct answer is C: Arachnophobia. This is because arachnophobia specifically refers to an intense fear of spiders, which aligns with the client's reported fear and physical reactions towards spiders. Algophobia (A) is a fear of pain, not spiders. Entomophobia (B) is a fear of insects in general, not limited to spiders. Cynophobia (D) is a fear of dogs, which is unrelated to the client's fear of spiders. Therefore, C is the most appropriate choice based on the client's specific fear and symptoms described.

Question 2 of 4

A nurse is providing parent training for parents of a child diagnosed with a disruptive behavior disorder involving the use of time out. When describing how to implement this, which of the following would the nurse identify as the first step?

Correct Answer: B

Rationale: The correct answer is B: Clearly identifying what is required for the child. This is the first step in implementing time out as a behavioral intervention. By clearly identifying the expectations and rules for the child, the parents establish the criteria for when time out will be used, making the consequences of the behavior explicit. This helps the child understand the connection between their behavior and the consequence of time out. Explanation for the other choices: A: Having the child recount the reason for the time out - This would come after the child has been placed in time out, not as the first step. C: Informing the child what will happen because of the behavior - This step comes after clearly identifying the rules and expectations for the child. D: Placing the child in a designated area removed from others - This is the action taken after the child has been informed and understands the expectations.

Question 3 of 4

The emergency department nurse is assessing a female client with traumatic injuries. To assess whether or not the client's injuries have resulted from abuse, which question would be most appropriate for the nurse to ask the client?

Correct Answer: C

Rationale: The correct answer is C because it uses non-judgmental language to express concern and invites the client to share their experience voluntarily. It acknowledges the possibility of abuse without assuming the cause of the injuries. This approach promotes trust and open communication, allowing the client to disclose information at their own pace. Choice A is incorrect as it uses vague language and may not directly address the issue of abuse. Choice B is incorrect as it assumes the cause of the injuries and places blame on the husband without gathering facts. Choice D is incorrect as it focuses on the perpetrator rather than the client's experience, potentially making the client feel uncomfortable or defensive.

Question 4 of 4

A nurse is planning discharge teaching for cord care for the parent of a newborn. Which instructions would you include in the teaching?

Correct Answer: C

Rationale: The correct answer is C: Keep the cord dry until it falls off. This is the correct instruction for cord care as it helps prevent infection. Keeping the cord dry creates an environment that is less conducive to bacterial growth. Moisture can lead to bacterial growth and increase the risk of infection. By keeping the cord clean and dry, the parent can help promote healing and prevent complications. The other choices are incorrect: A: Contact provider if the cord still turns black - The cord naturally darkens and dries up as it heals, so it turning black is a normal part of the healing process. B: Clean the base of the cord with hydrogen peroxide daily - Hydrogen peroxide can be too harsh and may delay healing. Using a neutral pH cleanser is a better choice for cord care. D: The cord stump will fall off in five days - The cord typically falls off between 10-14 days after birth, so this instruction is inaccurate and may lead to unrealistic expectations.

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