ATI RN
ATI NURS 4850 Mental Health Questions
Extract:
Question 1 of 5
A nurse is caring for a 10-month-old infant who is in a cast for developmental dysplasia of the hip (DDH). Which of the following strategies should the nurse implement to promote the infant’s growth and development?
Correct Answer: A
Rationale: The correct answer is A: Provide a small electronic toy. Infants at this age are in a critical period of development where sensory stimulation is crucial. A small electronic toy can engage the infant's senses, promote cognitive development, and enhance motor skills through exploration. It also provides entertainment and distraction, which can be beneficial for an infant in a cast.
The other choices are incorrect because:
B: Changing the infant's diaper promptly is important for hygiene but does not directly promote growth and development.
C: Allowing the infant to stand in the crib may not be safe or appropriate for a 10-month-old in a hip cast and may not necessarily promote growth and development.
D: Tying colorful latex balloons to the crib may pose a choking hazard and does not provide the developmental benefits that a small electronic toy does.
Question 2 of 5
A nurse is caring for a client who has been diagnosed with obsessive compulsive disorder (OCD) and is constantly picking up after others in the day room. The nurse should recognize that the client uses this behavior to do which of the following?
Correct Answer: C
Rationale: The correct answer is C: Decrease anxiety to a tolerable level. In the context of OCD, repetitive behaviors like picking up after others often serve as a coping mechanism to alleviate anxiety. It provides a sense of control and temporary relief from distressing thoughts. This behavior is a form of ritualistic compulsion aimed at reducing anxiety.
Choices A, B, and D are incorrect because the primary purpose of the behavior in OCD is not to limit interaction time, manipulate/control others, or focus on meaningless tasks.
Question 3 of 5
A nurse is caring for a group of older adult clients. Which of the following manifestations indicates one of the clients is experiencing delirium?
Correct Answer: D
Rationale: The correct answer is D because the client attempting to climb out of bed and repeatedly stating she must get home is showing signs of disorientation, restlessness, and confusion, which are typical manifestations of delirium in older adults. Delirium is characterized by acute onset of altered consciousness and cognitive function.
Choice A is incorrect because requesting extra blankets based on personal preference does not necessarily indicate delirium.
Choice B is incorrect as wanting to know the current time is a common behavior and not specific to delirium.
Choice C is incorrect as refusal to get out of bed and lack of motivation for hygiene could be due to other factors such as depression or physical illness, rather than delirium.
Question 4 of 5
A nurse in a PACU is admitting a client who is postoperative following anesthesia from the waist down. Which of the following interventions should the nurse take to prevent aspiration?
Correct Answer: B
Rationale: The correct answer is B: Suction the nasopharynx as needed. This intervention helps prevent aspiration by ensuring that the airway is clear of secretions or any obstruction that could lead to choking or aspiration of fluids. Performing chest physiotherapy (
C) is not directly related to preventing aspiration in this scenario. Withholding fluids until the client demonstrates a gag reflex (
A) may lead to dehydration and is not a standard practice. Placing a bedside humidifier (
D) may help with airway moisture but does not directly prevent aspiration.
Question 5 of 5
A nurse is caring for a client who has anorexia nervosa and overexercises to avoid gaining weight. Which of the following nursing actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B because asking the client to talk to a nurse when feeling the urge to exercise promotes open communication and allows for intervention before engaging in harmful behaviors. This approach helps the nurse monitor the client's exercise habits and provide support. Option A is incorrect as reprimanding the client can lead to feelings of shame and resistance. Option C is inappropriate as praising the client for looking at herself in a mirror may reinforce negative body image. Option D is incorrect as restricting the client from being weighed may not address the core issue of overexercising.