Questions 50

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ATI RN Test Bank

ATI Mental Health assessment Questions

Extract:


Question 1 of 5

A nurse is caring for a 4-year-old child who has autism spectrum disorder. Which of the following behaviors should the nurse expect? (Select all that apply.)

Correct Answer: A,C,D

Rationale: Lack of eye contact spinning toys and withdrawal are common in autism.

Question 2 of 5

A nurse in an acute mental health facility receives change-of-shift report on a group of clients. Which of the following clients should the nurse assess first?

Correct Answer: B

Rationale: Command hallucinations pose an immediate risk requiring urgent assessment.

Question 3 of 5

A nurse is planning care for a client who requires close observation. Which of the following rights should the nurse identify that the client has forfeited due to the potential for safety hazards?

Correct Answer: D

Rationale: Close observation for safety temporarily limits privacy.

Question 4 of 5

A charge nurse in a community mental health clinic is discussing ethical concepts of client care with a newly licensed nurse. The charge nurse should use which of the following situations as an example of fidelity?

Correct Answer: C

Rationale: Fidelity involves respecting client autonomy such as refusing therapy.

Question 5 of 5

A nurse is caring for a client who has depression and is taking imipramine 300 mg PO divided equally every 8 hr. Available is imipramine 50 mg tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: 2

Rationale: 300 mg / 3 doses = 100 mg/dose; 100 mg / 50 mg/tablet = 2 tablets.

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