Questions 68

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ATI Mental Health n200 Exam Group 2 Questions

Extract:


Question 1 of 5

A nurse is caring for a 6-year old child suffering from separation anxiety. Which finding would a nurse expect when assessing the child? The child's:

Correct Answer: A

Rationale: Separation anxiety is primarily characterized by excessive distress or fear when separated from primary caregivers, and differences in parenting styles between the child's parents may affect the child's sense of security and exacerbate separation anxiety symptoms.

Question 2 of 5

The nurse is caring for a client who is experiencing mania. The client is pacing, cannot sit, and has pressured speech. Which meal will the nurse provide to best meet the nutritional needs of this client?

Correct Answer: A

Rationale: Turkey contains tryptophan, which can have a calming effect and aid in sleep, while cheese provides calcium, and milk is a good source of protein and hydration.

Question 3 of 5

The nurse should monitor the client for signs and symptoms of digoxin toxicity if the laboratory report reflects a serum:

Correct Answer: C

Rationale: Digoxin toxicity is a serious condition that can occur when there is too much digoxin in the body. It can lead to life-threatening cardiac dysrhythmias. One of the risk factors for digoxin toxicity is low blood levels of potassium, or hypokalemia.

Question 4 of 5

A client with borderline personality disorder reported to the nurse in the clinic that they feel empty and anxious and wants to cut their arms. The nurse should:

Correct Answer: C

Rationale: Individuals with borderline personality disorder often struggle with intense emotions and may engage in self-harming behaviors as a maladaptive coping mechanism. Helping the client identify triggers for their distress and teaching them alternative coping strategies, such as mindfulness, grounding techniques, or distress tolerance skills, can empower them to manage their emotions in healthier ways.

Question 5 of 5

The nurse has recently set limits for a client with borderline personality disorder. The client tells the nurse, 'You used to care about me. I thought you were wonderful. Now I can see that I was mistaken. You are hateful.' This outburst can be assessed as:

Correct Answer: C

Rationale: Splitting is characterized by viewing people and situations in extremes, either all good or all bad, without recognizing the complexity that usually exists in most circumstances. This black-and-white thinking can lead to rapidly shifting perceptions of others, as seen in the client's sudden change from idealizing the nurse to devaluing them.

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