ATI RN
ATI NURS 4850 Mental Health Questions
Extract:
Question 1 of 5
A nurse is caring for a child who has autism spectrum disorder. Which of the following findings should the nurse expect? (Select all that apply).
Correct Answer: A,C,D,E
Rationale: The correct findings for a child with autism spectrum disorder include:
A) Spinning a toy repetitively - this is a common repetitive behavior in children with ASD.
C) Ritualistic behavior - individuals with ASD often engage in repetitive rituals or routines.
D) Short attention span - difficulty sustaining attention is a common symptom of ASD. E) Delayed language development - many children with ASD experience delays in language skills. These findings are characteristic of autism spectrum disorder due to the neurodevelopmental differences in individuals with ASD. Other choices like
B) Consistent limit testing and other unspecified options are not typically associated with ASD and are not commonly observed in children with this condition.
Question 2 of 5
A nurse is planning care for a 5-month-old infant who is scheduled for a lumbar puncture. Which one of the following should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Apply a eutectic mixture of lidocaine and prilocaine cream topically 15 min prior to the procedure. This is done to provide local anesthesia and reduce pain during the lumbar puncture. The cream numbs the skin, making the procedure less uncomfortable for the infant.
A: Placing the infant in an infant seat is not necessary following a lumbar puncture.
B: Holding the infant's chin to his chest and knees to his abdomen during the procedure may not be appropriate and could interfere with the procedure.
C: Keeping the infant NPO for 6 hours prior to the procedure is not necessary for a lumbar puncture.
In summary, the correct answer, D, is essential for providing comfort and reducing pain during the procedure, while the other options are not relevant to the care of the infant during a lumbar puncture.
Question 3 of 5
A nurse is providing health promotion teaching to the parents of a toddler. Which of the following information should the nurse include in the teaching? (Select all that apply)
Correct Answer: A,C,D,E
Rationale: The correct answers are A, C, D, and E. Dental care is essential for a toddler's oral health. Tantrums are common at this age, so parents need guidance on managing them.
Toddlers need increased caloric intake for growth. Establishing trust is crucial for a toddler's emotional development.
Choices B, F, and G are incorrect as they do not directly relate to the toddler's health and well-being. Encouraging cooperative play is important but not the priority for health promotion.
Question 4 of 5
A nurse is assessing a toddler at a well-child visit. At what point in the physical examination should the nurse examine the child’s tympanic membrane?
Correct Answer: C
Rationale: The correct answer is C - At the end. This is because examining the tympanic membrane requires the child to be still, which can be challenging. By conducting this examination at the end of the physical examination, the nurse can ensure that the child has been distracted by other parts of the exam, making it easier to examine the tympanic membrane. Additionally, the nurse can use the information gathered from examining other body systems to inform their assessment of the ear. Examining the tympanic membrane at the beginning may cause the child to become fussy or uncooperative, affecting the accuracy of the assessment.
Choice A and B are incorrect because examining the chest, abdomen, head, and neck should not interfere with the tympanic membrane examination.
Question 5 of 5
A community health nurse is providing teaching to the family of a client who has primary dementia. Which of the following manifestations should the nurse tell the family to expect?
Correct Answer: C
Rationale: The correct answer is C: Forgetfulness gradually progressing to disorientation. In primary dementia, such as Alzheimer's disease, memory loss is a common early symptom that progresses to disorientation as the disease advances. This progression is due to the degeneration of brain cells affecting cognitive function.
Choice A is incorrect because sensory acuity is typically not affected in primary dementia.
Choice B is incorrect as emotional changes are varied and not universally decreased.
Choice D is incorrect as personality changes are more likely to be subtle and related to cognitive decline rather than becoming the opposite of original traits.