ATI RN
ATI NURS 4850 Mental Health Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a history of alcohol use disorder and is admitted with symptoms of delirium tremens. Which of the following interventions should the nurse implement?
Correct Answer: D
Rationale: The correct answer is D: Monitor for seizures and provide a safe environment. Delirium tremens is a severe manifestation of alcohol withdrawal that can lead to seizures. Monitoring for seizures is crucial for timely intervention. Providing a safe environment includes removing any potential hazards to prevent injury during seizures.
A: Administering a high dose of opioid medication is contraindicated in delirium tremens as it can worsen symptoms and potentially lead to respiratory depression.
B: Placing the client in a brightly lit room can exacerbate symptoms of delirium tremens due to sensory overload and can increase agitation.
C: Providing a high-calorie diet is not a priority in managing delirium tremens. Stabilizing the client's condition and managing withdrawal symptoms take precedence.
In summary, monitoring for seizures and ensuring a safe environment are crucial interventions in managing delirium tremens in a client with a history of alcohol use disorder.
Question 2 of 5
A nurse is caring for a client who has a history of alcohol use disorder and is admitted with symptoms of delirium tremens. Which of the following interventions should the nurse implement?
Correct Answer: D
Rationale: The correct answer is D: Monitor for seizures and provide a safe environment. Delirium tremens is a severe manifestation of alcohol withdrawal that can lead to seizures. Monitoring for seizures is crucial for timely intervention. Providing a safe environment includes removing any potential hazards to prevent injury during seizures.
A: Administering a high dose of opioid medication is contraindicated in delirium tremens as it can worsen symptoms and potentially lead to respiratory depression.
B: Placing the client in a brightly lit room can exacerbate symptoms of delirium tremens due to sensory overload and can increase agitation.
C: Providing a high-calorie diet is not a priority in managing delirium tremens. Stabilizing the client's condition and managing withdrawal symptoms take precedence.
In summary, monitoring for seizures and ensuring a safe environment are crucial interventions in managing delirium tremens in a client with a history of alcohol use disorder.
Question 3 of 5
A nurse is caring for a preschooler who has a new diagnosis of attention deficit hyperactivity disorder (ADHD). Which of the following behaviors should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Difficulty sustaining attention. Children with ADHD typically struggle with focusing on tasks or activities for extended periods. This is a hallmark symptom of the disorder. B is incorrect because ADHD can impair the child's ability to follow complex instructions. C is incorrect as children with ADHD may struggle with social interactions and prefer solitary play. D is incorrect as individuals with ADHD often have difficulties in adhering to rules consistently due to impulsivity and inattention.
Question 4 of 5
A nurse is planning care for a 10-month-old infant who is 8 hr postoperative following cleft palate repair. Which of the following interventions should the nurse include in the infant’s plan of care?
Correct Answer: B
Rationale: The correct answer is B: Apply and release elbow restraints every hour. This intervention is important post-cleft palate repair to prevent the infant from touching the surgical site, which can disrupt wound healing. Elbow restraints help maintain the infant's hands away from the mouth, reducing the risk of injury. Option A is incorrect as spoon feeding should not be done immediately postoperatively. Option C is incorrect as keeping the infant supine can increase the risk of aspiration. Option D is incorrect as suctioning the mouth can cause trauma to the surgical site.
Question 5 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.