ATI RN
ATI NURS 4850 Mental Health Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has dementia. When performing a Mental Status Examination (MSE) the nurse should include which of the following data? (Select all that apply.)
Correct Answer: B,C,D,E
Rationale: Calculations memory orientation and recall assess dementia’s cognitive impact.
Question 2 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: Releasing restraints hourly prevents skin issues and protects the surgical site.
Question 3 of 5
A nurse on a long-term care unit is creating a plan of care for a client who has Alzheimer's disease. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: Breaking tasks into simple steps reduces confusion and supports independence in Alzheimer's clients.
Question 4 of 5
A nurse is developing a plan of care for a newly admitted client who has schizophrenia and experiences frequent hallucinations and paranoid delusions. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: Limiting questions reduces cognitive overload in schizophrenia.
Question 5 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:
Topical anesthetic reduces pain during the lumbar puncture.