Questions 62

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ATI N200 Mental Health Exam 2 Questions

Extract:


Question 1 of 5

A nurse is caring for a client with delirium. Which intervention is most appropriate?

Correct Answer: A

Rationale: Orienting to time and place reduces confusion in delirium.
Choice B may worsen agitation.
Choice C requires medical evaluation first.
Choice D may increase distress by limiting support.

Question 2 of 5

A fifteen-year-old was referred to the adolescent mental health clinic after being arrested for prostitution. The client's parents reported that they have run away several times and are abusive towards them. The nurse should anticipate that the diagnosis will be:

Correct Answer: C

Rationale: Conduct Disorder involves persistent behavior violating societal norms such as running away and illegal activities like prostitution matching the scenario.
Choice A (depression) may cause irritability but not typically severe antisocial behavior.
Choice B (OD
D) involves defiance but not the extent of rule-breaking seen here.
Choice D (AS
D) affects social interaction but not typically with aggressive rule-violating behaviors.

Question 3 of 5

Which of the following assessment findings would lead the nurse to suspect the client has a venous ulcer to the right lower extremity? (SELECT ALL THAT APPLY)

Correct Answer: B,D,E

Rationale: Venous ulcers feature edema (
B) irregular borders (
D) and minimal serous drainage (E).
Choice A is more typical of diabetic ulcers.
Choice C (severe pain) is not specific to venous ulcers.

Question 4 of 5

A nurse is preparing to administer fluoxetine 40 mg PO daily. The amount available is fluoxetine 20 mg/mL. How many mL should the nurse administer?

Correct Answer: 2

Rationale:
To calculate: Required dose (40 mg) ÷ Available concentration (20 mg/mL) = 40 ÷ 20 = 2 mL. The answer is a whole number requiring no rounding.

Question 5 of 5

A nurse is meeting with a 15-year-old client who has ADHD. The client and their parent state they would like their medications stopped due to the unpleasant side effects. Which of the following statements should the nurse make?

Correct Answer: A

Rationale: Exploring side effects fosters trust and informs next steps.
Choice B risks withdrawal symptoms.
Choice C delays assessment.
Choice D dismisses concerns potentially reducing adherence.

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