ATI RN
ATI NURS 4850 Mental Health Questions
Extract:
Question 1 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 2 of 5
A nurse is assessing an infant who has intussusception. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Intussusception is a serious condition where one part of the intestine slides into another, causing a blockage. Jelly-like stools indicate the presence of blood and mucus in the stool due to intestinal irritation. This is a classic sign of intussusception. Weight gain, excessive sleepiness, and persistent cough are not typical findings associated with intussusception. Weight loss, severe abdominal pain, and a palpable sausage-shaped mass are more common symptoms.
Therefore, choice B is the correct answer as it aligns with the expected clinical manifestation of intussusception.
Question 3 of 5
A nurse is providing teaching to a client who has a new prescription for fluoxetine. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Rationale for Correct Answer (
C): The statement "I should report any thoughts of harming myself to my provider" indicates an understanding of the teaching because fluoxetine is commonly prescribed for depression, and it is important to monitor for any suicidal ideation or self-harm thoughts, which should be reported immediately to the healthcare provider. This demonstrates the client's comprehension of the medication's potential risks and the importance of timely communication for safety.
Incorrect
Choices:
A: This statement is incorrect because fluoxetine may take several weeks to reach its full therapeutic effect, and immediate improvement is not expected.
B: Avoiding tyramine-rich foods is associated with MAOI medications, not fluoxetine.
D: Stopping fluoxetine abruptly can lead to withdrawal symptoms and should only be done under the guidance of a healthcare provider.
E, F, G: Not provided.
Question 4 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 5 of 5
A nurse is assessing a toddler who has measles (rubeola). Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Koplik spots in the mouth. Koplik spots are small, white, grain-like spots with a red halo that appear on the buccal mucosa opposite the molars. These spots are a characteristic sign of measles. The other choices are incorrect because measles typically presents with symptoms such as high fever, cough, runny nose, red, watery eyes, and a characteristic rash that starts on the face and spreads down the body. Greenish-yellow nasal discharge (
B) is more indicative of a bacterial sinus infection. Swollen lymph nodes in the groin (
C) are not typically associated with measles. Persistent dry cough (
D) is a common symptom of various respiratory infections but is not specific to measles.