ATI RN
ATI NURS 4850 Mental Health Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a 10-month-old infant who is in a cast for developmental dysplasia of the hip (DDH). Which of the following strategies should the nurse implement to promote the infant’s growth and development?
Correct Answer: A
Rationale: The correct answer is A: Provide a small electronic toy. Infants at this age are in a critical period of development where sensory stimulation is crucial. A small electronic toy can engage the infant's senses, promote cognitive development, and enhance motor skills through exploration. It also provides entertainment and distraction, which can be beneficial for an infant in a cast.
The other choices are incorrect because:
B: Changing the infant's diaper promptly is important for hygiene but does not directly promote growth and development.
C: Allowing the infant to stand in the crib may not be safe or appropriate for a 10-month-old in a hip cast and may not necessarily promote growth and development.
D: Tying colorful latex balloons to the crib may pose a choking hazard and does not provide the developmental benefits that a small electronic toy does.
Question 3 of 5
A nurse at a college campus mental health counseling center is caring for a student who just failed an examination. The student spends the session berating the teacher and the course. The nurse should recognize this behavior as which of the following defense mechanisms?
Correct Answer: B
Rationale: The correct answer is B: Projection. Projection is a defense mechanism where individuals attribute their own unacceptable feelings or thoughts onto someone else. In this scenario, the student is projecting his feelings of failure onto the teacher and the course by blaming them for his poor performance. This allows the student to avoid taking responsibility for his own actions and emotions.
A: Undoing is a defense mechanism where a person tries to cancel out a previous unacceptable behavior or thought with a new one. This is not demonstrated in the scenario.
C: Regression is a defense mechanism where individuals revert to earlier, more childlike behaviors. There is no indication of the student displaying regressive behavior in the scenario.
D: Conversion is a defense mechanism where psychological stress is converted into physical symptoms. The scenario does not mention any physical symptoms being expressed by the student.
Therefore, the correct answer is B: Projection, as it best fits the behavior exhibited by the student in the scenario.
Question 4 of 5
A nurse is caring for a newborn whose mother voices concerns about sudden infant death syndrome (SIDS). The nurse should include which of the following statements in a discussion with the mother?
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale: Placing the newborn on her back when sleeping reduces the risk of SIDS by promoting a clear airway and decreasing the likelihood of suffocation. This recommendation is supported by the American Academy of Pediatrics.
Summary:
B: Sleep apnea is not the main cause of SIDS; the exact cause of SIDS is unknown.
C: There is no direct correlation between SIDS and the diphtheria, tetanus, and pertussis vaccines.
D: SIDS rates have been decreasing over the last 10 years, not rising.
Question 5 of 5
A nurse is caring for a client who has severe manifestations of schizophrenia and is medicated PRN for agitation with haloperidol. The nurse should assess the client for which of the following adverse effects?
Correct Answer: C
Rationale: The correct answer is C: Dysrhythmias. Haloperidol can prolong the QT interval leading to dysrhythmias like torsades de pointes. The nurse should monitor the client's ECG for any changes. Bleeding (
A), pancreatitis (
B), and cataracts (
D) are not common adverse effects of haloperidol.