ATI RN
ATI NURS 4850 Mental Health Questions
Extract:
Question 1 of 5
A nurse is providing anticipatory guidance about child development to the parents of a toddler. Which of the following developmental tasks should the nurse include as expected of a toddler?
Correct Answer: A
Rationale: The correct answer is A: Separates easily from primary caregiver for short periods of time.
Toddlers typically begin to exhibit a level of independence and are able to separate from their primary caregiver without excessive distress. This is a key developmental task as they start to explore their environment and build self-confidence.
Choices B, C, and D are incorrect as they are not typically expected tasks for toddlers.
Toddlers are still developing their understanding of right and wrong, may not have the attention span or cognitive ability to explain the difference between right and wrong (choice
B). While toddlers can participate in simple tasks, such as putting toys away, they may not fully cooperate in doing simple chores (choice
C). Printing letters and numbers (choice
D) involves more fine motor skills and cognitive abilities that are typically developed later in childhood.
Question 2 of 5
A nurse is caring for a 2-month-old infant who is postoperative following repair of a cleft lip and palate. The provider prescribes restraints. The nurse should apply which of the following types of restraints for this infant?
Correct Answer: C
Rationale: The correct answer is C: Mummy. Mummy restraints are most appropriate for infants postoperative for cleft lip and palate repair as they securely immobilize the arms and prevent the infant from touching or disrupting the surgical site. Elbow restraints may not provide adequate protection for the surgical site. Jacket restraints may limit arm movement but may not fully immobilize the arms. Wrist restraints are not suitable as they do not prevent the infant from moving their arms towards the surgical site.
Question 3 of 5
A nurse is caring for a toddler who is 24 hr postoperative following a cleft palate repair. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Apply bilateral wrist restraints. After cleft palate repair, the toddler should not be allowed to touch or manipulate the surgical site to prevent disruption of sutures or injury. Wrist restraints are necessary to ensure the toddler's safety and promote optimal healing. Administering opioids for pain (
A) is important but not the priority in this scenario. Implementing a soft diet (
C) and offering fluids through a straw (
D) are appropriate postoperative care but do not address the risk of injury to the surgical site.
Question 4 of 5
A nurse is assessing a preschooler. Which of the following findings should indicate to the nurse a need for speech therapy? (Select all that apply.)
Correct Answer: C,D,E
Rationale: The correct answers are C, D, and E. C indicates a nasally tone which can suggest nasal congestion or a speech disorder. D indicates stuttering, which can impede communication. E indicates mispronunciations, a common issue needing speech therapy. A is incorrect as 3-word sentences are developmentally appropriate. B is incorrect as self-talk while reading is common in preschoolers.
Question 5 of 5
A nurse is caring for a child who has autism spectrum disorder. Which of the following findings should the nurse expect? (Select all that apply).
Correct Answer: A,C,D,E
Rationale: The correct findings for a child with autism spectrum disorder include:
A) Spinning a toy repetitively - this is a common repetitive behavior in children with ASD.
C) Ritualistic behavior - individuals with ASD often engage in repetitive rituals or routines.
D) Short attention span - difficulty sustaining attention is a common symptom of ASD. E) Delayed language development - many children with ASD experience delays in language skills. These findings are characteristic of autism spectrum disorder due to the neurodevelopmental differences in individuals with ASD. Other choices like
B) Consistent limit testing and other unspecified options are not typically associated with ASD and are not commonly observed in children with this condition.