ATI RN
ATI NURS 4850 Mental Health Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to a client who has bipolar disorder and will be discharged with a prescription for lithium. The nurse should teach the client that which of the following factors puts her at risk for lithium toxicity?
Correct Answer: B
Rationale: The correct answer is B because physical activity and sweating can lead to dehydration, causing lithium levels to rise and potentially result in toxicity. Running 4 miles daily can increase the risk of dehydration and lithium toxicity.
Choices A and C are not risk factors for lithium toxicity, as adequate fluid intake and normal sodium levels are important for lithium excretion.
Choice D is irrelevant, as tyramine does not directly affect lithium levels.
Question 2 of 5
A nurse is caring for a 12-month-old toddler who is hospitalized and confined to a room with contact precautions in place. Which of the following toys should the nurse recommend in order to meet the developmental needs of the client?
Correct Answer: B
Rationale: The correct answer is B: Large building blocks. Building blocks promote fine motor skills, hand-eye coordination, and cognitive development in toddlers. They encourage creativity, problem-solving, and spatial awareness. Crayons and coloring books (choice
A) may pose a choking hazard, hanging crib toys (choice
C) are not suitable for a hospitalized toddler, and modeling clay (choice
D) may not be safe due to potential ingestion. Other options are not provided.
Question 3 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: The correct answer is C: Limit the number of questions asked during assessments. This is the most appropriate action as it respects the client's reality without challenging their delusions directly, reducing potential distress. A: Using touch may exacerbate paranoia. B: Directly confronting delusions can increase agitation. D: Seclusion is a last resort for safety concerns, not hallucinations.
Question 4 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 5 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.