Questions 75

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ATI NURS 4850 Mental Health Questions

Extract:


Question 1 of 5

A nurse observes that a client who has depression is sitting alone in the room crying. As the nurse approaches,the client states,I’m feeling really down and don’t want to talk to anyone right now. Which of the following responses should the nurse make?

Correct Answer: C

Rationale: Offering silent presence respects the client’s wishes while providing support.

Question 2 of 5

A nurse is caring for a client who has dementia. When performing a Mental Status Examination (MSE) the nurse should include which of the following data? (Select all that apply.)

Correct Answer: B,C,D,E

Rationale: Calculations memory orientation and recall assess dementia’s cognitive impact.

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: Wrist restraints prevent the toddler from touching the surgical site aiding healing.

Question 4 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: Repetitive actions rituals short attention and delayed language are common in ASD.

Question 5 of 5

A nurse is collecting data from an infant at a well-child visit. The nurse should understand that birth weight typically doubles by what age?

Correct Answer: C

Rationale: Birth weight typically doubles by 6 months due to rapid growth.

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