Questions 64

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ATI N200 Mental Health Exam 3 Questions

Extract:


Question 1 of 5

The nurse notices a client wandering in the hospital hall giggling,with bizarre behavior that is annoying and frightening other clients. A priority in caring for her is to:

Correct Answer: D

Rationale: Providing a safe environment is the most immediate and crucial priority. The client's behavior is not only distressing to others but could also pose a risk to herself and others. Ensuring the client is in a safe, controlled environment helps to prevent harm and allows for further assessment and appropriate interventions. Safety is always the first priority in managing acute behavioral disturbances.

Question 2 of 5

A client with a panic disorder experiences chest pain. The nurse should first:

Correct Answer: B

Rationale: Assessing for cardiac issues rules out life-threatening conditions before attributing pain to anxiety.

Question 3 of 5

A client on an acute psychiatric inpatient unit approaches the nurse's station every 10-15 minutes with various requests. The nurse intervenes by stating,You may approach the nurse's station only once an hour. Which nursing intervention has been employed?

Correct Answer: A

Rationale: Setting limits on behavior establishes clear boundaries, helping manage the client’s actions and maintain a therapeutic environment.

Question 4 of 5

A patient is prescribed morphine sulfate 5 mg IV every 4 hours as needed for a pain level greater than 7 on a scale of 0-10. Morphine is available in 8 mg/mL vials. How many mL will the nurse give for the correct dose? Round to the nearest hundredth. Use a preceding zero if necessary. Do not use trailing zeros.

Correct Answer: 0.63

Rationale:
To calculate the volume: Prescribed dose = 5 mg, Concentration = 8 mg/mL. Volume = 5 mg ÷ 8 mg/mL = 0.625 mL. Rounded to the nearest hundredth, the nurse will give 0.63 mL.

Question 5 of 5

A client with borderline personality disorder exhibits splitting. The nurse should:

Correct Answer: B

Rationale: Consistent boundaries help manage splitting and promote stable relationships.

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