Questions 64

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ATI N200 Mental Health Exam 3 Questions

Extract:


Question 1 of 5

Which of the following nursing strategies would be most appropriate when caring for an individual who is delusional?

Correct Answer: B

Rationale: Focusing on the present grounds the client in reality, reducing the intensity of delusional thoughts.

Question 2 of 5

An inpatient client who has a known history of violence suddenly begins to pace. Which additional client behavior should alert the nurse to escalating anger and aggression? The client:

Correct Answer: B

Rationale: Tense expressions signal escalating anger.

Question 3 of 5

A client tells the nurse,"I feel bad because my mother does not want me to return home after I leave the hospital. Which nursing response is most therapeutic?

Correct Answer: D

Rationale: This response is the most therapeutic because it uses reflective listening to validate the client's feelings. By restating what the client has expressed, the nurse shows empathy and encourages the client to explore their emotions further. This technique helps the client feel heard and understood, which is crucial in therapeutic communication.

Question 4 of 5

An IV infusion of 125 mL of a GI prokinetic agent is ordered to be given over 1 hour. The nurse will use a microdrip infusion set (60 gtts/mL). How many drops per minute will the nurse set the infusion?

Correct Answer: 125

Rationale: Volume = 125 mL, Time = 1 hr (60 min), Drop factor = 60 gtts/mL. Drops/min = (125 mL × 60 gtts/mL) ÷ 60 min = 125 gtts/min.

Question 5 of 5

A nurse is teaching about haloperidol. Which side effect should be emphasized?

Correct Answer: A

Rationale: Extrapyramidal symptoms, such as tremors, are common with haloperidol and require monitoring.

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