ATI RN
RN ATI Mental Health Proctored Exam 2023 With NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client with major depressive disorder who has a new prescription for fluoxetine. Which statement by the client indicates an understanding of the medication?
Correct Answer: B
Rationale: The correct answer is B: "I may experience increased thoughts of suicide at the beginning of treatment." This statement indicates an understanding of the medication because fluoxetine, an SSRI, can initially increase suicidal ideation in clients with major depressive disorder due to sudden improvement in energy levels before mood improvement. This is important for the client to know for safety monitoring.
Choice A is incorrect as improvement in mood may take several weeks, not days.
Choice C is incorrect as avoiding tyramine-rich foods is relevant for MAOIs, not SSRIs like fluoxetine.
Choice D is incorrect as lithium levels are monitored for clients taking lithium, not fluoxetine.
Question 2 of 5
A client with schizophrenia is prescribed risperidone. Which of the following should the nurse monitor for as an adverse effect of this medication?
Correct Answer: B
Rationale: The correct answer is B: Weight gain. Risperidone is an antipsychotic medication known to cause metabolic side effects such as weight gain. This is due to its impact on appetite regulation and metabolism. Monitoring weight is crucial to prevent complications such as diabetes and cardiovascular issues.
A: Increased blood pressure is not a common adverse effect of risperidone.
C: Excessive salivation is not a typical side effect of risperidone.
D: Bradycardia is not associated with risperidone use in clients with schizophrenia.
Question 3 of 5
A nurse is caring for a client who has a history of opioid use disorder. Which medication should the nurse anticipate administering to prevent withdrawal symptoms?
Correct Answer: A
Rationale: The correct answer is A: Methadone. Methadone is a long-acting opioid agonist that helps prevent withdrawal symptoms in individuals with opioid use disorder by stabilizing opioid receptors. This allows for gradual withdrawal and reduces cravings. Disulfiram (
B) is used for alcohol use disorder. Naloxone (
C) is an opioid antagonist used for opioid overdose reversal. Bupropion (
D) is used for smoking cessation and depression, not opioid withdrawal.
Question 4 of 5
A nurse is teaching a client who has generalized anxiety disorder about buspirone. Which statement indicates the client understands the teaching?
Correct Answer: C
Rationale: The correct answer is C because grapefruit juice can interact with buspirone, leading to an increased risk of side effects. Taking the medication with grapefruit juice can affect its absorption and metabolism, potentially altering its effectiveness.
Choice A is incorrect because buspirone is typically taken regularly, not as needed.
Choice B is incorrect because buspirone is not known for causing significant sedation or drowsiness.
Choice D is incorrect because buspirone is not associated with a risk for dependence.
Question 5 of 5
A nurse is planning care for a client who has borderline personality disorder and engages in self-mutilation. Which intervention should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Encourage the client to express feelings of anger. For clients with borderline personality disorder, self-mutilation often stems from difficulty in managing intense emotions. Encouraging the client to express feelings of anger can help them process and cope with their emotions in a healthier way, reducing the need for self-harm. Restricting access to personal belongings (
A) may increase feelings of frustration and lead to more self-mutilation. Placing the client in seclusion (
C) can worsen feelings of isolation and may not address the underlying emotional issues. Simply telling the client to stop self-mutilation (
D) is not effective as it overlooks the complex emotional reasons behind the behavior.