ATI RN
RN ATI Mental Health Proctored Exam 2023 With NGN Questions
Extract:
Question 1 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: "I should avoid grapefruit juice while taking this medication." This is because grapefruit juice can interact with buspirone and increase the risk of side effects. Option A is incorrect because buspirone is usually taken regularly, not as needed. Option B is incorrect because sedation and drowsiness are uncommon side effects of buspirone. Option D is incorrect because buspirone is not associated with dependence or abuse potential.
Question 2 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. This intervention helps the client explore and address underlying emotions driving self-mutilation, promoting self-awareness and healthier coping mechanisms. Option A may escalate feelings of lack of control, triggering more self-harm. Option C isolates the client, worsening feelings of abandonment. Option D is dismissive and oversimplifies the behavior.
Question 3 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:
Correct
Answer: B
Rationale:
1. Fluoxetine is an SSRI used to treat depression, which may initially increase suicidal thoughts in some individuals.
2. This phenomenon is known as "activation syndrome" and requires close monitoring by healthcare providers.
3. Understanding this potential side effect shows the client's grasp of the medication's effects.
4.
Choices A, C, D are incorrect as improvement in mood takes weeks, no tyramine interaction, and lithium monitoring is for a different medication.
Question 4 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, an atypical antipsychotic, is known to cause metabolic side effects such as weight gain. This occurs due to its effects on increasing appetite and altering metabolism. Monitoring weight regularly is crucial to detect and manage this adverse effect to prevent complications like diabetes and cardiovascular issues. Increased blood pressure (
A) is not a common adverse effect of risperidone. Excessive salivation (
C) is more commonly associated with medications like clozapine. Bradycardia (
D) is not a typical side effect of risperidone.
Question 5 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 clients with opioid use disorder by reducing cravings and preventing withdrawal symptoms without causing euphoria. Disulfiram (
B) is used for alcohol use disorder, Naloxone (
C) is an opioid antagonist used for opioid overdose reversal, and Bupropion (
D) is an antidepressant that is not indicated for opioid withdrawal. By choosing Methadone, the nurse is providing appropriate pharmacological support for the client's opioid use disorder.