ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
A patient being treated for insomnia is prescribed ramelteon (Rozerem). Which comorbid mental health condition would make this medication the hypnotic of choice for this particular patient?
Correct Answer: D
Rationale: The correct answer is D: Substance use disorder. Ramelteon is a melatonin receptor agonist used to treat insomnia by regulating the sleep-wake cycle without the risk of dependence or abuse, making it ideal for patients with substance use disorder. People with substance use disorder often have disrupted sleep patterns, and ramelteon can help improve their sleep without the risk of worsening their substance use disorder.
A: Obsessive-compulsive disorder - Ramelteon does not specifically target symptoms of OCD.
B: Generalized anxiety disorder - While insomnia can be a symptom of GAD, other medications may be more suitable for addressing anxiety symptoms.
C: Persistent depressive disorder - Ramelteon may not directly address depressive symptoms, and other medications may be more effective for PDD.
Overall, the unique pharmacological profile of ramelteon makes it an appropriate choice for patients with substance use disorder who also have insomnia.
Question 2 of 5
Which statement made by a patient prescribed bupropion (Wellbutrin) demonstrates that the medication education the patient received was effective? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A because it demonstrates the patient understands the dual purpose of bupropion - treating depression and aiding smoking cessation. This indicates comprehension of the medication's intended effects.
Choice B is incorrect as weight loss is a common side effect, not weight gain.
Choice C is incorrect as a history of seizures is a contraindication for bupropion.
Choice D is incorrect as bupropion is not known to cause drowsiness.
Question 3 of 5
Which drug group calls for nursing assessment for development of abnormal movement disorders among individuals who take therapeutic dosages?
Correct Answer: B
Rationale: The correct answer is B: Antipsychotics. Antipsychotics are known to cause abnormal movement disorders like tardive dyskinesia, dystonia, and akathisia. Nursing assessment is crucial to monitor for these side effects. SSRIs (
A), Benzodiazepines (
C), and Tricyclic antidepressants (
D) do not typically cause abnormal movement disorders. Monitoring for these specific side effects is not a priority with these drug groups.
Question 4 of 5
The nurse administers each of the following drugs to various patients. The patient who should be most carefully assessed for fluid and electrolyte imbalance is the one receiving:
Correct Answer: A
Rationale: The correct answer is A: Lithium (Eskalith). Lithium is known to cause nephrogenic diabetes insipidus, leading to excessive urination and potential dehydration.
Therefore, the patient receiving lithium should be carefully assessed for fluid and electrolyte imbalances. Clozapine (
B), Diazepam (
C), and Amitriptyline (
D) do not have a significant impact on fluid and electrolyte balance compared to lithium.
Question 5 of 5
A psychiatric nurse is reviewing prescriptions for a patient with major depression at the county clinic. Since the patient has a mild intellectual disability, the nurse would question which classification of antidepressant drugs:
Correct Answer: B
Rationale: The correct answer is B: Monoamine oxidase inhibitors. Due to the patient's mild intellectual disability, MAOIs would be questioned because they have a higher risk of adverse effects, dietary restrictions, and drug interactions compared to other antidepressants. Selective serotonin reuptake inhibitors (
Choice
A) and serotonin and norepinephrine reuptake inhibitors (
Choice
C) are safer options for patients with intellectual disabilities as they have fewer side effects and interactions.
Choice D is incorrect as all categories of antidepressants may not be suitable for the patient.