ATI 2019 Mental Health Proctored Exam -Nurselytic

Questions 19

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ATI 2019 Mental Health Proctored Exam Questions

Question 1 of 5

The history of a child newly diagnosed with ADHD reveals that the child is experiencing sleeping difficulties. Which agent would the nurse most likely use?

Correct Answer: B

Rationale: The correct answer is B: Atomoxetine. Atomoxetine is the preferred agent for ADHD in children with sleeping difficulties as it does not typically affect sleep patterns. Methylphenidate (
A) may worsen sleep issues due to its stimulant properties. Bupropion (
C) can also cause insomnia. Clonidine (
D) may help with sleep but is not the first-line choice for ADHD without comorbid conditions like tics or aggression.

Question 2 of 5

A hospitalized client with schizophrenia is receiving antipsychotic medications. While assessing the client, the nurse identifies signs and symptoms of a dystonic reaction. Which agent would the nurse expect to administer?

Correct Answer: A

Rationale: The correct answer is A: Diphenhydramine (Benadryl). Dystonic reactions are extrapyramidal side effects commonly seen with antipsychotic medications. Diphenhydramine is a first-line treatment for dystonic reactions due to its anticholinergic properties. It helps block the excessive dopamine activity in the brain that causes these reactions. Propranolol (
B) is a beta-blocker and not typically used for dystonic reactions. Risperidone (
C) and Aripiprazole (
D) are antipsychotic medications themselves and would not be used to treat dystonic reactions caused by antipsychotic medications.

Question 3 of 5

Based on assessment data, the nurse formulates the nursing diagnosis for a patient as sleep pattern disturbance. After teaching the patient how to relax before bedtime, the nurse determines that the teaching was effective by which outcome?

Correct Answer: B

Rationale: The correct answer is B because feeling rested upon awakening indicates improved sleep quality, reflecting effective teaching on relaxation techniques.
Choice A does not directly measure the effectiveness of the teaching intervention.
Choice C indicates reliance on medication rather than improved sleep hygiene.
Choice D, sleeping for short intervals, does not necessarily signify improved sleep quality.

Question 4 of 5

A psychiatric-mental health nurse is teaching a class about social factors associated with mental illness at a community health center. When describing the influence of poverty and effects of the downward economic spiral on mental health, which population would the nurse identify as being the most at risk?

Correct Answer: D

Rationale: The correct answer is D: Homeless individuals. Homeless individuals are the most at risk due to the severe impact of poverty and the downward economic spiral on their mental health. Homelessness often results from poverty, leading to chronic stress, lack of access to basic needs, social isolation, and increased vulnerability to mental health issues. Homeless individuals face multiple stressors that can exacerbate existing mental health conditions or lead to the development of new ones. Older adults (
A) may face financial challenges but are not necessarily homeless. Individuals with physical disabilities (
B) may encounter economic difficulties but are not automatically homeless. Single-parent families (
C) may struggle financially, but homelessness is not exclusive to this group.

Question 5 of 5

A client diagnosed with complex somatic symptom disorder and depression is prescribed medication therapy to treat both the pain and the symptoms of depression. When teaching the client about the medication, which of the following would the nurse emphasize?

Correct Answer: B

Rationale: The correct answer is B: Avoidance of foods that contain aged cheese. Aged cheese contains tyramine, which can interact with certain medications used to treat depression, such as MAOIs. This interaction can lead to a dangerous increase in blood pressure known as a hypertensive crisis.
Therefore, it is crucial for the client to avoid foods high in tyramine, such as aged cheese, to prevent this potentially life-threatening reaction. Signing a no-suicide contract (choice
A) is important but not directly related to medication teaching. Using sunscreen (choice
C) and limiting water intake (choice
D) are not relevant considerations for this medication regimen.

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