ATI RN
ATI N200 Mental Health Exam 2 Questions
Question 1 of 5
The nurse is educating clients about recovery from alcohol abuse. Which statement by the client indicates that learning has occurred?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates an understanding that recovery from alcohol abuse is an ongoing, lifelong process that involves taking gradual steps. This response shows awareness of the need for sustained effort and commitment.
Choices B, C, and D are incorrect because they suggest misconceptions about recovery, such as viewing detox as the end of the process, aiming to simply reduce drinking rather than abstain, or relying solely on external support without personal responsibility.
Question 2 of 5
A client with bipolar disorder is refusing to take mood stabilizers due to weight gain. To increase the patient's adherence to a medication regimen what measures could the nurse teach the client? (SELECT ALL THAT APPLY)
Correct Answer: A ,D, E
Rationale:
Correct
Answer: A, D, E
Rationale:
- A: Having cut vegetables as a snack instead of chips or cookies promotes a healthier eating habit, potentially aiding in weight management without compromising the medication regimen.
- D: Drinking flavored water instead of soft drinks reduces calorie intake and sugar consumption, contributing to weight maintenance.
- E: Walking 30 minutes per day, 5 days per week is a simple and effective way to burn calories and improve overall physical health, which can help offset any potential weight gain from the medication.
Summary:
- B: Extended-release forms of medications do not necessarily have fewer side effects when dissolved in water; this option is irrelevant to the issue of weight gain.
- C: Weighing oneself twice a day may lead to obsessive behavior and is not directly related to improving adherence to the medication regimen.
- F, G: No additional options provided.
Question 3 of 5
A client with major depressive disorder has been taking fluoxetine an SSRI for 5 weeks. During the first outpatient visit the client smiles and states "I feel like a great weight is off my chest." How should the nurse interpret this behavior change?
Correct Answer: A
Rationale: The correct answer is A because it indicates a positive response to fluoxetine, an SSRI, typically seen after 4-6 weeks of treatment for major depressive disorder. The client expressing relief and improved mood is a good sign of the medication's efficacy.
Choice B is incorrect as the client's statement does not suggest suicidal planning; it reflects improvement.
Choice C is incorrect because there is no indication for decreasing the dosage or adding a mood stabilizer based on the client's positive response.
Choice D is incorrect as serotonin syndrome is not suggested by the client's statement.
Question 4 of 5
A nurse is teaching the parents of a child who has ADHD about methylphenidate. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: "Restrict your child's intake of caffeine while she is taking this medication." Methylphenidate is a stimulant medication used to treat ADHD. Caffeine is also a stimulant, and combining the two can lead to excessive stimulation and potential adverse effects such as increased heart rate and blood pressure. It is important to limit caffeine intake while on methylphenidate to avoid overstimulation.
Choice A is incorrect because methylphenidate is not typically associated with an increase in saliva production.
Choice B is incorrect because methylphenidate is usually taken in the morning to avoid interference with sleep.
Choice C is incorrect because weight loss is a more common side effect of methylphenidate due to appetite suppression.
Question 5 of 5
A nurse is preparing to administer fluoxetine 40 mg PO daily. The amount available is fluoxetine 20 mg/mL. How many mL should the nurse administer?
Correct Answer: 2
Rationale:
To calculate the mL needed, divide the total dose by the concentration: 40 mg ÷ 20 mg/mL = 2 mL. This is correct as it ensures the patient receives the prescribed dose. Other choices are incorrect because they do not involve the correct calculation method or yield inaccurate results.