ATI RN
RN ATI Mental Health Proctored Exam 2023 With NGN Questions
Question 1 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 providing a similar but less intense effect, allowing for a gradual tapering off. Disulfiram (
B) is used to treat alcohol use disorder, not opioid use disorder. Naloxone (
C) is an opioid antagonist used for reversing opioid overdose, not preventing withdrawal. Bupropion (
D) is an antidepressant and smoking cessation aid, not indicated for opioid withdrawal.
Question 2 of 5
A nurse in a mental health clinic receives a request from a client who is undergoing psychotherapy to obtain a copy of the therapist's notes. Which of the following responses should the nurse make?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale: The nurse should respond with option B as it respects the client's request while also following confidentiality and ethical guidelines. Providing a copy of the client's records without the therapist's notes maintains the privacy and trust between the client and therapist. This response acknowledges the client's interest in their treatment while upholding professional boundaries.
Summary:
A: This response is dismissive and does not address the client's request professionally.
C: This response does not directly address the client's request and may come off as deflecting.
D: This response is presumptuous and not supportive of the client's autonomy in their treatment.
Question 3 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 known to cause metabolic side effects, including weight gain. This is due to its effect on increasing appetite and altering metabolism. Monitoring weight regularly is important to detect and manage this adverse effect. Increased blood pressure (
A) is not a common side effect of risperidone. Excessive salivation (
C) is associated with other medications like clozapine. Bradycardia (
D) is not typically caused by risperidone.
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:
Correct Answer: C - I should avoid grapefruit juice while taking this medication.
Rationale: Buspirone is a medication used for generalized anxiety disorder. Grapefruit juice can interfere with the metabolism of buspirone, leading to increased levels of the medication in the body. This can result in potential side effects or decreased effectiveness of the medication. By understanding the need to avoid grapefruit juice, the client shows comprehension of an important aspect of medication management.
Incorrect
Choices:
A: Taking medication as needed for acute anxiety is not appropriate for buspirone, as it is typically taken regularly to manage anxiety symptoms.
B: While sedation and drowsiness are possible side effects of buspirone, this is not the key point of understanding for the client in this scenario.
D: Buspirone is not associated with a high risk for dependence compared to other anxiety medications, such as benzodiazepines.
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 in managing withdrawal symptoms by preventing cravings and reducing the severity of symptoms. It is commonly used in opioid substitution therapy. Disulfiram (
B) is used for alcohol dependence, Naloxone (
C) is an opioid antagonist used for overdose reversal, and Bupropion (
D) is an antidepressant. These medications are not indicated for preventing opioid withdrawal symptoms.