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?

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ATI 2019 Mental Health Proctored Exam Questions

Question 1 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.

Question 2 of 5

Forensic nursing combines scientific knowledge and inquiry in an effort to serve:

Correct Answer: C

Rationale: The correct answer is C because forensic nursing serves both victims and perpetrators of crime. Forensic nurses provide care, collect evidence, and testify in legal proceedings for all individuals involved in a crime. Choice A is incorrect because forensic nursing is not exclusive to victims. Choice B is incorrect as it does not encompass the holistic approach of forensic nursing. Choice D is incorrect as it focuses solely on the families of crime victims, rather than the individuals directly involved.

Question 3 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 4 of 5

When alprazolam is prescribed for a patient who experiences acute anxiety, health teaching should include instructions to

Correct Answer: C

Rationale: The correct answer is C: avoid alcoholic beverages. This is because alprazolam is a central nervous system depressant, and alcohol also has depressant effects. Combining the two can potentiate sedation and respiratory depression. Reporting drowsiness (A) is important but not specific to alprazolam. Eating a tyramine-free diet (B) is relevant for certain medications like MAOIs, not alprazolam. Adjusting dose and frequency based on anxiety level (D) is not recommended as it can lead to misuse or dependence.

Question 5 of 5

Which statement shows a nurse has empathy for a patient who made a suicide attempt?

Correct Answer: A

Rationale: The correct answer is A because it directly acknowledges the patient's emotions and perspective without judgment. It shows understanding and validation of the patient's feelings, indicating empathy. Choice B focuses on the nurse's feelings, not the patient's. Choice C offers a solution without addressing the patient's emotional state. Choice D minimizes the seriousness of the patient's situation and lacks empathy. Overall, choice A demonstrates the most empathetic response by recognizing and empathizing with the patient's emotional distress.

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