ATI RN
ATI Mental Health Book Questions
Question 1 of 5
A client with schizoaffective disorder is having difficulty adhering to the medication regimen that requires the use of several agents. The client also is experiencing several side effects contributing to this nonadherence. The physician plans to change the client's medication. Which agent would the nurse anticipate that the physician would prescribe?
Correct Answer: B
Rationale: The correct answer is B: Aripiprazole. Aripiprazole is a second-generation antipsychotic that has a favorable side effect profile compared to other agents. It is commonly used in the treatment of schizoaffective disorder due to its effectiveness in managing both psychotic symptoms and mood symptoms. Aripiprazole has a lower risk of metabolic side effects compared to agents like olanzapine and clozapine, making it a suitable choice for a client experiencing side effects contributing to nonadherence. Lithium is not typically used as a first-line treatment for schizoaffective disorder. Clozapine is known for its potential serious side effects, such as agranulocytosis, requiring close monitoring. Olanzapine is associated with weight gain and metabolic issues, which may worsen nonadherence in this case.
Question 2 of 5
A group of nursing students is reviewing the various agents used to treat insomnia. The students demonstrate an understanding of the information when they identify which agent as a melatonin receptor agonist?
Correct Answer: D
Rationale: The correct answer is D: Ramelteon. Ramelteon is a melatonin receptor agonist, specifically targeting the MT1 and MT2 receptors to regulate the sleep-wake cycle. This mechanism of action helps in promoting sleep onset and regulating the circadian rhythm. Trazodone (A) is a serotonin antagonist and reuptake inhibitor used off-label for insomnia. Estazolam (B) is a benzodiazepine used as a hypnotic. Mirtazapine (C) is an antidepressant with sedating effects but does not act as a melatonin receptor agonist.
Question 3 of 5
A client is admitted to the hospital with dementia related to Parkinson's disease. The client is being treated for a fractured tibia from a recent fall. The nurse should assess the client's history for use of which type of medication?
Correct Answer: A
Rationale: The correct answer is A: Anticholinergics. In Parkinson's disease, anticholinergics are commonly used to manage symptoms by blocking the action of acetylcholine, which is an excitatory neurotransmitter. These medications can worsen cognitive impairment in patients with dementia. Assessing for anticholinergic use in the client's history is crucial to prevent exacerbating cognitive decline. Summary of incorrect choices: B: Dopamine agonists are used to treat Parkinson's disease and would not be directly related to worsening cognitive impairment in this scenario. C: Anxiolytics are used to treat anxiety and would not directly impact cognitive impairment related to Parkinson's disease. D: Benzodiazepines are used to treat anxiety and insomnia, but they are not typically associated with worsening cognitive impairment in Parkinson's disease.
Question 4 of 5
A client with mental illness and arrested has been found to be unfit to stand trial, and the client is admitted to a forensic mental health facility. The nurse understands that the client can be hospitalized for up to which duration to become 'fit'?
Correct Answer: C
Rationale: The correct answer is C: 1 year. The rationale is that according to most legal jurisdictions, a client can be hospitalized for up to one year to become 'fit' to stand trial. This timeframe allows for the client to receive appropriate treatment and support to address their mental health issues and improve their competency to understand and participate in the legal proceedings. Choice A: 3 months is too short a period for significant progress in addressing mental health issues and achieving competency. Choice B: 6 months may not provide enough time for the client to fully benefit from treatment and interventions. Choice D: 5 years is an excessive duration and goes beyond what is typically allowed for restoring competency.
Question 5 of 5
A nurse is preparing to administer TPN with added fat supplements to a client who has malnutrition. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Check for an allergy to eggs. This is crucial because some fat emulsions used in TPN solutions are derived from egg phospholipids, potentially causing an allergic reaction in patients with egg allergies. By checking for an egg allergy before administering the TPN with fat supplements, the nurse can prevent a serious allergic reaction in the client. A: Piggyback 0.9 sodium chloride with TPN solution - Incorrect. This is not necessary for administering TPN with fat supplements. C: Discuss the TPN solution for 12 hours - Incorrect. There is no need to discuss the TPN solution for such a long duration. D: Monitor for hypoglycemia - Incorrect. While monitoring for hypoglycemia is important with TPN administration, checking for an egg allergy is more directly related to the addition of fat supplements in the TPN solution.