ATI RN
Psychobiologic Disorders Med Surg 2 Questions
Question 1 of 5
A patient is hospitalized for severe major depressive disorder. Of the medications listed below, the nurse can expect to provide the patient with teaching about
Correct Answer: C
Rationale: Rationale: 1. Severe major depressive disorder is typically treated with antidepressants, making sertraline (C) the appropriate choice. 2. Chlordiazepoxide (A) is a benzodiazepine used for anxiety, not depression. 3. Clozapine (B) is an atypical antipsychotic for schizophrenia, not first-line for depression. 4. Tacrine (D) is used for Alzheimer's disease, not depression.
Question 2 of 5
A nurse instructs a patient taking a drug that inhibits MAO to avoid certain foods and drugs because of the risk of
Correct Answer: C
Rationale: The correct answer is C: hypertensive crisis. MAO inhibitors inhibit the breakdown of neurotransmitters like serotonin, leading to increased blood pressure. Foods containing tyramine can trigger a hypertensive crisis due to excessive release of norepinephrine. Choices A, B, and D are incorrect as they are not directly associated with MAO inhibitors. Cardiac dysrhythmia is not a common side effect of MAO inhibitors. Hypotensive shock is unlikely as MAO inhibitors typically raise blood pressure. Hypoglycemia is not a common risk associated with MAO inhibitors.
Question 3 of 5
A drug blocks the attachment of norepinephrine to ï¡1 receptors. The patient may experience
Correct Answer: B
Rationale: The correct answer is B: orthostatic hypotension. Blocking norepinephrine from binding to α1 receptors would prevent vasoconstriction, leading to decreased blood pressure upon standing (orthostatic hypotension). Hypertensive crisis (A) would be more likely if norepinephrine was acting on α1 receptors causing vasoconstriction. Severe appetite disturbance (C) and an increase in psychotic symptoms (D) are not directly related to blocking norepinephrine from binding to α1 receptors.
Question 4 of 5
Consider these medications: carbamazepine, lamotrigine, gabapentin. Which medication below also belongs to this group?
Correct Answer: B
Rationale: Correct Answer: B (Valproate) Rationale: 1. Valproate is an antiepileptic drug, like carbamazepine, lamotrigine, and gabapentin. 2. All medications listed are commonly used to treat epilepsy and various seizure disorders. 3. Galantamine, Buspirone, and Tacrine are not antiepileptic drugs and do not belong to the same group. 4. Valproate shares similar mechanisms of action and indications with the medications in the group. Summary: Valproate is the correct answer as it shares the same therapeutic class and indications as carbamazepine, lamotrigine, and gabapentin. Galantamine, Buspirone, and Tacrine do not belong to this group and are used for different purposes.
Question 5 of 5
The nurse provides health education for an adult experiencing sleep deprivation. Which instruction has the highest priority?
Correct Answer: A
Rationale: The correct answer is A because it addresses the safety concern of the individual experiencing sleep deprivation. Driving while sleep-deprived can lead to serious accidents due to impaired cognitive function and reaction time. It is crucial to prioritize safety by limiting driving to short periods to prevent accidents. Choice B is incorrect as sleep deprivation should not be left untreated for a year. Choice C may help some individuals relax but does not address the safety issue of driving while sleep-deprived. Choice D is inappropriate as alcohol consumption can worsen sleep quality and is not a recommended solution for addressing sleep deprivation.