ATI RN
Mental Health Nursing Practice Questions Questions
Question 1 of 5
Which statement made by a patient prescribed bupropion (Wellbutrin) demonstrates that the medication education the patient received was effective?
Correct Answer: A
Rationale: Choice A is the correct answer because it shows that the patient understands the dual benefits of bupropion (Wellbutrin) in treating depression and aiding in smoking cessation. Bupropion is commonly prescribed for these reasons as it has a lower risk of weight gain compared to other antidepressants. Choices B, C, and D are not the most appropriate because they do not specifically reflect the benefits or key information related to bupropion therapy.
Question 2 of 5
Which patient should be most carefully assessed for fluid and electrolyte imbalance among those receiving the following drugs?
Correct Answer: A
Rationale: Lithium (Eskalith) is the correct choice because it has a narrow therapeutic index and is excreted almost entirely by the kidneys, making patients highly susceptible to fluid and electrolyte imbalances. Lithium levels are directly influenced by sodium and water balance—dehydration or sodium loss can lead to lithium retention and toxicity, manifesting as confusion, tremors, seizures, or even coma. Patients on lithium require strict monitoring of serum levels (typically 0.6–1.2 mEq/L), renal function, and hydration status. Diuretics, excessive sweating, or gastrointestinal losses (e.g., vomiting/diarrhea) further increase the risk, necessitating vigilant assessment. Clozapine (Clozaril) primarily requires monitoring for agranulocytosis, metabolic disturbances (e.g., weight gain, dyslipidemia), and myocarditis, but it does not directly cause electrolyte imbalances. While it may induce hypersalivation or constipation, these side effects are less likely to disrupt fluid or electrolyte homeostasis compared to lithium. Diazepam (Valium), a benzodiazepine, has minimal impact on fluid or electrolyte balance. Its primary risks include sedation, respiratory depression, and dependence. Any fluid-related issues (e.g., dehydration) would be secondary to reduced oral intake due to excessive drowsiness, not a direct pharmacological effect. Amitriptyline, a tricyclic antidepressant, can cause anticholinergic effects (e.g., dry mouth, urinary retention) and orthostatic hypotension, but these do not typically lead to significant electrolyte disturbances. While overdose can cause cardiac arrhythmias due to sodium channel blockade, routine therapeutic use does not necessitate the same level of fluid/electrolyte monitoring as lithium. The critical distinction lies in lithium’s unique pharmacokinetics: its renal excretion and dependence on sodium balance create a direct, dose-dependent risk for life-threatening toxicity if hydration or electrolytes are not meticulously managed. No other drug listed poses such an immediate and predictable threat to fluid-electrolyte equilibrium. Monitoring for clozapine, diazepam, or amitriptyline focuses on entirely different adverse effects, none of which are as intrinsically tied to fluid and electrolyte status.
Question 3 of 5
A nurse is reviewing prescriptions for a patient with major depression at the county clinic. Since the patient has a mild intellectual disability, the nurse would question which classification of antidepressant drugs:
Correct Answer: B
Rationale: Monoamine oxidase inhibitors are less suitable for patients with intellectual disabilities due to the need for dietary restrictions and close monitoring. These restrictions can be challenging for patients with mild intellectual disabilities to follow, making this drug class a concern for this patient population.
Question 4 of 5
The mental health team is determining treatment options for a male patient experiencing psychotic symptoms. Which question shouldn't the team answer to determine whether a community outpatient or inpatient setting is most appropriate?
Correct Answer: C
Rationale: Assessing suicidal thoughts, judgment, insight, and the need for a therapeutic environment are crucial factors in determining the appropriate treatment setting for a patient experiencing psychotic symptoms. Past experiences with mental healthcare facilities do not play a direct role in deciding between a community outpatient or inpatient setting.
Question 5 of 5
Pablo is a homeless adult who has no family connection. Pablo passed out on the street, and emergency medical services took him to the hospital where he expresses a wish to die. The physician recognizes evidence of substance use problems and mental health issues and recommends inpatient treatment for Pablo. What is the rationale for this treatment choice? Select one that doesn't apply.
Correct Answer: D
Rationale: The correct answer is D because medication adherence being mandated is not a primary rationale for inpatient treatment. The main reasons for recommending inpatient treatment in this scenario include the need for stabilization of multiple symptoms, addressing nutritional and self-care needs, and ensuring safety due to the imminent danger of self-harm. Inpatient settings provide a more intensive level of care and supervision to address these complex issues effectively.