While reviewing the medical record of a client with moderate dementia of the Alzheimer type, the nurse notes that the client has been receiving memantine. The nurse identifies this drug as which type?

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ATI Mental Health Proctored Exam 2023 NGN Questions

Question 1 of 5

While reviewing the medical record of a client with moderate dementia of the Alzheimer type, the nurse notes that the client has been receiving memantine. The nurse identifies this drug as which type?

Correct Answer: C

Rationale: The correct answer is C: NMDA receptor antagonist. Memantine is a medication used in the treatment of Alzheimer's disease by blocking the NMDA receptors, which helps regulate glutamate activity in the brain. This action can improve cognitive function in individuals with dementia. Choice A (Atypical antipsychotic) is incorrect because memantine is not classified as an antipsychotic medication. Choice B (Cholinesterase inhibitor) is incorrect because while cholinesterase inhibitors are also used in treating Alzheimer's disease, memantine works through a different mechanism by targeting NMDA receptors. Choice D (Benzodiazepine) is incorrect because benzodiazepines are not typically used in the treatment of Alzheimer's disease.

Question 2 of 5

Reviewing prescription medications in the discharge instructions for a patient with a diagnosis of major depression, the nurse would caution the patient about which over-the-counter supplement(s)? Select all that apply.

Correct Answer: C

Rationale: The correct answer is C: St. John's wort. St. John's wort can interact with antidepressant medications, leading to serotonin syndrome or decreasing the effectiveness of the antidepressants. It is important for the nurse to caution the patient about potential interactions. Fish oil (A), SAMe (B), and melatonin (D) do not have significant interactions with antidepressant medications, making them safe options for patients with major depression.

Question 3 of 5

While reviewing the medical record of a client with moderate dementia of the Alzheimer type, the nurse notes that the client has been receiving memantine. The nurse identifies this drug as which type?

Correct Answer: C

Rationale: The correct answer is C: NMDA receptor antagonist. Memantine is a medication used in the treatment of Alzheimer's disease by blocking the NMDA receptors, which helps regulate glutamate activity in the brain. This action can improve cognitive function in individuals with dementia. Choice A (Atypical antipsychotic) is incorrect because memantine is not classified as an antipsychotic medication. Choice B (Cholinesterase inhibitor) is incorrect because while cholinesterase inhibitors are also used in treating Alzheimer's disease, memantine works through a different mechanism by targeting NMDA receptors. Choice D (Benzodiazepine) is incorrect because benzodiazepines are not typically used in the treatment of Alzheimer's disease.

Question 4 of 5

When describing the events associated with the determination of sex of a fetus, which of the following would the nurse most likely include in the discussion?

Correct Answer: A

Rationale: Step-by-step rationale: 1. Genes on the Y chromosome determine the sex of a fetus. 2. The presence of the SRY gene on the Y chromosome leads to male development. 3. Absence of the Y chromosome results in female development. 4. This genetic factor is crucial in determining the sex of the fetus. Summary: - Choice B is incorrect as it refers to the formation of ovaries, which is not directly related to the sex determination process. - Choice C is incorrect because rising testosterone levels are a consequence of male development, not the primary determinant. - Choice D is incorrect as neurochemical inhibition is not a factor in determining the sex of the fetus.

Question 5 of 5

Which can be described as an example of an oversimplified or undifferentiated belief?

Correct Answer: D

Rationale: The correct answer is D because it represents an oversimplified and undifferentiated belief by generalizing all alcoholics as "skid-row bums." This statement fails to acknowledge the diversity and complexity of individuals struggling with alcohol use disorder. It overlooks the fact that alcoholism can affect people from all walks of life, regardless of their socioeconomic status. In contrast, choices A, B, and C provide more nuanced and accurate perspectives on alcohol use disorder, emphasizing factors such as disease model, treatment methods, and spiritual beliefs that can aid in recovery.

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