ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
A client with Bulimia and depression who is taking phenelzine (Nardil) 90 mg daily is admitted to an acute care hospital for uncontrolled hypertension. What dietary choices should the RN instruct the client to avoid?
Correct Answer: D
Rationale: The correct answer is D: Beef tips with gravy. Phenelzine is a monoamine oxidase inhibitor (MAOI) which interacts with tyramine-rich foods, such as aged cheeses, cured meats, and gravies. Beef tips with gravy contain aged meat and gravy, which are high in tyramine and can lead to a dangerous hypertensive crisis in clients taking MAOIs.
Choices A, B, and C do not contain high levels of tyramine and are safe options for clients on phenelzine.
Question 2 of 5
When should a nurse be most alert to the possibility of communication errors resulting in harm to the patient?
Correct Answer: A
Rationale: The correct answer is A: Change of shift report. During this time, crucial information is being transferred between nurses, which is critical for patient care. Miscommunication can lead to errors in medication administration, treatment plans, and patient assessments. Nurses must be alert to ensure accurate and complete information transfer.
Summary of other choices:
B: Admission interviews - Important for gathering initial patient information but typically less critical than shift changes.
C: One-to-one conversations with patients - Important for building rapport but less likely to result in significant harm if communication errors occur.
D: Conversations with patient families - Essential for involving families in care, but errors may not directly harm patients as much as shift report errors.
Question 3 of 5
Carolina is surprised when her patient does not show for a regularly scheduled appointment. When contacted, the patient states, 'I don’t need to come see you anymore. I have found a therapy app on my phone that I love.' How should Carolina respond to this news?
Correct Answer: A
Rationale: Carolina should respond with choice A because it shows a positive and open-minded attitude towards the patient's choice. By asking the patient to visit and show the app, Carolina demonstrates genuine interest in understanding the patient's perspective and willingness to explore new options together. This approach can help build trust and rapport with the patient, leading to a more productive discussion about the app and potentially integrating it into the therapy plan.
Choices B, C, and D are incorrect because they either dismiss the patient's choice without exploring it further (
B), show resistance or doubt towards the app without considering its potential benefits (
C), or come across as confrontational and defensive (
D). These responses may alienate the patient and hinder the therapeutic relationship.
Question 4 of 5
A client with Bulimia and depression who is taking phenelzine (Nardil) 90 mg daily is admitted to an acute care hospital for uncontrolled hypertension. What dietary choices should the RN instruct the client to avoid?
Correct Answer: D
Rationale: The correct answer is D: Beef tips with gravy. Phenelzine is a monoamine oxidase inhibitor (MAOI) which interacts with tyramine-rich foods, such as aged cheeses, cured meats, and gravies. Beef tips with gravy contain aged meat and gravy, which are high in tyramine and can lead to a dangerous hypertensive crisis in clients taking MAOIs.
Choices A, B, and C do not contain high levels of tyramine and are safe options for clients on phenelzine.
Question 5 of 5
Which nursing intervention is particularly well chosen for addressing a population at high risk for developing schizophrenia?
Correct Answer: A
Rationale: The correct answer is A: Screening a group of males between the ages of 15 and 25 for early symptoms. This intervention is well chosen because schizophrenia typically emerges in late adolescence to early adulthood, with males having a higher risk during this age range. Screening for early symptoms allows for early detection and intervention, improving outcomes.
Choice B is incorrect as it targets a different population group with substance use issues, not specifically at high risk for schizophrenia.
Choice C is incorrect as it focuses on coping skills for an age group less at risk for developing schizophrenia.
Choice D is incorrect as it targets developmentally delayed children, not a population at high risk for schizophrenia.