ATI RN
RN ATI Mental Health Proctored Exam 2023 With NGN Questions
Extract:
Question 1 of 5
A client with schizophrenia is prescribed risperidone. Which of the following should the nurse monitor for as an adverse effect of this medication?
Correct Answer: B
Rationale: The correct answer is B: Weight gain. Risperidone is known to cause metabolic side effects, including weight gain. This is due to its effect on increasing appetite and altering metabolism. Monitoring weight regularly is important to detect and manage this adverse effect. Increased blood pressure (
A) is not a common side effect of risperidone. Excessive salivation (
C) is associated with other medications like clozapine. Bradycardia (
D) is not typically caused by risperidone.
Question 2 of 5
A nurse is admitting a client who has dementia to a long-term care facility. The client tells the nurse that she lived in this facility years ago and took care of all the residents by herself. The nurse should document this as which of the following findings?
Correct Answer: D
Rationale: The correct answer is D: Confabulation. Confabulation is a symptom of dementia where false memories are created unintentionally. In this scenario, the client is creating a false memory of taking care of all residents in the facility in the past. This is a common feature of dementia and is not intentional lying.
A: Projection involves attributing one's own thoughts or feelings to someone else.
B: Perseveration is the repetition of a particular response, such as words, thoughts, or actions.
C: Agnosia is the inability to recognize or interpret sensory information.
In summary, D is the correct answer because it aligns with the symptom of confabulation seen in dementia, while the other choices do not accurately describe the client's behavior in this scenario.
Question 3 of 5
A nurse is teaching a client who has generalized anxiety disorder about buspirone. Which statement indicates the client understands the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I should avoid grapefruit juice while taking this medication." This is because grapefruit juice can interfere with the metabolism of buspirone, potentially leading to increased levels of the medication in the body. This can result in an increased risk of side effects and adverse reactions.
Therefore, it is important for the client to avoid consuming grapefruit juice while taking buspirone to ensure the medication works effectively and safely.
Other choices are incorrect:
A: Taking buspirone as needed for acute anxiety is not recommended as this medication is typically taken on a regular schedule to maintain its effectiveness.
B: Sedation and drowsiness are possible side effects of buspirone, but not a key indicator of understanding the teaching.
D: While there is a risk of dependence with some anxiety medications, buspirone is not associated with significant dependence potential.
Question 4 of 5
A home health nurse is planning care for a client who has Alzheimer's disease. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Place locks at the tops of exterior doors. This is important in caring for a client with Alzheimer's disease to prevent them from wandering and getting lost. Placing locks at the tops of exterior doors can help ensure the client's safety by restricting their ability to leave the house unsupervised. This intervention is crucial in managing the risks associated with the client's cognitive impairment.
A: Replacing the carpet with hardwood floors may not directly address the safety concern of wandering in a client with Alzheimer's disease.
B: Encouraging physical activity prior to bedtime may not be directly related to the safety issue of wandering.
C: Wearing clothing with zippers instead of buttons may not significantly impact the client's safety in terms of wandering.
Overall, placing locks at the tops of exterior doors is the most appropriate action to address the safety needs of a client with Alzheimer's disease.
Question 5 of 5
A nurse is working with a client who has an anxiety disorder and is in the orientation phase of the therapeutic relationship. Which of the following statements should the nurse make during this phase?
Correct Answer: C
Rationale:
Rationale: In the orientation phase, it's crucial to establish roles to clarify boundaries and expectations. This helps build trust and sets the foundation for the therapeutic relationship. Discussing resources (
A) is more appropriate in the working phase. Teaching relaxation exercises (
B) and changing stress responses (
D) are interventions for later phases. In summary, setting roles (
C) is essential in the orientation phase, while the other options are more suited for subsequent phases of therapy.