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, an atypical antipsychotic, is known to cause metabolic side effects such as weight gain due to its impact on appetite regulation and metabolism. The nurse should monitor the client's weight regularly to detect any significant changes. Increased blood pressure (
Choice
A) is not a common adverse effect of risperidone. Excessive salivation (
Choice
C) is more commonly associated with medications that affect cholinergic receptors. Bradycardia (
Choice
D) is not a typical side effect of risperidone, which is more likely to cause tachycardia.
Question 2 of 5
A nurse is assessing a client who has bipolar disorder and is experiencing a depressive episode. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale:
Correct Answer: A: Inability to carry out a simple task
Rationale: During a depressive episode in bipolar disorder, individuals often experience cognitive impairments, including difficulty concentrating and completing tasks. This is due to the negative impact of depression on cognitive functioning. Clients may struggle with even simple tasks, leading to feelings of frustration and helplessness.
Incorrect
Choices:
B: Client reports auditory hallucinations - Auditory hallucinations are more commonly associated with schizophrenia or manic episodes in bipolar disorder.
C: Moves quickly from one idea to the next - Rapid cycling between ideas is more indicative of a manic episode in bipolar disorder.
D: Client expresses illusions of grandeur - Grandiosity is a common symptom of manic episodes, not depressive episodes in bipolar disorder.
Summary: The correct answer is A because cognitive impairments, such as the inability to carry out simple tasks, are characteristic of depressive episodes in bipolar disorder.
Choices B, C, and D are incorrect as they are more indicative of other phases of the disorder
Question 3 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 as they may wander and become disoriented. Placing locks at the tops of exterior doors can help prevent them from leaving the home unsupervised, ensuring their safety.
A: Replacing the carpet with hardwood floors may not directly address the safety concern of wandering and may not be necessary for the client's care.
B: Encouraging physical activity prior to bedtime may not be relevant to addressing the safety issue of wandering.
C: Wearing clothing with zippers instead of buttons may not directly impact the client's safety or wandering behavior.
In summary, choice D is the most appropriate action to address the specific safety concern related to Alzheimer's disease.
Question 4 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 such as weight gain. The nurse should monitor the client for changes in weight regularly to address potential health concerns. Increased blood pressure (
A) is not a common adverse effect of risperidone. Excessive salivation (
C) is more commonly associated with medications that affect the cholinergic system. Bradycardia (
D) is not a typical side effect of risperidone. It is important for the nurse to be aware of the specific adverse effects of risperidone to provide safe and effective care for the client.
Question 5 of 5
A nurse is caring for a client with major depressive disorder who has a new prescription for fluoxetine. Which statement by the client indicates an understanding of the medication?
Correct Answer: B
Rationale: Correct answer: B
Rationale:
- B is correct because fluoxetine, an SSRI, can initially increase suicidal thoughts in some individuals, especially at the start of treatment.
- A is incorrect because improvement in mood may take several weeks to manifest, not a few days.
- C is incorrect because avoiding tyramine-rich foods is related to MAOIs, not SSRIs like fluoxetine.
- D is incorrect because monitoring lithium levels is not necessary with fluoxetine, as it is used for bipolar disorder, not major depressive disorder.