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 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 2 of 5
A nurse is assessing a client who has major depressive disorder. Which of the following findings should the nurse expect? (Select all that apply)
Correct Answer: A,B,E
Rationale: The correct answers are A (Anhedonia), B (Insomnia), and E (Feelings of worthlessness) for a client with major depressive disorder. Anhedonia is a key symptom characterized by lack of interest or pleasure in activities. Insomnia is a common symptom due to disrupted sleep patterns. Feelings of worthlessness are indicative of low self-esteem, a common feature in major depressive disorder. Weight gain (
C) is less common than weight loss in depression. Flight of ideas (
D) is more characteristic of manic episodes in bipolar disorder.
Question 3 of 5
A nurse is caring for a client who has a history of opioid use disorder. Which medication should the nurse anticipate administering to prevent withdrawal symptoms?
Correct Answer: A
Rationale: The correct answer is A: Methadone. Methadone is a long-acting opioid agonist that helps prevent withdrawal symptoms in clients with opioid use disorder by providing a similar but less intense effect, allowing for a gradual tapering off. Disulfiram (
B) is used to treat alcohol use disorder, not opioid use disorder. Naloxone (
C) is an opioid antagonist used for reversing opioid overdose, not preventing withdrawal. Bupropion (
D) is an antidepressant and smoking cessation aid, not indicated for opioid withdrawal.
Question 4 of 5
A nurse is providing teaching to a client who has a depressive disorder and a new prescription for amitriptyline. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I know it will be a couple of weeks before the medication helps me feel better." This statement indicates the client understands that amitriptyline takes time to be effective in treating depressive symptoms. This shows awareness of the delayed onset of action typical for antidepressants.
Choice A is incorrect as St. John's wort can interact with amitriptyline, leading to increased side effects.
Choice C is incorrect because amitriptyline may actually lower blood pressure.
Choice D is incorrect as amitriptyline is usually taken with food to decrease gastrointestinal side effects.
Question 5 of 5
A nurse is caring for a client with schizophrenia who is experiencing auditory hallucinations. Which intervention should the nurse implement first?
Correct Answer: A
Rationale: The correct answer is A: Ask the client what the voices are saying. This intervention is crucial because it helps the nurse gain insight into the content of the hallucinations, which can provide valuable information about the client's thoughts and feelings. It also shows the client that the nurse is listening and taking their experiences seriously. By understanding the content of the hallucinations, the nurse can better assess the client's mental state and develop an appropriate care plan.
Choice B is incorrect because directly telling the client the voices are not real may invalidate their experiences and lead to decreased trust.
Choice C is not the priority as it does not address the immediate need of addressing the hallucinations.
Choice D is not the first intervention as deep breathing exercises may not be effective in managing auditory hallucinations.