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 an atypical antipsychotic known to cause metabolic side effects like weight gain due to its impact on appetite and metabolism. Monitoring weight is crucial to prevent complications like diabetes and cardiovascular issues. Monitoring blood pressure (choice
A) is important for other antipsychotics but not specifically risperidone. Excessive salivation (choice
C) is not a common side effect of risperidone. Bradycardia (choice
D) is not typically associated with risperidone.
Question 2 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:
Rationale: A nurse should anticipate administering Methadone to prevent withdrawal symptoms in a client with opioid use disorder. Methadone is a long-acting opioid agonist that helps manage withdrawal symptoms and cravings, making it an effective treatment option. Disulfiram is used for alcohol dependence, Naloxone is an opioid antagonist used for overdose reversal, and Bupropion is an antidepressant. These medications are not indicated for preventing opioid withdrawal symptoms.
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, leading to increased levels of the medication in the body, potentially causing adverse effects.
Choice A is incorrect because buspirone is not typically taken as needed for acute anxiety but rather on a regular schedule.
Choice B is incorrect as sedation and drowsiness are not common side effects of buspirone.
Choice D is incorrect as buspirone is not associated with a risk for dependence.
Question 4 of 5
A nurse is planning care for a client who has borderline personality disorder and engages in self-mutilation. Which intervention should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Encourage the client to express feelings of anger. This intervention helps the client explore and process underlying emotions contributing to self-mutilation. It promotes emotional awareness and healthy coping mechanisms. Restricting personal belongings (
A) may escalate feelings of frustration. Seclusion (
C) can be traumatic and worsen abandonment fears. Telling the client to stop (
D) oversimplifies a complex issue and may lead to resistance.
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: The correct answer is B: "I may experience increased thoughts of suicide at the beginning of treatment." This statement indicates an understanding of the medication because fluoxetine, an SSRI, can initially increase suicidal ideation in clients with major depressive disorder due to sudden improvement in energy levels before mood improvement. This is important for the client to know for safety monitoring.
Choice A is incorrect as improvement in mood may take several weeks, not days.
Choice C is incorrect as avoiding tyramine-rich foods is relevant for MAOIs, not SSRIs like fluoxetine.
Choice D is incorrect as lithium levels are monitored for clients taking lithium, not fluoxetine.