ATI RN
RN ATI Mental Health Proctored Exam 2023 With NGN Questions
Extract:
Question 1 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 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: The correct answer is A: Methadone. Methadone is a long-acting opioid agonist that helps in managing withdrawal symptoms by preventing cravings and reducing the severity of symptoms. It is commonly used in opioid substitution therapy. Disulfiram (
B) is used for alcohol dependence, Naloxone (
C) is an opioid antagonist used for overdose reversal, and Bupropion (
D) is an antidepressant. These medications are not indicated for preventing opioid withdrawal symptoms.
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 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, fluoxetine, because it is important for the client to be aware of the potential risk of increased suicidal thoughts, especially at the beginning of treatment. This is a crucial safety concern in patients with major depressive disorder starting antidepressants. The client should be monitored closely for any changes in mood or behavior and report any concerning thoughts to the healthcare provider immediately.
Incorrect choices:
A: "I should expect to see improvement in my mood within a few days." - This is incorrect because fluoxetine can take several weeks to show its full therapeutic effects.
C: "I need to avoid foods high in tyramine while taking this medication." - This is incorrect as tyramine restriction is typically associated with MAOIs, not SSRIs like fluoxetine.
D: "I will need to have my lithium levels checked regularly." - This is incorrect as lithium levels
Question 5 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.