ATI RN
RN ATI Mental Health Proctored Exam 2023 With NGN Questions
Extract:
Question 1 of 5
A nurse in an acute care mental health facility is placing a client in seclusion and restraints. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Document the client's behavior every 15 min. This is crucial to ensure the client's safety and well-being while in seclusion and restraints. Documenting behavior every 15 min allows the nurse to monitor for any changes in the client's condition, assess the effectiveness of the interventions, and identify any potential risks or concerns promptly. This frequent documentation helps in maintaining accurate and up-to-date records, which is essential for continuity of care and communication with the healthcare team.
Choice A is incorrect because the renewal of restraints prescription every 6 hr is not necessary and may not be in the best interest of the client's autonomy and dignity.
Choice C is incorrect as waiting 36 hr for a provider evaluation may delay necessary interventions.
Choice D is incorrect as monitoring every 30 min may not provide timely assessment and intervention.
Question 2 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 interact with buspirone and increase its concentration in the body, leading to potential side effects or toxicity. It shows the client understands the importance of avoiding certain foods while on this medication to ensure its effectiveness and safety.
Option A is incorrect because buspirone is typically taken regularly, not as needed. Option B is incorrect because sedation and drowsiness are not common side effects of buspirone. Option D is incorrect as buspirone is not associated with a risk for dependence.
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 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 manage withdrawal symptoms in individuals with opioid use disorder. It works by binding to the same receptors as opioids, reducing cravings and withdrawal symptoms. Disulfiram (
B) is used to treat alcohol use disorder, not opioid use disorder. Naloxone (
C) is an opioid antagonist used for opioid overdose reversal, not prevention of withdrawal. Bupropion (
D) is an antidepressant and smoking cessation aid, not typically used for opioid withdrawal.
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.