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 monitor the client's response to seclusion and restraints for any changes or adverse effects. Documenting every 15 minutes allows for timely identification of any issues and prompt intervention if needed.
A: Ensuring restraints prescription renewal every 6 hours is important, but monitoring the client's behavior is more immediate and crucial.
C: Requesting a provider to evaluate the client every 36 hours is too long of an interval for monitoring a client in seclusion and restraints.
D: Monitoring the client every 30 minutes is not as frequent as every 15 minutes, which may delay the identification of any issues.
Question 2 of 5
A nurse is planning care for an older adult client who has dementia. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)
Correct Answer: A, D, E
Rationale:
Correct Answer: A, D, E
Rationale:
A: Giving the client one simple direction at a time helps in enhancing understanding and compliance due to cognitive impairment in dementia.
D: Reinforcing orientation to time, place, and person helps maintain the client's connection to reality and reduce confusion.
E: Establishing eye contact when communicating with the client promotes engagement and connection, aiding in effective communication.
Incorrect choices:
B: Refuting delusions using logic may escalate confusion and distress in the client with dementia.
C: Allowing the client to choose among a variety of activities may overwhelm them due to cognitive limitations.
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 providing discharge teaching to a client who has bipolar disorder and a new prescription for lithium. Which statement by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale:
Correct Answer: C
Rationale: Maintaining adequate hydration is crucial when taking lithium to prevent toxicity. Lithium is excreted through the kidneys, and dehydration can lead to increased lithium levels in the blood. Drinking 2-3 liters of water daily helps to maintain proper lithium levels and reduces the risk of toxicity.
Summary:
A: Reducing sodium intake is not directly related to lithium's effectiveness.
B: Taking lithium on an empty stomach may cause gastrointestinal side effects, but it's not a requirement.
C: Drinking 2-3 liters of water daily is essential to prevent lithium toxicity.
D: Stopping lithium abruptly can trigger a relapse of bipolar symptoms.
Question 5 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, including weight gain. This is due to its effect on increasing appetite and altering metabolism. Monitoring weight regularly is important to detect and manage this adverse effect. Increased blood pressure (
A) is not a common side effect of risperidone. Excessive salivation (
C) is associated with other medications like clozapine. Bradycardia (
D) is not typically caused by risperidone.