ATI RN
RN ATI Mental Health Proctored Exam 2023 With NGN Questions
Extract:
Question 1 of 5
A nurse in an acute mental health care facility is prioritizing care for multiple clients. Which of the following clients should the nurse see first?
Correct Answer: D
Rationale: The correct answer is D. The nurse should see the client taking clozapine and reporting a sore throat first because clozapine can cause agranulocytosis, a serious side effect characterized by a low white blood cell count, which can lead to life-threatening infections. Monitoring for signs of infection, such as a sore throat, is crucial to prevent complications. This client's situation requires immediate attention to assess the severity of the sore throat and take necessary actions to prevent further complications.
Choice A is incorrect because although mocking behavior can be disruptive, it does not pose an immediate threat to the client's health or safety.
Choice B is incorrect as the client's distress over a change in routine, while important, does not present an immediate risk to their well-being.
Choice C, assisting a client with ADLs, is important but can be prioritized after addressing the urgent health concern of the client taking clozapine.
Question 2 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 3 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:
Rationale:
Choice B is correct because increased thoughts of suicide can occur at the beginning of fluoxetine treatment, especially in younger adults. This is due to the medication's effect on energy levels before mood improvement. The other choices are incorrect because: A - Improvement in mood may take several weeks, not days; C - Tyramine restriction is for MAOIs, not SSRIs like fluoxetine; D - Lithium levels monitoring is not necessary for fluoxetine.
Question 4 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 levels in the bloodstream, potentially leading to adverse effects. Taking the medication with grapefruit juice can affect its effectiveness.
A: Taking medication as needed for acute anxiety is not appropriate for buspirone, as it is usually taken regularly to prevent anxiety.
B: While sedation and drowsiness are potential side effects of buspirone, it is not the most important information to indicate understanding of the teaching.
D: Buspirone has a lower risk for dependence compared to other anxiety medications, so this statement is less crucial for understanding the medication.
In summary, choosing answer C demonstrates understanding of an important drug-food interaction with buspirone, making it the correct answer.
Question 5 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.