ATI RN
RN ATI Mental Health Proctored Exam 2023 With NGN Questions
Extract:
Question 1 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:
Correct Answer: A: Methadone
Rationale:
1. Methadone is a long-acting opioid agonist that helps manage withdrawal symptoms and cravings in clients with opioid use disorder.
2. It has a gradual onset and longer duration of action, making it effective for preventing withdrawal symptoms.
3. Methadone is commonly used in opioid substitution therapy to stabilize clients and reduce the risk of relapse.
4. Disulfiram (
B) is used for alcohol use disorder, not opioid use disorder. Naloxone (
C) is an opioid antagonist used for overdose reversal. Bupropion (
D) is used for smoking cessation, not opioid withdrawal.
Question 2 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 show its therapeutic effects, typically a few weeks. This shows the client has realistic expectations about the medication's onset of action.
Choice A is incorrect because St. John's wort can interact with amitriptyline, leading to increased side effects.
Choice C is incorrect because amitriptyline can actually lower blood pressure.
Choice D is incorrect because amitriptyline should be taken with food to reduce stomach upset.
Question 3 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 because the client taking clozapine reporting a sore throat could indicate a potentially serious side effect called agranulocytosis, which requires immediate medical attention to prevent complications. Agranulocytosis is a rare but life-threatening condition that can lead to severe infections due to a drastic decrease in white blood cells.
Therefore, the nurse should prioritize assessing this client to ensure prompt intervention if necessary.
Choice A is incorrect because mocking behavior, although inappropriate, does not pose an immediate physical threat to the client or others.
Choice B is incorrect as the upset about a change in routine can be addressed after addressing urgent medical concerns.
Choice C is incorrect since assistance with ADLs can be provided once the client with the sore throat is assessed and treated.
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 focuses on addressing the underlying emotions that may lead to self-mutilation in clients with borderline personality disorder. By encouraging the client to express their feelings of anger, the nurse can help them develop healthier coping mechanisms and reduce the urge to self-harm. Restricting access to personal belongings (
A) may lead to feelings of frustration and exacerbate the behavior. Placing the client in seclusion (
C) can be traumatic and may not address the root cause of the behavior. Telling the client to stop self-mutilation (
D) is dismissive and oversimplifies the complexity of the disorder.
Question 5 of 5
A nurse in a mental health clinic receives a request from a client who is undergoing psychotherapy to obtain a copy of the therapist's notes. Which of the following responses should the nurse make?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale: The nurse should respond with option B as it respects the client's request while also following confidentiality and ethical guidelines. Providing a copy of the client's records without the therapist's notes maintains the privacy and trust between the client and therapist. This response acknowledges the client's interest in their treatment while upholding professional boundaries.
Summary:
A: This response is dismissive and does not address the client's request professionally.
C: This response does not directly address the client's request and may come off as deflecting.
D: This response is presumptuous and not supportive of the client's autonomy in their treatment.