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: 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 2 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 3 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 4 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 an understanding of the delayed onset of action of amitriptyline in treating depressive disorders. It is important for the client to be aware that antidepressants like amitriptyline may take a few weeks to start working. This shows the client has realistic expectations about the medication.
Choice A is incorrect because St. John's wort can interact with amitriptyline and should not be taken together.
Choice C is incorrect because amitriptyline is more likely to lower blood pressure rather than raise it.
Choice D is incorrect because amitriptyline should generally be taken with food to minimize gastrointestinal side effects.
Question 5 of 5
A nurse is assessing a client who has bipolar disorder and is experiencing a depressive episode. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale:
Correct Answer: A: Inability to carry out a simple task
Rationale: During a depressive episode in bipolar disorder, individuals often experience cognitive impairments, including difficulty concentrating and completing tasks. This is due to the negative impact of depression on cognitive functioning. Clients may struggle with even simple tasks, leading to feelings of frustration and helplessness.
Incorrect
Choices:
B: Client reports auditory hallucinations - Auditory hallucinations are more commonly associated with schizophrenia or manic episodes in bipolar disorder.
C: Moves quickly from one idea to the next - Rapid cycling between ideas is more indicative of a manic episode in bipolar disorder.
D: Client expresses illusions of grandeur - Grandiosity is a common symptom of manic episodes, not depressive episodes in bipolar disorder.
Summary: The correct answer is A because cognitive impairments, such as the inability to carry out simple tasks, are characteristic of depressive episodes in bipolar disorder.
Choices B, C, and D are incorrect as they are more indicative of other phases of the disorder