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 in managing withdrawal symptoms by preventing cravings and reducing the severity of symptoms. It is commonly used in opioid substitution therapy. Disulfiram (
B) is used for alcohol dependence, Naloxone (
C) is an opioid antagonist used for overdose reversal, and Bupropion (
D) is an antidepressant. These medications are not indicated for preventing opioid withdrawal symptoms.
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 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 3 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 prevent withdrawal symptoms in clients with opioid use disorder by providing a similar but less intense effect, allowing for a gradual tapering off. Disulfiram (
B) is used to treat alcohol use disorder, not opioid use disorder. Naloxone (
C) is an opioid antagonist used for reversing opioid overdose, not preventing withdrawal. Bupropion (
D) is an antidepressant and smoking cessation aid, not indicated for opioid withdrawal.
Question 4 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 5 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.