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 alcohol use disorder and is experiencing withdrawal. Which of the following medications should the nurse expect to administer?
Correct Answer: C
Rationale: The correct answer is C: Lorazepam. Lorazepam is a benzodiazepine used to manage alcohol withdrawal symptoms by reducing anxiety, tremors, and seizures. It acts on the GABA receptors to provide sedative effects. Methadone (
A) is used for opioid withdrawal, not alcohol. Disulfiram (
B) is used to deter alcohol consumption by causing unpleasant effects if alcohol is ingested. Bupropion (
D) is an antidepressant and smoking cessation aid, not used for alcohol withdrawal.
Question 2 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: Correct answer: B
Rationale:
- B is correct because fluoxetine, an SSRI, can initially increase suicidal thoughts in some individuals, especially at the start of treatment.
- A is incorrect because improvement in mood may take several weeks to manifest, not a few days.
- C is incorrect because avoiding tyramine-rich foods is related to MAOIs, not SSRIs like fluoxetine.
- D is incorrect because monitoring lithium levels is not necessary with fluoxetine, as it is used for bipolar disorder, not major depressive disorder.
Question 3 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: C
Rationale:
Correct Answer: C - "We can provide a copy of your records, but the therapist's notes are not included."
Rationale: The correct response respects the client's request for access to their records while also upholding the therapist's confidentiality. Providing a copy of the client's records ensures transparency and empowers the client to be informed about their treatment. However, withholding the therapist's notes protects the therapist-client relationship and maintains the integrity of the therapeutic process. This response balances the client's rights with ethical considerations.
Incorrect
Choices:
A: This response does not address the client's request and may imply judgment or deflection.
B: Asking why the client wants to see the therapist's notes could be seen as intrusive and may not be relevant to fulfilling the request.
D: Discouraging the client from reviewing the therapist's notes undermines their autonomy and right to access their records.
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 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, an antipsychotic medication, is known to cause metabolic side effects such as weight gain. This occurs due to its impact on appetite regulation and metabolism. The nurse should monitor the client's weight regularly to detect any significant changes.
A: Increased blood pressure is not a common adverse effect of risperidone.
C: Excessive salivation is more commonly associated with medications that affect the cholinergic system, not typically with risperidone.
D: Bradycardia is not a typical side effect of risperidone; it is more commonly associated with medications that affect heart rate.