ATI RN
ATI RN Mental Health 2019 NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has an anxiety disorder and is scheduled for a procedure. The client informs the nurse that they do not want to have the procedure. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Informing the client of their right to refuse upholds autonomy. Encouragement (
A) disregards choice, another nurse (
B) is unnecessary, and family consent (
C) is inappropriate if the client is competent.
Question 2 of 5
Correct Answer:
Rationale:
Question 3 of 5
A nurse in an alcohol rehabilitation facility is creating a discharge plan for a client who has alcohol use disorder. Which of the following recommendations should the nurse include in the plan?
Correct Answer: D
Rationale: Self-help groups like AA provide peer support for sobriety, ideal for alcohol use disorder. Family contact (
A) is less specific, buprenorphine (
B) is for opioids, and desensitization (
C) is for anxiety.
Question 4 of 5
A nurse is assessing a client who has depression and takes phenelzine. The client reports eating pepperoni pizza while out on a pass during lunchtime. Which of the following assessments should the nurse perform?
Correct Answer: B
Rationale: Phenelzine, an MAOI, with tyramine-rich foods like pepperoni risks hypertensive crisis, requiring blood pressure assessment. Bowel sounds (
A), oxygen (
C), and pupil response (
D) are not directly affected.
Question 5 of 5
A nurse is reviewing the medication administration record of a client who has major depressive disorder and a new prescription for selegiline. The nurse should recognize that which of the following client medications is contraindicated when taken with selegiline?
Correct Answer: A
Rationale: Combining selegiline (an MAOI) with fluoxetine (an SSRI) risks serotonin syndrome, a life-threatening condition. Warfarin (
B), calcium carbonate (
C), and acetaminophen (
D) do not have significant interactions with selegiline.