ATI RN
ATI RN Mental Health 2023 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who just received lorazepam 1 mg IM for anxiety. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Initiate fall precautions for the client. Lorazepam is a benzodiazepine that can cause sedation and drowsiness, increasing the risk of falls. Fall precautions should be implemented to ensure the client's safety.
Choice A is incorrect because repeating the dose can lead to overdose.
Choice C is incorrect as lorazepam does not typically cause ringing in the ears.
Choice D is inappropriate and unethical unless absolutely necessary for the client's safety, which is not indicated in this scenario.
Question 2 of 5
A nurse is caring for a client who is taking lithium and reports experiencing lethargy, muscle weakness, and blurred vision. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct response is D: "You will need to have your blood drawn." This is because lithium is a medication that requires monitoring of blood levels to prevent toxicity. Lethargy, muscle weakness, and blurred vision are common signs of lithium toxicity. By regularly monitoring blood levels, the nurse can ensure the client is within the therapeutic range and adjust the dosage if needed.
Choice A is incorrect because the symptoms are indicative of toxicity and may not improve on their own.
Choice B is incorrect as continuing the medication without addressing the toxicity can worsen the client's condition.
Choice C is incorrect as decreasing sodium intake is not directly related to managing lithium toxicity.
Question 3 of 5
A nurse is caring for a client who is seeking help to quit smoking. Which of the following prescriptions should the nurse expect the provider to prescribe?
Correct Answer: C
Rationale: The correct answer is C: Varenicline. This is because Varenicline is a medication specifically indicated for smoking cessation. It works by reducing the pleasurable effects of nicotine and decreasing cravings. Naltrexone (
A) is used for alcohol and opioid dependence, not smoking cessation. Donepezil (
B) is used to treat Alzheimer's disease. Disulfiram (
D) is used to deter alcohol consumption by causing unpleasant effects when alcohol is ingested. Hence, the nurse should expect the provider to prescribe Varenicline to help the client quit smoking effectively.
Question 4 of 5
A nurse is reviewing laboratory results of a client who has schizophrenia and is taking risperidone. For which of the following findings should the nurse notify the provider?
Correct Answer: C
Rationale: The correct answer is C: Blood glucose 256 mg/dL (74 to 106 mg/dL). Elevated blood glucose levels can be a side effect of risperidone, an atypical antipsychotic medication. Notify the provider to assess for potential hyperglycemia, which can lead to serious complications like diabetic ketoacidosis.
A, B, and D are within normal ranges. A slightly low or high sodium level, WBC count, or platelet count are not typically concerning in this case.
Question 5 of 5
A nurse is providing teaching about relapse prevention to a client who has schizophrenia. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I should let my counselor know if I am having trouble sleeping." This statement indicates an understanding of relapse prevention as changes in sleep patterns can be an early sign of relapse in schizophrenia. By communicating this to the counselor, the client can receive appropriate support and interventions.
A: "I should listen carefully to the voices to hear what they're saying." This statement is incorrect as it encourages engaging with auditory hallucinations, which can exacerbate symptoms.
C: "I should avoid being around others if I think I'm having a relapse." This statement is incorrect as social withdrawal can worsen symptoms and isolation is not recommended.
D: "I should avoid watching television when I am hearing voices." This statement is incorrect as it does not address the underlying issue of seeking help from a counselor for symptom management.