ATI RN
RN ATI Mental Health Proctored Exam 2023 With NGN Questions
Extract:
Question 1 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 2 of 5
A nurse is assessing a client who has histrionic personality disorder. Which of the following manifestations should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Self-centered behavior. Individuals with histrionic personality disorder typically display attention-seeking, dramatic, and overly emotional behavior. They often crave validation and may feel uncomfortable when they are not the center of attention. This behavior is characterized by a strong focus on oneself and a tendency to exaggerate emotions for effect.
Choice A, Suspicious of others, is more indicative of paranoid personality disorder.
Choice B, Callousness, is more characteristic of antisocial personality disorder.
Choice D, Violates others' rights, is more aligned with antisocial or narcissistic personality disorders.
Therefore, the most appropriate manifestation for histrionic personality disorder is self-centered behavior.
Question 3 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 4 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 5 of 5
A nurse is developing a plan of care for a client who has schizophrenia and is experiencing auditory hallucinations. Which of the following actions should the nurse include in the plan?
Correct Answer: C
Rationale: The correct answer is C: Ask the client directly what he is hearing. This action is essential in understanding the nature and content of the auditory hallucinations the client is experiencing. By directly asking the client about their hallucinations, the nurse can gather valuable information to assess the severity and impact on the client's mental health. It also helps establish a therapeutic relationship based on trust and communication.
Choice A is incorrect because encouraging the client to lie down in a quiet room may not address the underlying issue of auditory hallucinations.
Choice B is incorrect as referring to the hallucinations as real may validate and exacerbate the client's distress.
Choice D is incorrect as avoiding eye contact may hinder effective communication and trust-building.