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: 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 2 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:
Correct Answer: A: Methadone
Rationale:
1. Methadone is a long-acting opioid agonist that helps manage withdrawal symptoms and cravings in clients with opioid use disorder.
2. It has a gradual onset and longer duration of action, making it effective for preventing withdrawal symptoms.
3. Methadone is commonly used in opioid substitution therapy to stabilize clients and reduce the risk of relapse.
4. Disulfiram (
B) is used for alcohol use disorder, not opioid use disorder. Naloxone (
C) is an opioid antagonist used for overdose reversal. Bupropion (
D) is used for smoking cessation, not opioid withdrawal.
Question 3 of 5
A nurse is providing teaching to a client who has a depressive disorder and a new prescription for amitriptyline. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I know it will be a couple of weeks before the medication helps me feel better." This statement indicates the client understands that amitriptyline takes time to show its therapeutic effects, typically a few weeks. This shows the client has realistic expectations about the medication's onset of action.
Choice A is incorrect because St. John's wort can interact with amitriptyline, leading to increased side effects.
Choice C is incorrect because amitriptyline can actually lower blood pressure.
Choice D is incorrect because amitriptyline should be taken with food to reduce stomach upset.
Question 4 of 5
A nurse is providing teaching to a client who has a depressive disorder and a new prescription for amitriptyline. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I know it will be a couple of weeks before the medication helps me feel better." This statement indicates the client understands that amitriptyline takes time to be effective in treating depressive symptoms. This shows awareness of the delayed onset of action typical for antidepressants.
Choice A is incorrect as St. John's wort can interact with amitriptyline, leading to increased side effects.
Choice C is incorrect because amitriptyline may actually lower blood pressure.
Choice D is incorrect as amitriptyline is usually taken with food to decrease gastrointestinal side effects.
Question 5 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.