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: The correct answer is B: "I may experience increased thoughts of suicide at the beginning of treatment." This statement indicates an understanding of the medication, fluoxetine, because it is important for the client to be aware of the potential risk of increased suicidal thoughts, especially at the beginning of treatment. This is a crucial safety concern in patients with major depressive disorder starting antidepressants. The client should be monitored closely for any changes in mood or behavior and report any concerning thoughts to the healthcare provider immediately.
Incorrect choices:
A: "I should expect to see improvement in my mood within a few days." - This is incorrect because fluoxetine can take several weeks to show its full therapeutic effects.
C: "I need to avoid foods high in tyramine while taking this medication." - This is incorrect as tyramine restriction is typically associated with MAOIs, not SSRIs like fluoxetine.
D: "I will need to have my lithium levels checked regularly." - This is incorrect as lithium levels
Question 2 of 5
A nurse in an acute care mental health facility is placing a client in seclusion and restraints. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Document the client's behavior every 15 min. This is crucial to monitor the client's response to seclusion and restraints for any changes or adverse effects. Documenting every 15 minutes allows for timely identification of any issues and prompt intervention if needed.
A: Ensuring restraints prescription renewal every 6 hours is important, but monitoring the client's behavior is more immediate and crucial.
C: Requesting a provider to evaluate the client every 36 hours is too long of an interval for monitoring a client in seclusion and restraints.
D: Monitoring the client every 30 minutes is not as frequent as every 15 minutes, which may delay the identification of any issues.
Question 3 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:
Correct Answer: C - I should avoid grapefruit juice while taking this medication.
Rationale: Buspirone is a medication used for generalized anxiety disorder. Grapefruit juice can interfere with the metabolism of buspirone, leading to increased levels of the medication in the body. This can result in potential side effects or decreased effectiveness of the medication. By understanding the need to avoid grapefruit juice, the client shows comprehension of an important aspect of medication management.
Incorrect
Choices:
A: Taking medication as needed for acute anxiety is not appropriate for buspirone, as it is typically taken regularly to manage anxiety symptoms.
B: While sedation and drowsiness are possible side effects of buspirone, this is not the key point of understanding for the client in this scenario.
D: Buspirone is not associated with a high risk for dependence compared to other anxiety medications, such as benzodiazepines.
Question 4 of 5
A nurse in an acute care mental health facility is placing a client in seclusion and restraints. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Document the client's behavior every 15 min. This is crucial to ensure the client's safety and well-being while in seclusion and restraints. Documenting behavior every 15 min allows the nurse to monitor for any changes in the client's condition, assess the effectiveness of the interventions, and identify any potential risks or concerns promptly. This frequent documentation helps in maintaining accurate and up-to-date records, which is essential for continuity of care and communication with the healthcare team.
Choice A is incorrect because the renewal of restraints prescription every 6 hr is not necessary and may not be in the best interest of the client's autonomy and dignity.
Choice C is incorrect as waiting 36 hr for a provider evaluation may delay necessary interventions.
Choice D is incorrect as monitoring every 30 min may not provide timely assessment and intervention.
Question 5 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.