ATI RN Mental Health Online Practice 2023 A

Correct Answer: B

Rationale: The correct answer is B because increased thoughts of suicide can occur in the initial phase of fluoxetine treatment due to the activation of energy before mood improvement.
Choice A is incorrect as it typically takes weeks for mood improvement to occur.
Choice C is incorrect because tyramine restriction is associated with MAOIs, not SSRIs like fluoxetine.
Choice D is incorrect as lithium monitoring is not relevant to fluoxetine therapy.

Correct Answer: D

Rationale: The correct answer is D: Place locks at the tops of exterior doors. This is important in caring for a client with Alzheimer's disease as they may wander and become disoriented. Placing locks at the tops of exterior doors can help prevent them from leaving the home unsupervised, ensuring their safety.

A: Replacing the carpet with hardwood floors may not directly address the safety concern of wandering and may not be necessary for the client's care.
B: Encouraging physical activity prior to bedtime may not be relevant to addressing the safety issue of wandering.
C: Wearing clothing with zippers instead of buttons may not directly impact the client's safety or wandering behavior.
In summary, choice D is the most appropriate action to address the specific safety concern related to Alzheimer's disease.

Correct Answer: A

Rationale: The correct answer is A: "What are the voices telling you?" This response demonstrates active listening and shows empathy towards the client's experience, which helps in building trust. By asking about the content of the voices, the nurse can assess the severity of the hallucinations and potential risks.
Choice B does not address the client's concerns effectively.
Choice C is important but not the priority at this moment as assessing the hallucinations is crucial.
Choice D is relevant but doesn't address the immediate need to assess the content of the voices.

Correct Answer: B

Rationale: The correct answer is B: Weight gain. Risperidone is known to cause metabolic side effects such as weight gain. The nurse should monitor the client for changes in weight regularly to address potential health concerns. Increased blood pressure (
A) is not a common adverse effect of risperidone. Excessive salivation (
C) is more commonly associated with medications that affect the cholinergic system. Bradycardia (
D) is not a typical side effect of risperidone. It is important for the nurse to be aware of the specific adverse effects of risperidone to provide safe and effective care for the client.

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.