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 schizophrenia who is experiencing auditory hallucinations. Which intervention should the nurse implement first?
Correct Answer: A
Rationale: The correct answer is A: Ask the client what the voices are saying. This intervention is crucial because it helps the nurse gain insight into the content of the hallucinations, which can provide valuable information about the client's thoughts and feelings. It also shows the client that the nurse is listening and taking their experiences seriously. By understanding the content of the hallucinations, the nurse can better assess the client's mental state and develop an appropriate care plan.
Choice B is incorrect because directly telling the client the voices are not real may invalidate their experiences and lead to decreased trust.
Choice C is not the priority as it does not address the immediate need of addressing the hallucinations.
Choice D is not the first intervention as deep breathing exercises may not be effective in managing auditory hallucinations.
Question 2 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 3 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: The correct answer is A: Methadone. Methadone is a long-acting opioid agonist that helps prevent withdrawal symptoms in clients with opioid use disorder by providing a similar but less intense effect, allowing for a gradual tapering off. Disulfiram (
B) is used to treat alcohol use disorder, not opioid use disorder. Naloxone (
C) is an opioid antagonist used for reversing opioid overdose, not preventing withdrawal. Bupropion (
D) is an antidepressant and smoking cessation aid, not indicated for opioid withdrawal.
Question 4 of 5
A nurse is speaking with the caregiver of a client who has Alzheimer's disease. The caregiver states, "Providing constant care is very stressful and is affecting all areas of my life." Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Assist the caregiver to arrange for a daycare program for the client. This is the best option because it provides the caregiver with respite, allowing them to take a break and attend to their own needs while ensuring the client receives appropriate care. It also helps in preventing caregiver burnout and enhances the client's social engagement.
Option A is incorrect as prescribing antipsychotic medication should not be the first line of intervention for caregiver stress. Option B is incorrect as it does not address the caregiver's need for respite. Option C is incorrect as discussing communication strategies, while important, does not directly address the caregiver's need for relief.
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.