ATI RN
RN ATI Mental Health Proctored Exam 2023 With NGN Questions
Extract:
Question 1 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 important because it allows the nurse to gather specific information on the auditory hallucinations the client is experiencing. By directly asking the client, the nurse can better understand the nature and content of the hallucinations, which is crucial for developing an appropriate plan of care. It also demonstrates active listening and shows the client that their experiences are being taken seriously.
Choice A is incorrect because simply lying down in a quiet room does not address the auditory hallucinations.
Choice B is incorrect as referring to the hallucinations as if they are real can validate the delusions and worsen the client's condition.
Choice D is incorrect as avoiding eye contact can be perceived as dismissive or uninterested.
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: The correct answer is A: Methadone. Methadone is a long-acting opioid agonist that helps manage withdrawal symptoms in individuals with opioid use disorder. It works by binding to the same receptors as opioids, reducing cravings and withdrawal symptoms. Disulfiram (
B) is used to treat alcohol use disorder, not opioid use disorder. Naloxone (
C) is an opioid antagonist used for opioid overdose reversal, not prevention of withdrawal. Bupropion (
D) is an antidepressant and smoking cessation aid, not typically used for opioid withdrawal.
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: 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 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 planning care for an older adult client who has dementia. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)
Correct Answer: A, D, E
Rationale:
Correct Answer: A, D, E
Rationale:
A: Giving the client one simple direction at a time helps in enhancing understanding and compliance due to cognitive impairment in dementia.
D: Reinforcing orientation to time, place, and person helps maintain the client's connection to reality and reduce confusion.
E: Establishing eye contact when communicating with the client promotes engagement and connection, aiding in effective communication.
Incorrect choices:
B: Refuting delusions using logic may escalate confusion and distress in the client with dementia.
C: Allowing the client to choose among a variety of activities may overwhelm them due to cognitive limitations.