ATI RN
ATI RN Mental health 2019 NGN II Questions
Extract:
Question 1 of 5
A nurse is obtaining a medical history from a client who is requesting a prescription for bupropion for smoking cessation. Which of the following assessment findings in the client's history should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Recent head injury. This assessment finding should be reported to the provider because bupropion is contraindicated in individuals with a recent history of head injury or seizure disorder due to an increased risk of seizures. Reporting this information is crucial for the provider to make an informed decision regarding the safety and appropriateness of prescribing bupropion to the client.
Other choices are incorrect because:
A: Hypothyroidism - Hypothyroidism is not a contraindication for bupropion use.
B: Knee arthroplasty 1 month ago - Recent knee surgery is not directly related to the use of bupropion for smoking cessation.
C: Hepatitis B infection - Hepatitis B infection is not a contraindication for bupropion use.
In summary, the correct answer, recent head injury, is important to report due to the increased risk of seizures with bupropion use in individuals with this condition
Question 2 of 5
A nurse is assessing a client who has depression and takes phenelzine. The client reports eating pepperoni pizza while out on a pass during lunchtime. Which of the following assessments should the nurse perform?
Correct Answer: B
Rationale: The correct assessment the nurse should perform is B: Blood pressure. Phenelzine is a monoamine oxidase inhibitor (MAOI) used to treat depression. Consuming foods high in tyramine, such as pepperoni pizza, can lead to a hypertensive crisis. Monitoring the client's blood pressure is crucial to assess for any sudden increases that could indicate a potential crisis. Bowel sounds (choice
A), oxygen saturation (choice
C), and pupil response (choice
D) are not directly related to the potential side effect of consuming tyramine-rich foods.
Question 3 of 5
A nurse is caring for a client who exhibits chronic physical symptoms that cannot be fully explained by medical conditions. These symptoms cause distress and impairment in the client's daily life. What term is used to describe this condition?
Correct Answer: C
Rationale: The correct answer is C: Somatic symptom disorder. This condition is characterized by chronic physical symptoms causing distress and impairment, not fully explained by medical conditions. It differs from illness anxiety disorder (
A) where the focus is on excessive worry about having a serious illness. Conversion disorder (
B) involves neurological symptoms that are not explained by medical conditions. Factitious disorder (
D) involves feigning physical or psychological symptoms for attention. It is crucial for the nurse to recognize somatic symptom disorder for appropriate care and management.
Question 4 of 5
A nurse is assessing a client who repeatedly falsifies psychological symptoms to assume the role of a sick person. What statement is commonly associated with this behavior?
Correct Answer: C
Rationale: The correct answer is C: "I just want attention from others." This statement is commonly associated with factitious disorder, where individuals feign or exaggerate symptoms to gain sympathy or attention. This behavior is known as "malingering."
Choice A is incorrect because altered motor function is not typically associated with factitious disorder.
Choice B is incorrect as it does not address the intentional deception aspect of the behavior.
Choice D is incorrect because genuine worry about illness is not a primary motivation for factitious disorder.
Question 5 of 5
A client is concerned about the potential side effects of antidepressant medications. Which of the following side effects is commonly associated with antidepressant use?
Correct Answer: C
Rationale: The correct answer is C: Insomnia. Antidepressants often affect sleep patterns, leading to difficulty falling or staying asleep. This is a common side effect due to the medications' impact on neurotransmitters in the brain. Increased appetite (
A) is usually associated with certain antidepressants, but insomnia is more commonly linked. Hypertension (
B) is not a typical side effect of antidepressants, as they generally do not directly affect blood pressure. Excessive energy (
D) is not a common side effect of most antidepressants; in fact, they may initially cause fatigue or lethargy.