ATI RN
ATI RN Mental Health 2019 NGN Questions
Extract:
Question 1 of 5
A nurse is planning care for a newly admitted client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Negotiate with the client how much weight she should gain each week. In anorexia nervosa, weight gain must be carefully monitored to prevent refeeding syndrome. Negotiating with the client empowers them in their recovery process. Weighing the client weekly (
A) may cause anxiety. Notifying the client about designated meal times (
C) may be too restrictive. Decreasing fiber intake (
D) is not indicated and may worsen gastrointestinal issues.
Question 2 of 5
A nurse is reviewing the medication administration record of a client who has major depressive disorder and a new prescription for selegiline. The nurse should recognize that which of the following client medications is contraindicated when taken with selegiline?
Correct Answer: A
Rationale: The correct answer is A: Fluoxetine. Selegiline is a monoamine oxidase inhibitor (MAOI) used to treat depression. Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) and should not be taken concurrently with MAOIs due to the risk of serotonin syndrome, a potentially life-threatening condition. Serotonin syndrome can cause symptoms such as confusion, hallucinations, seizures, extreme changes in blood pressure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, tremor, incoordination, stomach cramp, nausea, vomiting, and diarrhea. Warfarin, calcium carbonate, and acetaminophen do not have significant interactions with selegiline.
Question 3 of 5
A nurse is creating a plan of care for a client who has major depressive disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Identify and schedule alternative group activities for the client. This intervention is important for a client with major depressive disorder as it promotes social engagement and reduces isolation, which can help improve mood and overall well-being. Group activities provide opportunities for the client to interact with others, share experiences, and receive support. This can combat feelings of loneliness and helplessness commonly experienced in depression.
Choice B is incorrect as keeping a bright light on at night may disrupt the client's sleep and worsen depressive symptoms.
Choice C is incorrect because discouraging the client from expressing feelings of anger can lead to emotional suppression, which is unhealthy and can exacerbate depressive symptoms.
Choice D is incorrect as encouraging physical activity during the day is beneficial, but it is not as specific to addressing social isolation and promoting interaction as the correct answer.
Question 4 of 5
A nurse is caring for a client who has a personality disorder and is using transference to cope. Which of the following behaviors should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Reacting to the nurse as though she were his mother. This behavior indicates transference, where the client projects feelings or attitudes towards the nurse that are actually related to someone else from their past, typically a parent. This is common in clients with personality disorders. Refusing to participate in group activities (
A) may be related to social anxiety or avoidance, not necessarily transference. Talking negatively about staff members (
B) and expressing frustration regarding unit rules (
D) are not specific to transference and can be seen in various situations.
Question 5 of 5
An older adult client is brought to the mental health clinic by her daughter. The daughter reports that her mother is not eating and seems uninterested in routine activities. The daughter states, 'I'm so worried that my mother is depressed.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct response is D: "Tell me the reasons you think your mother is depressed." This is the most appropriate because it allows the nurse to gather more information about the client's symptoms and potential triggers for her depression. By understanding the daughter's perspective, the nurse can assess the situation more comprehensively and tailor the care accordingly.
A: "Everyone gets depressed from time to time." This response minimizes the client's symptoms and does not address the daughter's concerns.
B: "Older adults are usually diagnosed with depressive disorder as they age." This statement is not accurate and can lead to unnecessary assumptions about the client's condition.
C: "You shouldn't worry about this, because depressive disorder is easily treated." This response dismisses the daughter's concerns and oversimplifies the treatment process for depressive disorders.