ATI RN
RN ATI Mental Health Proctored Exam 2023 With NGN Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to a client who has bipolar disorder and a new prescription for lithium. Which statement by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale:
Correct Answer: C
Rationale: Maintaining adequate hydration is crucial when taking lithium to prevent toxicity. Lithium is excreted through the kidneys, and dehydration can lead to increased lithium levels in the blood. Drinking 2-3 liters of water daily helps to maintain proper lithium levels and reduces the risk of toxicity.
Summary:
A: Reducing sodium intake is not directly related to lithium's effectiveness.
B: Taking lithium on an empty stomach may cause gastrointestinal side effects, but it's not a requirement.
C: Drinking 2-3 liters of water daily is essential to prevent lithium toxicity.
D: Stopping lithium abruptly can trigger a relapse of bipolar symptoms.
Question 2 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 3 of 5
A nurse in an acute mental health care facility is prioritizing care for multiple clients. Which of the following clients should the nurse see first?
Correct Answer: D
Rationale: The correct answer is D. The nurse should see the client taking clozapine and reporting a sore throat first because clozapine can cause agranulocytosis, a serious side effect characterized by a low white blood cell count, which can lead to life-threatening infections. Monitoring for signs of infection, such as a sore throat, is crucial to prevent complications. This client's situation requires immediate attention to assess the severity of the sore throat and take necessary actions to prevent further complications.
Choice A is incorrect because although mocking behavior can be disruptive, it does not pose an immediate threat to the client's health or safety.
Choice B is incorrect as the client's distress over a change in routine, while important, does not present an immediate risk to their well-being.
Choice C, assisting a client with ADLs, is important but can be prioritized after addressing the urgent health concern of the client taking clozapine.
Question 4 of 5
A nurse is working with a client who has an anxiety disorder and is in the orientation phase of the therapeutic relationship. Which of the following statements should the nurse make during this phase?
Correct Answer: C
Rationale:
Rationale: In the orientation phase, it's crucial to establish roles to clarify boundaries and expectations. This helps build trust and sets the foundation for the therapeutic relationship. Discussing resources (
A) is more appropriate in the working phase. Teaching relaxation exercises (
B) and changing stress responses (
D) are interventions for later phases. In summary, setting roles (
C) is essential in the orientation phase, while the other options are more suited for subsequent phases of therapy.
Question 5 of 5
A nurse is teaching a client who has generalized anxiety disorder about buspirone. Which statement indicates the client understands the teaching?
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.