ATI RN
RN ATI Mental Health Proctored Exam 2023 With NGN Questions
Extract:
Question 1 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.
Question 2 of 5
A client with schizophrenia is prescribed risperidone. Which of the following should the nurse monitor for as an adverse effect of this medication?
Correct Answer: B
Rationale: The correct answer is B: Weight gain. Risperidone, an antipsychotic medication, is known to cause metabolic side effects such as weight gain. This occurs due to its impact on appetite regulation and metabolism. The nurse should monitor the client's weight regularly to detect any significant changes.
A: Increased blood pressure is not a common adverse effect of risperidone.
C: Excessive salivation is more commonly associated with medications that affect the cholinergic system, not typically with risperidone.
D: Bradycardia is not a typical side effect of risperidone; it is more commonly associated with medications that affect heart rate.
Question 3 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:
Correct Answer: C - I should avoid grapefruit juice while taking this medication.
Rationale: Buspirone is a medication used for generalized anxiety disorder. Grapefruit juice can interfere with the metabolism of buspirone, leading to increased levels of the medication in the body. This can result in potential side effects or decreased effectiveness of the medication. By understanding the need to avoid grapefruit juice, the client shows comprehension of an important aspect of medication management.
Incorrect
Choices:
A: Taking medication as needed for acute anxiety is not appropriate for buspirone, as it is typically taken regularly to manage anxiety symptoms.
B: While sedation and drowsiness are possible side effects of buspirone, this is not the key point of understanding for the client in this scenario.
D: Buspirone is not associated with a high risk for dependence compared to other anxiety medications, such as benzodiazepines.
Question 4 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 5 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:
Correct Answer: A: Methadone
Rationale:
1. Methadone is a long-acting opioid agonist that helps manage withdrawal symptoms and cravings in clients with opioid use disorder.
2. It has a gradual onset and longer duration of action, making it effective for preventing withdrawal symptoms.
3. Methadone is commonly used in opioid substitution therapy to stabilize clients and reduce the risk of relapse.
4. Disulfiram (
B) is used for alcohol use disorder, not opioid use disorder. Naloxone (
C) is an opioid antagonist used for overdose reversal. Bupropion (
D) is used for smoking cessation, not opioid withdrawal.