ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who has depression and a new prescription for amitriptyline. Which of the following statements should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Take this medication at bedtime. Amitriptyline is a tricyclic antidepressant that can cause drowsiness and sedation, so taking it at bedtime can help minimize these side effects. It also helps improve adherence to the medication regimen.
Choice B is incorrect because it takes several weeks to see the full effects of amitriptyline, not within 24 hours.
Choice C is incorrect because tyramine restriction is typically associated with MAOIs, not tricyclic antidepressants like amitriptyline.
Choice D is incorrect because abruptly stopping amitriptyline can lead to withdrawal symptoms and a potential relapse of depression.
Question 2 of 5
A nurse is assessing a client who has schizophrenia. Which of the following findings should the nurse identify as a negative symptom?
Correct Answer: C
Rationale: The correct answer is C: Social withdrawal. Negative symptoms in schizophrenia involve a decrease or absence of normal functions. Social withdrawal is a classic negative symptom, as it reflects a reduction in social interactions and interest. Delusions (
A) and hallucinations (
B) are positive symptoms, characterized by the presence of abnormal behaviors. Agitation (
D) is associated with agitation and restlessness, not with negative symptoms. In summary, social withdrawal is the correct answer because it aligns with the definition of negative symptoms in schizophrenia.
Question 3 of 5
A nurse is planning care for a client who has bipolar disorder and is experiencing mania. Which of the following interventions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Provide frequent rest periods. During mania, clients with bipolar disorder have high energy levels and may engage in excessive activities, leading to physical and mental exhaustion. Providing frequent rest periods helps to prevent burnout and promotes relaxation.
Choice B is incorrect as social interaction can provide support and prevent feelings of isolation.
Choice C is incorrect as unlimited physical activity can exacerbate manic symptoms.
Choice D is incorrect as limiting choices can cause frustration and may escalate the manic episode.
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 administer?
Correct Answer: B
Rationale: The correct answer is B: Chlordiazepoxide. This medication is a benzodiazepine used to manage alcohol withdrawal symptoms by reducing anxiety, agitation, and preventing seizures. Benzodiazepines help to stabilize the central nervous system during alcohol withdrawal, making it the appropriate choice for this client.
Incorrect
Choices:
A: Methadone is used for opioid withdrawal, not alcohol withdrawal.
C: Naltrexone is used for alcohol dependence treatment by reducing cravings, not for acute withdrawal symptoms.
D: Disulfiram is used as a deterrent for alcohol consumption, not for managing withdrawal symptoms.
Question 5 of 5
A nurse in a psychiatric unit is providing discharge instructions to a client who has schizophrenia and a new prescription for clozapine. Which of the following statements should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Expect to have an increased risk of infection. Clozapine is known to suppress the immune system, increasing the risk of infections. The nurse should educate the client to monitor for signs of infection, practice good hygiene, and promptly report any symptoms of infection to their healthcare provider.
Choice A is incorrect because getting up quickly can lead to orthostatic hypotension, a common side effect of clozapine.
Choice C is incorrect as clozapine does not specifically require avoiding sunlight.
Choice D is incorrect as limiting fluid intake is not a requirement for clozapine.