ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who has panic disorder and is receiving alprazolam. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Avoid activities that require alertness. This is important because alprazolam is a benzodiazepine that can cause drowsiness and impair cognitive function. By avoiding activities that require alertness, the client can prevent accidents or injuries.
A: Taking the medication on an empty stomach is not necessary for alprazolam.
C: Stopping the medication if dizziness occurs is not recommended without consulting a healthcare provider.
D: Taking an additional dose if anxiety increases can lead to overdose and is not safe.
Therefore, choice B is the most appropriate instruction to include in teaching the client with panic disorder taking alprazolam.
Question 2 of 5
A nurse is planning care for a client who has schizophrenia and is experiencing auditory hallucinations. Which of the following interventions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Ask the client directly about the content of the hallucinations. This intervention is important as it helps the nurse understand the nature and content of the hallucinations, allowing for better assessment and tailored intervention. By directly asking the client, the nurse can gather valuable information to provide appropriate care and support. Encouraging the client to listen to loud music (
A) may exacerbate the hallucinations. Instructing the client to ignore the voices (
C) may not be effective and could lead to increased distress. Avoiding discussing the hallucinations with the client (
D) hinders the therapeutic communication and understanding of the client's experience.
Question 3 of 5
A nurse is caring for a client who has major depressive disorder and is prescribed sertraline. Which of the following instructions should the nurse provide?
Correct Answer: C
Rationale: The correct answer is C: Avoid consuming grapefruit juice. Grapefruit juice can interact with sertraline, leading to increased levels of the medication in the bloodstream, potentially causing side effects or toxicity. It is essential for the nurse to instruct the client to avoid grapefruit juice to ensure the safe and effective use of sertraline. Taking the medication at bedtime (choice
A) is not specifically necessary for sertraline. Expecting results within 1 to 2 days (choice
B) is incorrect as antidepressants like sertraline typically take weeks to show full effects. Stopping the medication once symptoms improve (choice
D) can be dangerous as abruptly discontinuing an antidepressant can lead to withdrawal symptoms or a relapse of depression.
Question 4 of 5
A nurse is assessing a client who has opioid intoxication. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Pinpoint pupils. Opioid intoxication causes miosis, resulting in constricted or pinpoint pupils. This occurs due to the suppression of the sympathetic nervous system. Hyperreflexia (
B) is not typically associated with opioid intoxication; it is more common in conditions like spinal cord injury. Opioids depress the respiratory system, leading to decreased respiratory rate (
C), not increased. Dilated pupils (
D) are more indicative of stimulant intoxication, such as amphetamines.
Question 5 of 5
A nurse is providing teaching to a client who has schizophrenia and is prescribed risperidone. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Rise slowly from a sitting position. This instruction is crucial because risperidone can cause orthostatic hypotension, leading to dizziness or fainting when standing up quickly. By rising slowly, the client can minimize the risk of falls. Avoiding direct sunlight (
A) is not directly related to risperidone use. Taking the medication on an empty stomach (
C) is not necessary for risperidone. Expecting weight loss (
D) is not a common side effect of risperidone; in fact, weight gain is more common.