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 an understanding of the delayed onset of action of amitriptyline in treating depressive disorders. It is important for the client to be aware that antidepressants like amitriptyline may take a few weeks to start working. This shows the client has realistic expectations about the medication.
Choice A is incorrect because St. John's wort can interact with amitriptyline and should not be taken together.
Choice C is incorrect because amitriptyline is more likely to lower blood pressure rather than raise it.
Choice D is incorrect because amitriptyline should generally be taken with food to minimize gastrointestinal side effects.
Question 2 of 5
A nurse is admitting a client who has dementia to a long-term care facility. The client tells the nurse that she lived in this facility years ago and took care of all the residents by herself. The nurse should document this as which of the following findings?
Correct Answer: D
Rationale: The correct answer is D: Confabulation. Confabulation is the unintentional fabrication of false memories or stories to fill in gaps in memory. In this scenario, the client with dementia is creating a false memory of taking care of all residents by herself, which is a common feature of confabulation in dementia. This behavior is not intentional but rather a result of memory deficits.
A: Projection is attributing one's own thoughts or feelings to someone else.
B: Perseveration is the repetition of a particular response despite the absence or cessation of a stimulus.
C: Agnosia is the inability to recognize or interpret sensory information.
Therefore, the correct choice is D as it best fits the scenario provided.
Question 3 of 5
A nurse is planning care for a client who has borderline personality disorder and engages in self-mutilation. Which intervention should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Encourage the client to express feelings of anger. This intervention focuses on addressing the underlying emotions that may lead to self-mutilation in clients with borderline personality disorder. By encouraging the client to express their feelings of anger, the nurse can help them develop healthier coping mechanisms and reduce the urge to self-harm. Restricting access to personal belongings (
A) may lead to feelings of frustration and exacerbate the behavior. Placing the client in seclusion (
C) can be traumatic and may not address the root cause of the behavior. Telling the client to stop self-mutilation (
D) is dismissive and oversimplifies the complexity of the disorder.
Question 4 of 5
A nurse is planning care for an older adult client who has dementia. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)
Correct Answer: A, D, E
Rationale:
Correct Answer: A, D, E
Rationale:
A: Giving the client one simple direction at a time helps in enhancing understanding and compliance due to cognitive impairment in dementia.
D: Reinforcing orientation to time, place, and person helps maintain the client's connection to reality and reduce confusion.
E: Establishing eye contact when communicating with the client promotes engagement and connection, aiding in effective communication.
Incorrect choices:
B: Refuting delusions using logic may escalate confusion and distress in the client with dementia.
C: Allowing the client to choose among a variety of activities may overwhelm them due to cognitive limitations.
Question 5 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 atypical antipsychotic, is known to cause metabolic side effects such as weight gain due to its impact on appetite regulation and metabolism. The nurse should monitor the client's weight regularly to detect any significant changes. Increased blood pressure (
Choice
A) is not a common adverse effect of risperidone. Excessive salivation (
Choice
C) is more commonly associated with medications that affect cholinergic receptors. Bradycardia (
Choice
D) is not a typical side effect of risperidone, which is more likely to cause tachycardia.