ATI PN Mental Health Chamberlain 2023

Extract:

Question 1 of 5

A nurse is reinforcing teaching with a client who has a history of depression about a new prescription for fluoxetine. Which statement by the client indicates understanding of the teaching?

A. I will increase my water intake up to 8 glasses a day.'B. I may experience sedation and sleepiness.'C. I will notice an improvement in my sex drive.'D. I should expect to feel better within 3 to 4 days.'

Correct Answer: B

Rationale: Sedation (
B) is a common fluoxetine side effect, showing understanding. Water (
A) isn’t specific, sex drive (
C) may decrease, and improvement takes weeks (
D).

Question 2 of 5

A nurse in a community clinic is speaking to a parent who expresses concern for her adolescent son. Which of the following statements by the mother should indicate to the nurse that the adolescent is at risk for suicide?

A. He spends much of his time with his school friends.'B. He has slept 9 hours each night for the past 2 years.'C. He is very religious and attends services twice a week.'D. His basketball coach committed suicide last month.'

Correct Answer: D

Rationale: A coach’s suicide (
D) increases risk via exposure. Friends (
A), sleep (
B), and religion (
C) are protective or neutral.

Question 3 of 5

A nurse is making a home visit for a 16-year-old adolescent who attempted suicide. Which of the following behaviors should alert the nurse that the adolescent still has suicidal intent?

A. Stating that he wants to be with his peers more than with his parents.B. Telling his parents that he doesn’t want to talk about the attempt.C. Preferring to eat his meals while watching TV.D. Planning to give his CD collection to his girlfriend.

Correct Answer: D

Rationale: Giving away possessions (
D) signals suicidal intent. Peer preference (
A), silence (
B), and TV meals (
C) are less concerning.

Question 4 of 5

A nurse is reinforcing teaching with a client who has a history of depression about a new prescription for fluoxetine. Which statement by the client indicates understanding of the teaching?

A. I will increase my water intake up to 8 glasses a day.'B. I may experience sedation and sleepiness.'C. I will notice an improvement in my sex drive.'D. I should expect to feel better within 3 to 4 days.'

Correct Answer: B

Rationale: Sedation (
B) is a common fluoxetine side effect, showing understanding. Water (
A) isn’t specific, sex drive (
C) may decrease, and improvement takes weeks (
D).

Question 5 of 5

A nurse is reinforcing teaching with a client about electroconvulsive therapy (ECT). Which of the following information should the nurse include in the teaching?

A. You will remain asleep for about 2 hours after the procedure.'B. These treatments should cure your depression.'C. You will receive a medication to prevent seizure activity.'D. You might experience some temporary memory loss after the procedure.'

Correct Answer: D

Rationale: Temporary memory loss (
D) is a common ECT side effect to prepare clients for. Sleep lasts 30-60 minutes (
A), ECT isn’t a cure (
B), and muscle relaxants, not anti-seizure drugs (
C), are used.

ATI PN Mental Health Chamberlain 2023 | Nurselytic

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ATI LPN

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