ATI RN
ATI RN Custom NURS 120 Psychiatric Nursing FA23 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is reviewing abnormal laboratory values for four clients who have schizophrenia and take clozapine. For which of the following clients should the nurse withhold the medication and notify the provider immediately to have clozapine therapy discontinued?
Correct Answer: D
Rationale: A WBC of 2,900 cells/mm^2 indicates possible agranulocytosis, requiring clozapine discontinuation. BUN (
A), potassium (
B), and hematocrit (
C) are not contraindications.
Question 2 of 5
A nurse is reviewing medications for a newly admitted client who has bipolar disorder and is experiencing mania. Which of the following client prescriptions should the nurse realize is expected to reduce the client's mania?
Correct Answer: C
Rationale: Carbamazepine, a mood stabilizer, reduces mania. Fluvastatin (
A) is for cholesterol, lorazepam (
B) is for anxiety, and propranolol (
D) is for hypertension.
Question 3 of 5
A nurse is teaching a client who has bipolar disorder about lithium. Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: Vomiting or diarrhea can cause dehydration, increasing lithium toxicity risk, so notifying the provider is crucial. Empty stomach (
A), extra saliva (
B), and reduced fluid (
D) are incorrect.
Question 4 of 5
A nurse in a mental health clinic is conducting a staff education session on schizophrenia. Which of the following manifestations should the nurse identify as negative symptoms? (Select all that apply.)
Correct Answer: A,C
Rationale: Blunt affect (
A) and anhedonia (
C) are negative symptoms. Delusions (
B), hallucinations (
D), and poor judgment (E) are not negative symptoms.
Question 5 of 5
A nurse is teaching a client who has a new prescription for lithium to treat bipolar disorder. The nurse should instruct the client to ensure an adequate intake of which of the following dietary elements?
Correct Answer: B
Rationale: Clients should maintain consistent sodium intake, as low sodium can increase lithium levels, risking toxicity. Vitamin K (
A), potassium (
C), and vitamin C (
D) are not specifically related to lithium management.