ATI RN
ATI RN Mental Health 2019 NGN Questions
Extract:
Question 1 of 5
A nurse is reviewing the medication administration record of a client who has major depressive disorder and a new prescription for selegiline. The nurse should recognize that which of the following client medications is contraindicated when taken with selegiline?
Correct Answer: A
Rationale: Combining selegiline (an MAOI) with fluoxetine (an SSRI) risks serotonin syndrome, a life-threatening condition. Warfarin (
B), calcium carbonate (
C), and acetaminophen (
D) do not have significant interactions with selegiline.
Question 2 of 5
A nurse is creating a plan of care for a client who has major depressive disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: Group activities alleviate isolation and promote belonging, improving mood. Bright light at night (
B) disrupts sleep, discouraging anger (
C) suppresses emotions, and physical activity (
D) depends on client condition, making it less immediate.
Question 3 of 5
A nurse in a mental health facility is reviewing the laboratory results of a client who is taking lithium carbonate. Which of the following findings places the client at risk for lithium toxicity?
Correct Answer: B
Rationale: Sodium 132 mEq/L indicates hyponatremia, increasing lithium reabsorption and toxicity risk. Normal AST (
A), calcium (
C), and WBC (
D) levels do not directly contribute to lithium toxicity.
Question 4 of 5
A nurse in an in-patient facility is caring for a client who has an anxiety disorder. Which of the following actions should the nurse take while the client is experiencing an acute panic attack?
Correct Answer: D
Rationale: Alprazolam, a benzodiazepine, quickly reduces panic attack symptoms. Atomoxetine (
A) is for ADHD, journaling (
B) is impractical during acute distress, and TV (
C) is ineffective for immediate relief.
Question 5 of 5
A nurse is assessing a client who has depression and takes phenelzine. The client reports eating pepperoni pizza while out on a pass during lunchtime. Which of the following assessments should the nurse perform?
Correct Answer: B
Rationale: Phenelzine, an MAOI, with tyramine-rich foods like pepperoni risks hypertensive crisis, requiring blood pressure assessment. Bowel sounds (
A), oxygen (
C), and pupil response (
D) are not directly affected.