ATI RN
RN ATI Mental Health Proctored Exam 2023 With NGN Questions
Extract:
Question 1 of 5
A nurse is speaking with the caregiver of a client who has Alzheimer's disease. The caregiver states, "Providing constant care is very stressful and is affecting all areas of my life." Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Assist the caregiver to arrange for a daycare program for the client. This is the best option because it provides the caregiver with respite, allowing them to take a break and attend to their own needs while ensuring the client receives appropriate care. It also helps in preventing caregiver burnout and enhances the client's social engagement.
Option A is incorrect as prescribing antipsychotic medication should not be the first line of intervention for caregiver stress. Option B is incorrect as it does not address the caregiver's need for respite. Option C is incorrect as discussing communication strategies, while important, does not directly address the caregiver's need for relief.
Question 2 of 5
A nurse is caring for a client who has a history of opioid use disorder. Which medication should the nurse anticipate administering to prevent withdrawal symptoms?
Correct Answer: A
Rationale: The correct answer is A: Methadone. Methadone is a long-acting opioid agonist that helps prevent withdrawal symptoms in clients with opioid use disorder by providing a similar but less intense effect, allowing for a gradual tapering off. Disulfiram (
B) is used to treat alcohol use disorder, not opioid use disorder. Naloxone (
C) is an opioid antagonist used for reversing opioid overdose, not preventing withdrawal. Bupropion (
D) is an antidepressant and smoking cessation aid, not indicated for opioid withdrawal.
Question 3 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 details or events to fill in memory gaps, often seen in clients with dementia. In this scenario, the client is creating false memories of taking care of other residents, which is characteristic of confabulation.
A: Projection involves attributing one's thoughts or feelings to others, not relevant here.
B: Perseveration is the repetition of a particular response, also not applicable.
C: Agnosia is the inability to recognize familiar objects or people, not demonstrated in this case.
In summary, the client's statement aligns with confabulation as it involves unintentional fabrication of memories, making it the correct choice among the options provided.
Question 4 of 5
A nurse is caring for a client who has a history of opioid use disorder. Which medication should the nurse anticipate administering to prevent withdrawal symptoms?
Correct Answer: A
Rationale: The correct answer is A: Methadone. Methadone is a long-acting opioid agonist that helps manage withdrawal symptoms in individuals with opioid use disorder. It works by binding to the same receptors as opioids, reducing cravings and withdrawal symptoms. Disulfiram (
B) is used to treat alcohol use disorder, not opioid use disorder. Naloxone (
C) is an opioid antagonist used for opioid overdose reversal, not prevention of withdrawal. Bupropion (
D) is an antidepressant and smoking cessation aid, not typically used for opioid withdrawal.
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 antipsychotic medication, is known to cause metabolic side effects such as weight gain. This occurs due to its impact on appetite regulation and metabolism. The nurse should monitor the client's weight regularly to detect any significant changes.
A: Increased blood pressure is not a common adverse effect of risperidone.
C: Excessive salivation is more commonly associated with medications that affect the cholinergic system, not typically with risperidone.
D: Bradycardia is not a typical side effect of risperidone; it is more commonly associated with medications that affect heart rate.