ATI RN
RN ATI Mental Health Proctored Exam 2023 With NGN Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has generalized anxiety disorder about buspirone. Which statement indicates the client understands the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I should avoid grapefruit juice while taking this medication." This is because grapefruit juice can interfere with the metabolism of buspirone, potentially leading to increased levels of the medication in the body. This can result in an increased risk of side effects and adverse reactions.
Therefore, it is important for the client to avoid consuming grapefruit juice while taking buspirone to ensure the medication works effectively and safely.
Other choices are incorrect:
A: Taking buspirone as needed for acute anxiety is not recommended as this medication is typically taken on a regular schedule to maintain its effectiveness.
B: Sedation and drowsiness are possible side effects of buspirone, but not a key indicator of understanding the teaching.
D: While there is a risk of dependence with some anxiety medications, buspirone is not associated with significant dependence potential.
Question 2 of 5
A nurse is caring for a client with major depressive disorder who has a new prescription for fluoxetine. Which statement by the client indicates an understanding of the medication?
Correct Answer: B
Rationale:
Rationale:
Choice B is correct because increased thoughts of suicide can occur at the beginning of fluoxetine treatment, especially in younger adults. This is due to the medication's effect on energy levels before mood improvement. The other choices are incorrect because: A - Improvement in mood may take several weeks, not days; C - Tyramine restriction is for MAOIs, not SSRIs like fluoxetine; D - Lithium levels monitoring is not necessary for fluoxetine.
Question 3 of 5
A nurse is teaching a client who has generalized anxiety disorder about buspirone. Which statement indicates the client understands the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I should avoid grapefruit juice while taking this medication." This is because grapefruit juice can interact with buspirone and increase its levels in the bloodstream, potentially leading to adverse effects. Taking the medication with grapefruit juice can affect its effectiveness.
A: Taking medication as needed for acute anxiety is not appropriate for buspirone, as it is usually taken regularly to prevent anxiety.
B: While sedation and drowsiness are potential side effects of buspirone, it is not the most important information to indicate understanding of the teaching.
D: Buspirone has a lower risk for dependence compared to other anxiety medications, so this statement is less crucial for understanding the medication.
In summary, choosing answer C demonstrates understanding of an important drug-food interaction with buspirone, making it the correct answer.
Question 4 of 5
A nurse is caring for a client with schizophrenia who is experiencing auditory hallucinations. Which intervention should the nurse implement first?
Correct Answer: A
Rationale: The correct answer is A: Ask the client what the voices are saying. This intervention is crucial because it helps the nurse gain insight into the content of the hallucinations, which can provide valuable information about the client's thoughts and feelings. It also shows the client that the nurse is listening and taking their experiences seriously. By understanding the content of the hallucinations, the nurse can better assess the client's mental state and develop an appropriate care plan.
Choice B is incorrect because directly telling the client the voices are not real may invalidate their experiences and lead to decreased trust.
Choice C is not the priority as it does not address the immediate need of addressing the hallucinations.
Choice D is not the first intervention as deep breathing exercises may not be effective in managing auditory hallucinations.
Question 5 of 5
A nurse in an acute mental health care facility is prioritizing care for multiple clients. Which of the following clients should the nurse see first?
Correct Answer: D
Rationale: The correct answer is D because the client taking clozapine reporting a sore throat could indicate a potentially serious side effect called agranulocytosis, which requires immediate medical attention to prevent complications. Agranulocytosis is a rare but life-threatening condition that can lead to severe infections due to a drastic decrease in white blood cells.
Therefore, the nurse should prioritize assessing this client to ensure prompt intervention if necessary.
Choice A is incorrect because mocking behavior, although inappropriate, does not pose an immediate physical threat to the client or others.
Choice B is incorrect as the upset about a change in routine can be addressed after addressing urgent medical concerns.
Choice C is incorrect since assistance with ADLs can be provided once the client with the sore throat is assessed and treated.