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:
Correct Answer: C - I should avoid grapefruit juice while taking this medication.
Rationale: Buspirone is a medication used for generalized anxiety disorder. Grapefruit juice can interfere with the metabolism of buspirone, leading to increased levels of the medication in the body. This can result in potential side effects or decreased effectiveness of the medication. By understanding the need to avoid grapefruit juice, the client shows comprehension of an important aspect of medication management.
Incorrect
Choices:
A: Taking medication as needed for acute anxiety is not appropriate for buspirone, as it is typically taken regularly to manage anxiety symptoms.
B: While sedation and drowsiness are possible side effects of buspirone, this is not the key point of understanding for the client in this scenario.
D: Buspirone is not associated with a high risk for dependence compared to other anxiety medications, such as benzodiazepines.
Question 2 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.
Question 3 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 4 of 5
A nurse is providing teaching to a client who has a depressive disorder and a new prescription for amitriptyline. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I know it will be a couple of weeks before the medication helps me feel better." This statement indicates an understanding of the delayed onset of action of amitriptyline in treating depressive disorders. It is important for the client to be aware that antidepressants like amitriptyline may take a few weeks to start working. This shows the client has realistic expectations about the medication.
Choice A is incorrect because St. John's wort can interact with amitriptyline and should not be taken together.
Choice C is incorrect because amitriptyline is more likely to lower blood pressure rather than raise it.
Choice D is incorrect because amitriptyline should generally be taken with food to minimize gastrointestinal side effects.
Question 5 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.