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 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 2 of 5
A nurse in an outpatient mental health clinic is assessing an adolescent client. The nurse should expect the adolescent to be in which of the following of Erikson's stages of psychosocial development?
Correct Answer: D
Rationale: The correct answer is D: Identity vs role confusion. Adolescents typically fall within Erikson's stage of Identity vs role confusion, where they explore their sense of self and develop a cohesive identity. During this stage, they may experiment with different roles and beliefs to establish their self-concept. Trust vs mistrust (
B) is the stage for infants, Generativity vs self-absorption (
A) is for middle adulthood, and Intimacy vs isolation (
C) is for young adulthood. The other choices are not relevant to the developmental stage of an adolescent.
Question 3 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 atypical antipsychotic, is known to cause metabolic side effects such as weight gain due to its impact on appetite regulation and metabolism. The nurse should monitor the client's weight regularly to detect any significant changes. Increased blood pressure (
Choice
A) is not a common adverse effect of risperidone. Excessive salivation (
Choice
C) is more commonly associated with medications that affect cholinergic receptors. Bradycardia (
Choice
D) is not a typical side effect of risperidone, which is more likely to cause tachycardia.
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 in managing withdrawal symptoms by preventing cravings and reducing the severity of symptoms. It is commonly used in opioid substitution therapy. Disulfiram (
B) is used for alcohol dependence, Naloxone (
C) is an opioid antagonist used for overdose reversal, and Bupropion (
D) is an antidepressant. These medications are not indicated for preventing opioid withdrawal symptoms.
Question 5 of 5
A nurse is planning care for a client who has borderline personality disorder and engages in self-mutilation. Which intervention should the nurse include?
Correct Answer: B
Rationale: The correct answer is B because encouraging the client to express feelings of anger helps in addressing the underlying emotions that may lead to self-mutilation. This intervention promotes open communication and healthy emotional expression, which can reduce the need for self-harm. Restricting access to personal belongings (
A) may escalate feelings of helplessness and increase the risk of self-harm. Placing the client in seclusion (
C) can be traumatic, worsen feelings of isolation, and hinder therapeutic rapport. Directly telling the client to stop self-mutilation (
D) is not effective as it oversimplifies the complex issue and may lead to defensiveness.