ATI RN
ATI RN Mental Health 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is teaching a client who is about to start taking fluoxetine. The nurse should instruct the client that which of the following supplements interacts adversely with fluoxetine?
Correct Answer: A
Rationale: St. John's wort is known to interact adversely with fluoxetine. Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) used to treat depression. St. John's wort also affects serotonin levels, and when combined with fluoxetine, it increases the risk of serotonin syndrome, a potentially life-threatening condition characterized by symptoms like confusion, rapid heart rate, and muscle rigidity. Soy protein, echinacea, and ginkgo biloba do not have significant interactions with fluoxetine that pose such risks.
Extract:
Physical Examination
• Height: 152.4 cm (60 in)
• Weight: 36.7 kg (81 lb)
• BMI: 15.8
• Lanugo
• Decreased skin turgor
• Cold extremities
• Russell’s sign
• Hair loss
• Erosion of teeth enamel
• Client report of constipation
Vital Signs
• Heart rate: 44/min
• Respiratory rate: 20/min
• BP: 86/50 mm Hg
• Temperature: 36.2° C (97.2° F)
Medical History
The client is 18 years old and is being admitted into the inpatient eating disorder clinic. The client has had a history of anorexia nervosa since age 16. BMI has fluctuated from 15 to 19 over the past 3 years. The client reports restricting caloric intake to 400 cal/day, fasting, and dieting. The client also reports frequent episodes of binge eating, self-induced vomiting, frequent laxative use, and exercising three times per day, every day. The client states, “I am so fat. No matter what I do, I can’t get skinny or lose enough weight.” The client’s guardian reports that the client is a perfectionist and has obsessive thoughts related to food and diet.
Question 2 of 5
A nurse is initiating the plan of care for a client who has anorexia nervosa.Exhibits:Complete the following sentence by using the lists of options. The nurse should first address the client's ___ followed by the client's ___.
Correct Answer: A,B
Rationale: Bradycardia (44/min) is life-threatening in anorexia due to malnutrition, requiring immediate attention, followed by dehydration (skin turgor) to stabilize.
Extract:
Question 3 of 5
A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the following outcomes should the nurse include in the plan of care?
Correct Answer: A
Rationale: Initiating social interactions is an appropriate, measurable outcome for autism spectrum disorder, targeting core deficits in communication and social skills. Delusions are unrelated to autism, peer pressure isn’t a specific goal, and meeting needs without manipulation is too broad and not autism-specific.
Question 4 of 5
A nurse is providing discharge teaching about the manifestations of relapse to the family of a client who has schizophrenia. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: Excessive sleep or a significant change in sleep patterns can be an indicator of a relapse in schizophrenia. Schizophrenia can disrupt the regular sleep-wake cycle, leading to either insomnia or hypersomnia. When a client begins sleeping more than usual, it may suggest a worsening of symptoms or an impending relapse. This is a critical sign for the family to monitor, as opposed to concentration issues (which are common but less specific), an inflated sense of self (more tied to mania or grandiose delusions not typical of schizophrenia relapse), or increased social activity (which is generally positive and not a relapse sign).
Question 5 of 5
A nurse is assessing a client during a follow-up at a health clinic. The client reports that they struggle to take antipsychotic medication on a regular basis. Which of the following actions should the nurse take to improve medication adherence?
Correct Answer: C
Rationale: Asking if the medication causes adverse effects directly addresses potential barriers to adherence. Side effects are a common reason for non-compliance, and identifying them allows for adjustments to improve adherence. Threats of admission are coercive, discussing goals is indirect, and adding another medication without cause could worsen the issue.