ATI RN
ATI RN Mental Health 2023 Questions
Extract:
Question 1 of 5
A nurse is teaching a client who is to start taking fluoxetine. The nurse should instruct the client that which of the following supplements interacts adversely with fluoxetine?
Correct Answer: C
Rationale: Soy protein is not known to interact adversely with fluoxetine. Echinacea is not known to interact adversely with fluoxetine. St. John's wort is known to interact adversely with fluoxetine by increasing serotonin levels, which can lead to serotonin syndrome, a potentially life-threatening condition characterized by symptoms such as confusion, agitation, rapid heart rate, and high blood pressure. Ginkgo biloba is not known to interact adversely with fluoxetine.
Question 2 of 5
A nurse is providing teaching about self-care behaviors to a client who has major depressive disorder. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because using coping mechanisms that have been effective in the past is a positive self-care behavior for managing major depressive disorder. This indicates the client's willingness to engage in strategies that have worked before, promoting coping and resilience.
Choice B is incorrect as relying solely on someone else for daily planning may lead to dependency and lack of autonomy.
Choice C is incorrect as staying in bed when feeling exhausted can perpetuate feelings of isolation and worsen depressive symptoms.
Choice D is incorrect as avoiding discussing upsetting events can hinder emotional processing and lead to increased distress.
Question 3 of 5
A nurse is caring for a client whose partner died 6 months ago. Which of the following findings is the nurse's priority?
Correct Answer: D
Rationale: The correct answer is D: The client states that he is unable to eat more than once a day. This is the priority finding because it indicates potential malnutrition, which can have serious health consequences. The nurse should address this issue first to ensure the client's physical well-being.
Choice A focuses on anger, which is important but not as urgent as addressing nutritional concerns.
Choice B relates to negative memories, which may require emotional support but is not immediate.
Choice C involves feelings of guilt, which can be addressed once the client's physical needs are met. By prioritizing the client's inability to eat, the nurse ensures a holistic approach to care.
Question 4 of 5
A nurse is caring for a client who is undergoing electroconvulsive therapy. Which of the following tasks should the nurse delegate to an assistive personnel?
Correct Answer: D
Rationale: The correct answer is D. The nurse should delegate the task of assisting the client to ambulate post-procedure to the assistive personnel. Here's why: 1. Ambulation after ECT is a routine task that does not require specialized nursing knowledge. 2. It promotes client independence and mobility. 3. It allows the nurse to focus on critical tasks like monitoring the client's vital signs and mental status. 4. Atropine administration (choice
A) requires a licensed nurse's assessment and judgment. Witnessing consent (choice
B) ensures the client's autonomy. Checking the client's condition (choice
C) involves assessing for potential complications, which should be done by a qualified nurse.
Question 5 of 5
A nurse is caring for a client who is taking citalopram. For which of the following adverse effects should the nurse monitor the client?
Correct Answer: D
Rationale: Jaundice is not a commonly reported adverse effect of citalopram. It is more commonly associated with liver dysfunction or other medications. Urinary retention is not a commonly reported adverse effect of citalopram. It is more commonly associated with anticholinergic medications. Bruising is not a commonly reported adverse effect of citalopram. It is more commonly associated with medications that affect platelet function or clotting factors. Decreased libido (reduced sexual desire) is a potential adverse effect of citalopram, as it is with other selective serotonin reuptake inhibitors (SSRIs). Monitoring for changes in sexual function is important because it can affect quality of life and treatment adherence.