ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
A patient being treated for insomnia is prescribed ramelteon (Rozerem). Which comorbid mental health condition would make this medication the hypnotic of choice for this particular patient?
Correct Answer: D
Rationale: The correct answer is D: Substance use disorder. Ramelteon is a melatonin receptor agonist that does not have abuse potential or risk of dependence, making it a suitable choice for patients with substance use disorder. Patients with substance use disorder are at higher risk for developing dependence on traditional hypnotics, such as benzodiazepines or Z-drugs.
Choice A, B, and C are incorrect because ramelteon does not specifically target symptoms of obsessive-compulsive disorder, generalized anxiety disorder, or persistent depressive disorder.
Question 2 of 5
A middle-aged adult with major depressive disorder suffers from psychomotor retardation, hypersomnia, and amotivation. Which intervention is likely to be most effective in returning this client to a normal level of functioning?
Correct Answer: D
Rationale: The correct answer is D: Teach the client to develop a plan for daily structured activities. This intervention addresses the symptoms of psychomotor retardation, hypersomnia, and amotivation commonly seen in major depressive disorder. Structured activities can help the client regain a sense of routine, purpose, and accomplishment, which can counteract the symptoms and improve functioning. Encouraging exercise (
A) may be beneficial, but developing a structured plan for daily activities is more directly targeted at addressing the specific symptoms presented. Developing a list of pleasurable activities (
B) may not provide the necessary structure and may not address the underlying issues contributing to the client's symptoms. Providing education on methods to enhance sleep (
C) may be helpful in addressing the hypersomnia symptom but may not fully address all aspects of the client's presentation.
Question 3 of 5
Gilbert, age 19, is described by his parents as a 'moody child' with an onset of odd behavior about at age 14, which caused Gilbert to suffer academically and socially. Gilbert has lost the ability to complete household chores, is reluctant to leave the house, and is obsessed with the locks on the windows and doors. Due to Gilbert’s early and slow onset of what is now recognized as schizophrenia, his prognosis is considered:
Correct Answer: D
Rationale: The correct answer is D:
To have a less positive outcome. Gilbert's symptoms of odd behavior, academic decline, social withdrawal, and obsession with locks indicate a significant impact on his daily functioning, suggesting severe impairment. Schizophrenia typically has a chronic course with fluctuating symptoms and poor functional outcomes, especially when onset is early and symptoms are persistent. While medication and psychosocial interventions can help manage symptoms, the early and slow onset of schizophrenia in Gilbert suggests a more challenging prognosis.
Choices A and C are incorrect because they imply a more optimistic outlook that may not align with the severity of Gilbert's symptoms.
Choice B is incorrect as Gilbert's symptoms indicate more than just a relapse stage.
Question 4 of 5
Pablo is a homeless adult who has no family connection. Pablo passed out on the street and emergency medical services took him to the hospital where he expresses a wish to die. The physician recognizes evidence of substance use problems and mental health issues and recommends inpatient treatment for Pablo. What is the rationale for this treatment choice? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A because in inpatient settings, there is continuous monitoring and supervision available to ensure Pablo's safety and prevent any self-harm behaviors. This is crucial for someone expressing a wish to die. Option B is incorrect because it focuses on symptom stabilization, which is not the primary rationale for inpatient treatment in this case. Option C is also incorrect as it addresses physical needs rather than the immediate mental health and safety concerns. Option D is incorrect because while medication adherence may be part of the treatment plan, it is not the primary reason for recommending inpatient treatment in this scenario.
Question 5 of 5
April, a 10-year-old admitted to inpatient pediatric care, has been getting more and more wound up and is losing self-control in the day room. Time-out does not appear to be an effective tool for April to engage in self-reflection. April’s mother admits to putting her in time-out up to 20 times a day. The nurse recognizes that:
Correct Answer: B
Rationale: The correct answer is B because the scenario indicates that April is getting more wound up and losing self-control despite being put in time-out multiple times a day. This suggests that time-out is no longer effective in helping April self-reflect or manage her behavior. Continuing to use an ineffective tool can be detrimental to April's well-being and may lead to escalating behavior issues.
Choices A, C, and D are incorrect because they do not address the fact that time-out is no longer effective in this situation. A suggests that time-out is still important, C assumes April enjoys time-out, and D jumps to a more extreme measure without exploring other alternatives.