ATI RN
ATI Mental Health Exam 3 Questions
Extract:
Question 1 of 5
A patient with a history of bipolar I disorder is prescribed fluoxetine (Prozac) for a depressive episode. What is the nurse's priority action?
Correct Answer: B
Rationale: Fluoxetine (Prozac) is an SSRI used to treat depression but in patients with bipolar disorder it can trigger a manic episode.
Therefore the nurse's priority is to monitor for signs of mania such as increased energy euphoria or impulsivity. Gastrointestinal side effects administration and weight gain education are secondary to this immediate risk.
Question 2 of 5
A 25-year-old patient with generalized anxiety disorder presents to the ED with shortness of breath,dizziness,and tingling in the fingers. The nurse reviews the ABG results: pH: 7.50 PaCO2: 30 mmHg HCO3: 24 mEq/L. What is the most likely acid-base imbalance?
Correct Answer: C
Rationale: Respiratory alkalosis is indicated by a pH of 7.50 (alkalosis) and a PaCO2 of 30 mmHg which is lower than the normal range (35-45 mmHg). This low PaCO2 suggests that the patient is hyperventilating likely due to anxiety which causes the body to excrete too much CO2. Other options do not match the lab results.
Question 3 of 5
A charge nurse is teaching a group of nurses about the antagonist action of medications. The nurse should include in the teaching that which of the following antagonist medications is used for benzodiazepines?
Correct Answer: D
Rationale: Flumazenil is a benzodiazepine antagonist used to reverse the effects of benzodiazepine overdose or sedation. Naloxone reverses opioids diphenhydramine is an antihistamine and protamine reverses heparin.
Question 4 of 5
A nurse in the emergency department is caring for a client who reports chest pain,headache,and shortness of breath. He continues to state,I don't know why my wife left me. The client receives a diagnosis of anxiety. The nurse realizes the client's findings support which level of anxiety?
Correct Answer: A
Rationale: The client's physical symptoms (chest pain headache shortness of breath) and statements about not understanding why his wife left indicate a panic level of anxiety which is marked by intense physical and emotional distress. Moderate mild and severe anxiety do not present with such intense physical symptoms.
Question 5 of 5
A nurse is caring for a client who has bipolar disorder and a new prescription for valproate. Which of the following instructions should the nurse give the client about the use of this medication?
Correct Answer: A
Rationale: Valproate is associated with potential liver toxicity so liver function tests must be monitored regularly during treatment. Thyroid tests EEGs and high sodium levels are not directly related to valproate therapy.