ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
An antidepressant medication is prescribed for a client who reports sleeping only 4 hours in the past 2 days and weight loss of 9 lbs within the last month. Which client goal is most important to achieve within the first three days of treatment?
Correct Answer: B
Rationale: The correct answer is B: Sleep at least 6 hours a night. This is the most important client goal to achieve within the first three days of treatment because addressing the client's sleep deprivation is crucial for overall well-being and mental health. Lack of sleep can exacerbate symptoms of depression and impact the effectiveness of antidepressant medication. By ensuring the client gets adequate sleep, it can improve mood, cognitive function, and overall health.
Choices A, C, and D are not as critical within the initial days of treatment. Meeting with a dietitian, understanding the purpose of the medication regimen, and describing the reasons for hospitalization are all important aspects of care but do not take precedence over addressing the immediate sleep deprivation issue.
Question 2 of 5
An RN is providing education to the family of a client diagnosed with schizophrenia who is being treated with clozapine (Clozaril). The RN should instruct the family to report which symptom immediately?
Correct Answer: A
Rationale: The correct answer is A: Sore throat. Clozapine can cause agranulocytosis, a potentially life-threatening condition characterized by a severe decrease in white blood cells. A sore throat can be an early sign of agranulocytosis, so it should be reported immediately to the healthcare provider for further evaluation and monitoring. Weight loss (
B), constipation (
C), and lightheadedness (
D) are common side effects of clozapine but are not as concerning as a sore throat in this scenario.
Question 3 of 5
A client with Bulimia and depression who is taking phenelzine (Nardil) 90 mg daily is admitted to an acute care hospital for uncontrolled hypertension. What dietary choices should the RN instruct the client to avoid?
Correct Answer: D
Rationale: The correct answer is D: Beef tips with gravy. Phenelzine is a monoamine oxidase inhibitor (MAOI) which interacts with tyramine-rich foods, such as aged cheeses, cured meats, and gravies. Beef tips with gravy contain aged meat and gravy, which are high in tyramine and can lead to a dangerous hypertensive crisis in clients taking MAOIs.
Choices A, B, and C do not contain high levels of tyramine and are safe options for clients on phenelzine.
Question 4 of 5
Kyle, a patient with schizophrenia, began to take the first-generation antipsychotic haloperidol (Haldol) last week. One day you find him sitting very stiffly and not moving. He is diaphoretic, and when you ask if he is okay he seems unable to respond verbally. His vital signs are: BP 170/100, P 110, T 104.2°F. What is the priority nursing intervention? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: Administer a medication such as benztropine IM to correct this dystonic reaction. The patient is exhibiting signs of acute dystonia, a side effect of haloperidol characterized by sustained muscle contractions. Benztropine is an anticholinergic medication that can help alleviate these symptoms quickly. Holding the medication (option
A) is not the priority as the immediate focus should be on managing the acute symptoms. Wiping with cold water or alcohol (option
B) may provide temporary relief but does not address the underlying issue. Reassuring the patient about tardive dyskinesia (option
D) is not relevant at this point as the priority is to address the acute dystonic reaction.
Question 5 of 5
When developing a plan of care for a client admitted to the psychiatric unit following aspiration of a caustic material related to a suicide attempt, which nursing problem has the highest priority?
Correct Answer: C
Rationale: The correct answer is C: Ineffective breathing pattern. This is the highest priority because aspiration of a caustic material can lead to respiratory distress or compromise, posing an immediate threat to the client's life. Ensuring adequate oxygenation is crucial. Impaired comfort (
A) and Ineffective coping (
D) are important but secondary to the client's physiological needs. Risk for injury (
B) may be a concern but is not immediate in this scenario.