ATI RN
ATI nsg 133 Mental Health Exam 2 Questions
Extract:
Question 1 of 5
Serotonin-norepinephrine reuptake inhibitors (SNRIs), such as Duloxetine, are used for generalized anxiety disorder. Which of the following increases the risk for the client developing serotonin syndrome?
Correct Answer: D
Rationale: The correct answer is D: Combining medications that increase serotonin levels. Serotonin syndrome is caused by excessive serotonin levels in the body, leading to symptoms like confusion, agitation, sweating, and rapid heart rate. Combining medications that increase serotonin levels, such as SNRIs like Duloxetine, with other drugs that also increase serotonin levels can result in this dangerous condition. Missing a dose (choice
A) would not directly increase serotonin levels. Taking MAOI medication (choice
B) can also lead to serotonin syndrome but is not specific to the question about SNRIs. Taking SNRIs as directed (choice
C) is the appropriate use and would not increase the risk of serotonin syndrome.
Question 2 of 5
A nurse is planning care for a newly admitted client diagnosed with major depressive disorder following the loss of a child. Which of the following goals should the nurse identify as the priority?
Correct Answer: D
Rationale: The correct answer is D: The client makes a contract to avoid self-harm. This is the priority goal because individuals with major depressive disorder, especially following a significant loss, are at an increased risk of self-harm or suicide. By having the client make a contract to avoid self-harm, the nurse is addressing the immediate safety and well-being of the client. This goal helps ensure that the client remains safe during a vulnerable time.
A: While it is important for the client to be involved in the care planning process, ensuring safety takes precedence.
B: Identifying positive qualities is beneficial for self-esteem but may not address the immediate safety concerns.
C: Exhibiting expected grieving behaviors is important, but ensuring safety is the priority.
Summary: The priority goal is to address the client's safety by making a contract to avoid self-harm, as this directly addresses the heightened risk associated with major depressive disorder following a significant loss.
Question 3 of 5
The nurse is evaluating teaching for a client diagnosed with depression who is prescribed bupropion (Wellbutrin). Which of the following statements made by the client indicates that the teaching was effective?
Correct Answer: A
Rationale: The correct answer is A. This statement indicates effective teaching as it aligns with the expected timeline for bupropion to show effects, typically taking at least 2 weeks.
Choice B is incorrect as alcohol should be avoided while taking bupropion due to increased risk of side effects.
Choice C is incorrect as bupropion does not typically cause a slow heartbeat.
Choice D is incorrect as increased salivation and drooling are not common side effects of bupropion.
Question 4 of 5
A nurse is caring for a client with generalized anxiety disorder who is experiencing a panic attack. Which of the following is the nurse's priority action for this client?
Correct Answer: C
Rationale: The correct answer is C: Stay with the client. This is the priority action because the nurse needs to provide emotional support and reassurance to the client during a panic attack. Leaving the client alone can exacerbate the situation. A: Escorting the client to the common area may not be appropriate during a panic attack. B: Contacting security for restraints is not recommended unless absolutely necessary for safety reasons. D: Staying away from the client is not appropriate as the nurse needs to provide immediate support.
Question 5 of 5
A nurse is caring for a client with generalized anxiety disorder who is experiencing a panic attack. Which of the following is the nurse's priority action for this client?
Correct Answer: C
Rationale: The correct answer is C: Stay with the client. The nurse's priority action is to provide emotional support and reassurance during a panic attack. Remaining with the client helps establish a sense of safety and security, which can help calm the client. It also allows the nurse to monitor the client's condition and intervene promptly if necessary.
Choice A is incorrect because moving the client to a common area may exacerbate the panic attack due to increased stimulation.
Choice B is incorrect as restraints should only be used as a last resort for safety reasons and not as a primary intervention for anxiety attacks.
Choice D is incorrect as leaving the client alone can escalate the panic attack and increase feelings of isolation and fear.