ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
The nurse administers each of the following drugs to various patients. The patient who should be most carefully assessed for fluid and electrolyte imbalance is the one receiving:
Correct Answer: A
Rationale: The correct answer is A: Lithium (Eskalith). Lithium is known to cause nephrogenic diabetes insipidus, leading to excessive urination and potential dehydration.
Therefore, the patient receiving lithium should be carefully assessed for fluid and electrolyte imbalances. Clozapine (
B), Diazepam (
C), and Amitriptyline (
D) do not have a significant impact on fluid and electrolyte balance compared to lithium.
Question 2 of 5
A psychiatric nurse is reviewing prescriptions for a patient with major depression at the county clinic. Since the patient has a mild intellectual disability, the nurse would question which classification of antidepressant drugs:
Correct Answer: B
Rationale: The correct answer is B: Monoamine oxidase inhibitors. Due to the patient's mild intellectual disability, MAOIs would be questioned because they have a higher risk of adverse effects, dietary restrictions, and drug interactions compared to other antidepressants. Selective serotonin reuptake inhibitors (
Choice
A) and serotonin and norepinephrine reuptake inhibitors (
Choice
C) are safer options for patients with intellectual disabilities as they have fewer side effects and interactions.
Choice D is incorrect as all categories of antidepressants may not be suitable for the patient.
Question 3 of 5
The mental health team is determining treatment options for a male patient who is experiencing psychotic symptoms. Which question(s) should the team answer to determine whether a community outpatient or inpatient setting is most appropriate? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: Does the patient have experiences with either community or inpatient mental healthcare facilities? This question is crucial in determining the most appropriate setting for the patient's treatment. If the patient has prior experience with either setting, it can help the mental health team understand which environment may be more beneficial for the patient's current needs. If the patient has had positive experiences in a community outpatient setting, they may be more likely to benefit from that environment. On the other hand, if the patient has had previous success in an inpatient setting, that may be a more appropriate option. This question helps the team tailor the treatment plan to the patient's individual needs based on their past experiences.
Choices A, B, and D are incorrect as they do not directly address the patient's past experiences with different treatment settings, which is the most relevant factor in determining the appropriate treatment setting for the patient.
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: Intermittent supervision is available in inpatient settings. In an inpatient treatment setting, Pablo can receive continuous monitoring and supervision, ensuring his safety and well-being. This is crucial for someone like Pablo who is homeless, has substance use issues, and expressed a wish to die. Inpatient treatment can provide a controlled environment where his physical and mental health can be closely monitored, and immediate interventions can be implemented if needed.
Incorrect choices:
B: While stabilization of multiple symptoms is important, the key factor here is the need for constant supervision, which is better provided in an inpatient setting.
C: Although nutritional and self-care needs are important, the primary concern in this case is Pablo's mental health and safety, which can be better addressed in an inpatient setting.
D: While medication adherence is important, it is not the primary reason for recommending inpatient treatment for Pablo. The need for supervision and monitoring takes precedence.
Question 5 of 5
Which statement made by the nurse demonstrates the best understanding of nonverbal communication?
Correct Answer: B
Rationale: The correct answer is B because it demonstrates an understanding of the importance of checking for congruence between verbal and nonverbal communication to validate responses. Nonverbal cues can provide additional context and insight into a patient's true feelings or intentions.
Choice A is too general and does not emphasize the significance of congruence.
Choice C makes an assumption based solely on nonverbal cues, which can be misleading.
Choice D is incorrect as understanding nonverbal communication is equally important as verbal communication.