ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
The nurse is preparing medications for a client with bipolar disorder and notices that the antipsychotic medication was discontinued several days ago. Which medication should also be discontinued?
Correct Answer: B
Rationale: The correct answer is B. Benztropine (Cogentin) should be discontinued because it is commonly used to treat side effects of antipsychotic medications. Since the antipsychotic medication has been discontinued, there is no need to continue benztropine. Alprazolam (
A) is used for anxiety, not related to bipolar disorder. Magnesium (
C) is a laxative, not typically used for bipolar disorder. Lithium (
D) is a mood stabilizer commonly used for bipolar disorder and should not be discontinued without consulting the healthcare provider.
Question 2 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 3 of 5
What assessment question will provide the nurse with information regarding the effects of a woman’s circadian rhythms on her quality of life?
Correct Answer: E
Rationale: The correct answer is E. Asking about how much sleep the woman usually gets each night will provide the nurse with information regarding her circadian rhythms and their effects on her quality of life. Circadian rhythms are the body's natural cycles that influence sleep-wake patterns. By understanding her sleep habits, the nurse can assess if she is getting enough rest at the right times, which directly impacts her quality of life.
Choices A, B, C, and D are incorrect as they do not directly relate to circadian rhythms or sleep patterns.
Choice A focuses on general well-being, choice B on cardiac health, choice C on past illnesses, and choice D on urinary problems. These questions are not specific to circadian rhythms and do not address the effects on quality of life.
Question 4 of 5
Which statement made by a patient prescribed bupropion (Wellbutrin) demonstrates that the medication education the patient received was effective? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A because it demonstrates the patient understands the dual purpose of Wellbutrin as an antidepressant and smoking cessation aid. This shows comprehension of the medication's intended effects and goals.
Choice B is incorrect as weight gain is a potential side effect of Wellbutrin.
Choice C is incorrect as a history of seizures should be evaluated by the healthcare provider before starting Wellbutrin.
Choice D is incorrect as Wellbutrin is not typically associated with drowsiness.
Question 5 of 5
The nurse is using the CAGE questionnaires as a screening tool for a client who is seeking help because his wife said he had a drinking problem. What information should the nurse explore in-depth with the client based on this screening tool?
Correct Answer: D
Rationale: The correct answer is D. The CAGE questionnaire is a widely used tool to screen for alcohol use disorder. Each letter in CAGE represents a key question: "C" for efforts to Cut down, "A" for Annoyance with criticism about drinking, "G" for Guilt about drinking, and "E" for using alcohol as an "Eye-opener." These questions help assess the client's attitudes and behaviors related to alcohol consumption, providing valuable information for further evaluation and intervention.
Choices A, B, and C do not directly address the key aspects of alcohol use disorder that the CAGE questionnaire aims to uncover, making them incorrect. It is crucial for the nurse to explore the issues highlighted in answer choice D to gain a comprehensive understanding of the client's alcohol consumption patterns and potential alcohol-related problems.