ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 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 2 of 5
A mental health worker is caring for a client with escalating aggressive behavior. Which action by the mental health worker warrants immediate intervention by the RN?
Correct Answer: A
Rationale: The correct answer is A because attempting to physically restrain an aggressive client can escalate the situation and potentially result in harm to both the client and the mental health worker. It is crucial for the RN to intervene immediately to prevent any physical confrontation and ensure safety for all individuals involved.
Choice B is incorrect because maintaining a safe distance from an aggressive client is a recommended practice to ensure personal safety.
Choice C is incorrect as guiding the client to a quiet area can be a de-escalation technique.
Choice D is incorrect as using a loud voice may be necessary to communicate effectively in a tense situation. It is important to prioritize safety and de-escalation techniques when caring for clients with escalating aggressive behavior.
Question 3 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. This is because MAO inhibitors have a higher risk of interactions with certain foods and other medications, which can be challenging for a patient with a mild intellectual disability to manage due to potential cognitive limitations. Selective serotonin reuptake inhibitors (
Choice
A) and Serotonin and norepinephrine reuptake inhibitors (
Choice
C) are generally safer options and are commonly used in patients with depression, including those with intellectual disabilities. Choosing "All of the above" (
Choice
D) is incorrect as it includes options that are not suitable for a patient with mild intellectual disability.
Question 4 of 5
A male client with schizophrenia is demonstrating echolalia, which is becoming annoying to other clients on the unit. What intervention is best for the RN to implement?
Correct Answer: C
Rationale: The correct answer is C: Avoid recognizing the behavior. This intervention is best because echolalia is a symptom of schizophrenia and acknowledging or reinforcing it may exacerbate the behavior. Ignoring the behavior can help decrease its frequency as the client may lose interest in repeating others' words if it does not elicit a response. Isolating the client (
A) may lead to feelings of rejection and exacerbate symptoms. Administering a sedative (
B) should not be the first-line approach as it does not address the underlying cause of the behavior. Escorting the client to his room (
D) may not be effective in managing echolalia.
Question 5 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.