ATI RN
ATI Mental Health
1. A nurse is providing discharge instructions to a client who has been prescribed fluoxetine (Prozac). Which information should the nurse include?
- A. Take the medication with food to avoid stomach upset.
- B. Avoid drinking alcohol while taking this medication.
- C. Report any unusual side effects to the healthcare provider.
- D. It may take several weeks for this medication to take effect.
Correct answer: B
Rationale: Clients taking fluoxetine (Prozac) should avoid alcohol to prevent adverse interactions.
2. A client with major depressive disorder is prescribed an antidepressant. Which of the following instructions should the nurse exclude from the teaching?
- A. It may take several weeks for the medication to take effect
- B. Avoid alcohol while taking this medication
- C. Discourage the client from washing her hands
- D. You may experience an increase in energy before your mood improves
Correct answer: C
Rationale: The nurse should not include the instruction to discourage the client from washing her hands in the teaching for a client prescribed an antidepressant. This instruction is not relevant to the medication regimen. Instead, the nurse should educate the client that it may take several weeks for the medication to take effect, to avoid alcohol, not to discontinue the medication abruptly, and that there may be an increase in energy before mood improves. Regular blood tests are not typically required for most antidepressants.
3. A client prescribed diazepam for anxiety is receiving education from a healthcare professional. Which statement by the client indicates a need for further teaching?
- A. I can drink alcohol while taking this medication.
- B. I should avoid drinking alcohol while taking this medication.
- C. I should take this medication only when I feel anxious.
- D. I can stop taking this medication when I feel better.
Correct answer: A
Rationale: The correct answer is A. Clients should avoid alcohol while taking diazepam (Valium) as it can potentiate the effects of the medication, leading to excessive sedation and other adverse effects. Mixing alcohol with diazepam can also increase the risk of overdose and other serious complications. Therefore, it is crucial for the client to refrain from consuming alcohol while on this medication to ensure their safety and optimize the therapeutic benefits of diazepam for managing anxiety.
4. When caring for a client experiencing alcohol withdrawal, which intervention should the nurse implement to prevent complications?
- A. Provide a well-lit environment.
- B. Administer antipsychotic medication as prescribed.
- C. Monitor the client's vital signs closely.
- D. Encourage the client to express their feelings.
Correct answer: C
Rationale: Monitoring the client's vital signs closely is crucial during alcohol withdrawal as it helps detect any physiological changes early, such as hypertension, tachycardia, or fever, which can indicate potential complications like delirium tremens. Early identification and prompt intervention can prevent severe outcomes in clients experiencing alcohol withdrawal.
5. A healthcare professional is assessing a client's use of defense mechanisms. Which statement would indicate to the healthcare professional that the client is using the defense mechanism of projection?
- A. The client accuses others of being angry when it is the client who is angry.
- B. The client refuses to acknowledge a problem despite evidence to the contrary.
- C. The client attributes his own feelings of hostility to others.
- D. The client avoids dealing with painful feelings by focusing on something else.
Correct answer: C
Rationale: Projection is a defense mechanism where individuals attribute their own unacceptable feelings, thoughts, or impulses onto others. In this case, the client is projecting his own feelings of hostility onto others by assuming they possess these feelings instead.
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