ATI RN
ATI Mental Health Proctored Exam 2023
1. Which statement by the patient indicates a need for further teaching regarding the treatment of major depressive disorder?
- A. I have been on this antidepressant for 3 days. I understand that the full effect may take weeks to occur.
- B. I am going to ask my nurse practitioner to discontinue my Prozac today and let me start taking a monoamine oxidase inhibitor tomorrow.
- C. I may ask to have my medication changed to Wellbutrin due to the problems I am having being romantic with my wife.
- D. I realize that there are many antidepressants and it might take a while until we find the one that works best for me.
Correct answer: B
Rationale: Choice B indicates a need for further teaching because the patient is planning to switch directly from Prozac, an SSRI, to a monoamine oxidase inhibitor (MAOI) without allowing for a washout period. This abrupt switch poses a risk of serotonin syndrome, which can be life-threatening. It is essential to educate the patient about the importance of consulting healthcare providers before changing medications to prevent potential adverse effects.
2. Which statement made by the patient demonstrates an understanding of the effective use of newly prescribed lithium to manage bipolar mania? Select one that doesn't apply.
- A. I remind myself to consistently drink six 12-ounce glasses of fluid every day.
- B. I discussed the diuretic prescribed by my cardiologist with my psychiatric care provider.
- C. Lithium may help me lose the few extra pounds I tend to carry around.
- D. I take my lithium on an empty stomach to help with absorption.
Correct answer: C
Rationale: Proper hydration, discussing other medications, and taking lithium with or without food are important for effective and safe use of lithium. However, lithium is not prescribed for weight loss, and its usage should not be associated with losing extra pounds.
3. Which drug group requires nursing assessment for the development of abnormal movement disorders in individuals taking therapeutic dosages?
- A. SSRIs
- B. Antipsychotics
- C. Benzodiazepines
- D. Tricyclic antidepressants
Correct answer: B
Rationale: Antipsychotics are known to cause extrapyramidal symptoms, which manifest as abnormal movement disorders. Nursing assessments are crucial in monitoring patients taking antipsychotics to promptly identify and manage these potential side effects.
4. Carolina is surprised when her patient does not show for a regularly scheduled appointment. When contacted, the patient states, <I don't need to come see you anymore. I have found a therapy app on my phone that I love.= How should Carolina respond to this news?
- A. That sounds exciting, would you be willing to visit and show me the app?
- B. At this time, there is no real evidence that the app can replace our therapy.
- C. I am not sure that is a good idea right now, we are so close to progress.
- D. Why would you think that is a better option than meeting with me?
Correct answer: A
Rationale: Showing interest in the app can build rapport and allow for evaluation of its effectiveness.
5. When attempting to determine a teenager's mental health resilience, what assessment question should the nurse ask that is not applicable?
- A. How did you cope when your father deployed with the Army for a year in Iraq?
- B. Who did you go to for advice while your father was away for a year in Iraq?
- C. How do you feel about talking to a mental health counselor?
- D. Why would you think that is a better option than meeting with me?
Correct answer: D
Rationale: Assessing a teenager's mental health resilience involves exploring coping mechanisms, support systems, and attitudes towards seeking help. Option D is not relevant to assessing resilience but rather focuses on the comparison between seeking advice from a counselor versus the nurse, which doesn't directly gauge the teenager's resilience.
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