ATI RN
ATI Mental Health Proctored Exam 2023
1. In addition to antianxiety agents, which classification of drugs is commonly prescribed to treat anxiety and anxiety disorders?
- A. Antipsychotics
- B. Mood stabilizers
- C. Antidepressants
- D. Cholinesterase inhibitors
Correct answer: C
Rationale: Antidepressants, especially selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs), are frequently used in the treatment of anxiety disorders. These medications help alleviate symptoms by affecting neurotransmitters in the brain associated with mood regulation and anxiety.
2. Which characteristic in an adolescent female is sometimes associated with the prodromal phase of schizophrenia?
- A. Constantly afraid another student will steal her belongings.
- B. An unusual interest in numbers and specific topics.
- C. Demonstrates no interest in athletics or organized sports.
- D. Appears more comfortable among males.
Correct answer: B
Rationale: During the prodromal phase of schizophrenia, individuals may exhibit subtle changes in behavior or interests. An unusual interest in numbers and specific topics may be a sign of cognitive disturbances that can precede the onset of schizophrenia. While the other choices may also be observed in adolescents, an unusual interest in numbers and specific topics is more specifically linked to potential prodromal symptoms of schizophrenia.
3. Which patient should be most carefully assessed for fluid and electrolyte imbalance among those receiving the following drugs?
- A. lithium (Eskalith)
- B. clozapine (Clozaril)
- C. diazepam (Valium)
- D. amitriptyline
Correct answer: A
Rationale: Lithium is known to cause polyuria (excessive urination) and polydipsia (excessive thirst), which can lead to fluid and electrolyte imbalances. Therefore, patients receiving lithium should be carefully monitored for signs of fluid and electrolyte disturbances to prevent any potential complications.
4. 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.
5. Which response demonstrates accurate information that should be discussed with the female patient diagnosed with bipolar disorder and her support system? Select the incorrect one.
- A. Remember that alcohol and caffeine can trigger a relapse of your symptoms.
- B. Due to the risk of a manic episode, antidepressant therapy is never used with bipolar disorder.
- C. It's critical to inform your healthcare provider immediately if you are experiencing sleep disturbances.
- D. Is your family prepared to be actively involved in helping manage this disorder?
Correct answer: B
Rationale: In managing bipolar disorder, it is vital to educate the patient and their support system about triggers like alcohol and caffeine, the significance of good sleep, and the need for family involvement. However, the statement in choice B is incorrect. While antidepressants need to be carefully monitored in bipolar disorder, they can be used in conjunction with mood stabilizers to manage depression in some cases.
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