NGN ATI MENTAL HEALTH 2024 EXAM /
NGN ATI MENTAL HEALTH 2024
PROCTORED EXAM 2 VERSIONS EACH
WITH 70 QUESTIONS WITH DETAILED
ANSWERS AND RATIONALES
... [Show More] /A+
GRADE ASSURED BRAND NEW!!
A nurse is assessing a client who has major depressive disorder
and has been receiving amitriptyline for 1 week. Which of the
following outcomes should the nurse expect?
1. Rapid improvement in affect within 30 to 60 min after taking
the medication
2. Greater risk of attempting suicide as affect and energy improve
3. Onset of frequent loose stools
4. Development of physiologic dependence on the medication -
...ANSWER...2. Greater risk of attempting suicide as affect and
energy improve
Rationale: An initial response to amitriptyline can develop in 1
week. For a client who has been severely depressed with suicidal
ideation, the energy to carry out a plan is more possible after 1
week of treatment
A client who has bipolar disorder is to be discharged home with a
prescription for lithium. Which of the following statements
indicates that client teaching regarding the medication has been
effective?
1. "I should eat a regular diet with normal amounts of salt and
fluids."
2. "I should discontinue the lithium when I begin to feel better."
3. "I need to be careful to avoid becoming addicted to the
lithium."
4. "I can skip a dose of medication if my stomach is upset." -
...ANSWER...1. "I should eat a regular diet with normal amounts
of salt and fluids."
Rationale: This statement indicates that the client understands
the teaching because normal levels of sodium and fluid need to be
maintained to ensure adequate excretion of lithium. If sodium
levels are low, the body compensates by decreasing lithium
excretion, which can lead to toxicity.
A nurse is caring for a child who is taking methylphenidate. The
nurse should monitor the child for which of the following
findings as an adverse effect of methylphenidate?
1. Weight gain
2. Tinnitus
3. Tachycardia
4. Increased salivation - ...ANSWER...3. Tachycardia
Rationale: The nurse should monitor the child for tachycardia,
which is an adverse effect of methylphenidate
A nurse in an outpatient mental health setting is collecting a
health history from a client who is taking paroxetine for
depression. The client reports to the nurse that he also takes
herbal supplements. The nurse should advise the client that which
of the following supplements interacts adversely with paroxetine?
1. St. John's wort
2. Saw palmetto
3. Echinacea
4. Ginkgo - ...ANSWER...1. St. John's wort
Rationale: St. John's wort is an herbal preparation that decreases
the reuptake of serotonin. The nurse should advise the client that
taking St. John's wort with another medication that also inhibits
the reuptake of serotonin, such as paroxetine, places the client at
risk for serotonin syndrome.
A nurse is caring for a client who was admitted following an
overdose of amitriptyline. The nurse should monitor the client for
which of the following adverse effects associated with this
medication?
1. Loose stools
2. Urinary retention
3. Fever
4. Dyspnea - ...ANSWER...2. Urinary retention
Rationale: Urinary retention is an anticholinergic effect of
amitriptyline. Therefore, the nurse should monitor for this as an
adverse effect.
A nurse who is working on a mental health unit should recognize
that which of the following are indications for the use of
electroconvulsive therapy (ECT)?
1. A client who is suicidal and in need of rapid treatment
2. A client who has recently been diagnosed with severe
depression
3. A client who has bipolar disorder with rapid cycling
4. A client who has mania and has not responded to medication
therapy
5. A client whose depression is secondary to situational
difficulties - ...ANSWER...1. A client who is suicidal and in need
of rapid treatment
2. A client who has bipolar disorder with rapid cycling
3. A client who has mania and has not responded to medication
therapy
Rationale: ECT can be used when there is a need for a rapid,
definitive response for a client who is suicidal. ECT works best
for a client who has bipolar disorder with rapid cycling. ECT is
indicated for clients who have mania and have not responded to
medication therapy
A nurse is teaching a client who has a depressive disorder about
fluoxetine. Which of the following information should the nurse
include in the teaching?
1. "You may notice an increase in saliva while taking this
medication."
2. "You may experience difficulties with sexual functioning while
taking this medication."
3. "You should expect an improvement in symptoms of
depression in 3 to 4 days."
4. "You may notice a temporary ringing in the ears when starting
this medication." - ...ANSWER...2. "You may experience
difficulties with sexual functioning while taking this medication."
Rationale: Fluoxetine is a selective serotonin reuptake inhibitor
that can cause sexual dysfunction such as anorgasmia and
impotence. The nurse should instruct the client to notify the
provider if sexual dysfunction occurs.
A nurse is teaching the parent of a 10-year-old child who has
ADHD and a new prescription for dextroamphetamine. Which of
the following instructions should the nurse include in the
teaching?
1. "You should expect you child to gain weight while taking
medication."
2. "Administer the first dose of medication to your child 30
minutes before breakfast."
3. "You should expect your child to have diarrhea while taking
this medication."
4. "Administer the last dose of medication to your child 6 hours
before bedtime." - ...ANSWER...4. "Administer the last dose of
medication to your child 6 hours before bedtime."
Rationale: An adverse effect of dextroamphetamine is insomnia.
Therefore, the nurse should instruct the parent to administer the
last dose of medication to the child 6 hr before bedtime.
A nurse is assessing a client who recently used cocaine. Which of
the following findings should the nurse expect?
1. Polyphagia
2. Hypertension
3. Decreased temperature
4. Depressed mood - ...ANSWER...2. Hypertension
Rationale: Cocaine is a stimulant that increases blood pressure. It
also increases heart rate, body temperature, energy levels, and
metabolism.
A nurse is caring for a client who is undergoing electroconvulsive
therapy (ECT) and will receive succinylcholine. The client asks
the nurse about this medication. What is an appropriate response
by the nurse?
1. "Succinylcholine will enhance the therapeutic effects of this
treatment."
2. "Succinylcholine is given to reduce muscle movements during
therapy."
3. "Succinylcholine will decrease the anxiety level that you might
experience with this treatment."
4. "Succinylcholine is used as a general anesthetic to make sure
you are sleeping during the procedure." - ...ANSWER...2.
"Succinylcholine is given to reduce muscle movements during
therapy."
Rationale: Succinylcholine is a muscle-paralyzing agent that will
decrease muscle movement during the procedure so that injury is
less likely to occur.
A nurse in the emergency department is admitting a client who [Show Less]