ATI:PN LEARNING SYSTEM MENTAL
HEALTH FINAL QUIZ QUESTIONS WITH
CORRECT ANSWERS 2024
A nurse in an acute mental health facility is reviewing the medication records for a group
of clients. The nurse should expect a prescription for memantine for a client who has
which of the following diagnoses? - Answer-Alzheimer's disease
Rationale:
The nurse should expect a prescription for memantine for a client who has moderate to
severe Alzheimer's disease. Memantine, an NMDA receptor agonist, is shown to slow
the progression of manifestations and to improve cognitive function.
A nurse is collecting data from a client who takes an MAOI for the treatment of
depression. Which of the following findings is the priority for the nurse to report to the
provider? - Answer-Elevated blood pressure
Rationale:
The nurse should identify that the greatest risk to the client is an elevated blood
pressure, which increases his risk for a hypertensive crisis that can result from taking an
MAOI. The nurse should apply the safety and risk reduction priority-setting framework
when collecting data from this client. This framework assigns priority to the factor or
situation posing the greatest safety risk to the client. When there are several risks to
client safety, the one posing the greatest threat is the highest priority. The nurse should
use Maslow's hierarchy of needs, the ABC priority-setting framework, or nursing
knowledge to identify which risk poses the greatest threat to the client.
A nurse is reviewing the medications of a client who has bipolar disorder and a new
prescription for lithium. The nurse should identify that it is safe to administer which of
the following medications while the client is taking lithium? - Answer-Valproic acid
Rationale:
Valproic acid and lithium are both indicated for the treatment of bipolar disorder. It is
safe for the nurse to administer both of these medications to the client.
A nurse is collecting data from a client who has cocaine intoxication. Which of the
following findings should the nurse expect? - Answer-Increased maternal alertness
Rationale:
The nurse should expect a client who has cocaine intoxication to have increased mental
alertness due to its stimulant properties.
, A nurse is caring for a client who has schizophrenia. The nurse notices that the client is
pacing up and down the hall very rapidly and muttering in an angry manner. Which of
the following actions should the nurse take first? - Answer-Approach the client in a non
threatening manner
Rationale:
The first action the nurse should take is to approach the client calmly, in a non
threatening manner, to create a non threatening environment. The nurse should apply
the least restrictive priority-setting framework when caring for this client. This framework
assigns prior to nursing interventions that are least restrictive to the client, as long as
those interventions do not jeopardize client safety. Least restrictive interventions
promote client safety without using restraints. The nurse should only use physical or
chemical restraints when the safety of the client, staff, or others is at risk.
A nurse in an acute mental health facility is participating in a nursing staff discussion
about the legal aspects of involuntary admissions. Which of the following information
should the nurse include? - Answer-An involuntary admission is justified if the client is a
danger to others
Rationale:
A client who is a danger to others or to himself qualifies for an involuntary admission.
The inability to meet basic needs due to the need for mental health treatment is also a
justification for an involuntary admission.
A nurse is reinforcing teaching with a client who has a new prescription for disulfiram for
the management of alcohol dependence. Which of the following dietary choices should
the nurse instruct the client to avoid? - Answer-Pure vanilla extract
Rationale:
The nurse should instruct the client to avoid alcohol and alcohol-containing substances,
such as pure vanilla extract, which taking disulfiram. The ingestion of alcohol while
taking this medication causes a disulfiram-alcohol reaction, which is manifested by
hyperventilation, dizziness, vomiting, and hypotension.
A nurse is reinforcing teaching with the family of a client who has Alzheimer's disease
about donepezil. Which of the following statements should the nurse include? -
Answer-"Donepezil can improve cognitive functioning during the earlier stages of the
disease."
Rationale:
The nurse should inform the family that donepezil is used to treat the manifestations of
mild to severe Alzheimer's disease. Although donepezil does not prevent the
progression of Alzheimer's disease, it is intended to prolong the client's ability to
function in the early stages of the disease.
HEALTH FINAL QUIZ QUESTIONS WITH
CORRECT ANSWERS 2024
A nurse in an acute mental health facility is reviewing the medication records for a group
of clients. The nurse should expect a prescription for memantine for a client who has
which of the following diagnoses? - Answer-Alzheimer's disease
Rationale:
The nurse should expect a prescription for memantine for a client who has moderate to
severe Alzheimer's disease. Memantine, an NMDA receptor agonist, is shown to slow
the progression of manifestations and to improve cognitive function.
A nurse is collecting data from a client who takes an MAOI for the treatment of
depression. Which of the following findings is the priority for the nurse to report to the
provider? - Answer-Elevated blood pressure
Rationale:
The nurse should identify that the greatest risk to the client is an elevated blood
pressure, which increases his risk for a hypertensive crisis that can result from taking an
MAOI. The nurse should apply the safety and risk reduction priority-setting framework
when collecting data from this client. This framework assigns priority to the factor or
situation posing the greatest safety risk to the client. When there are several risks to
client safety, the one posing the greatest threat is the highest priority. The nurse should
use Maslow's hierarchy of needs, the ABC priority-setting framework, or nursing
knowledge to identify which risk poses the greatest threat to the client.
A nurse is reviewing the medications of a client who has bipolar disorder and a new
prescription for lithium. The nurse should identify that it is safe to administer which of
the following medications while the client is taking lithium? - Answer-Valproic acid
Rationale:
Valproic acid and lithium are both indicated for the treatment of bipolar disorder. It is
safe for the nurse to administer both of these medications to the client.
A nurse is collecting data from a client who has cocaine intoxication. Which of the
following findings should the nurse expect? - Answer-Increased maternal alertness
Rationale:
The nurse should expect a client who has cocaine intoxication to have increased mental
alertness due to its stimulant properties.
, A nurse is caring for a client who has schizophrenia. The nurse notices that the client is
pacing up and down the hall very rapidly and muttering in an angry manner. Which of
the following actions should the nurse take first? - Answer-Approach the client in a non
threatening manner
Rationale:
The first action the nurse should take is to approach the client calmly, in a non
threatening manner, to create a non threatening environment. The nurse should apply
the least restrictive priority-setting framework when caring for this client. This framework
assigns prior to nursing interventions that are least restrictive to the client, as long as
those interventions do not jeopardize client safety. Least restrictive interventions
promote client safety without using restraints. The nurse should only use physical or
chemical restraints when the safety of the client, staff, or others is at risk.
A nurse in an acute mental health facility is participating in a nursing staff discussion
about the legal aspects of involuntary admissions. Which of the following information
should the nurse include? - Answer-An involuntary admission is justified if the client is a
danger to others
Rationale:
A client who is a danger to others or to himself qualifies for an involuntary admission.
The inability to meet basic needs due to the need for mental health treatment is also a
justification for an involuntary admission.
A nurse is reinforcing teaching with a client who has a new prescription for disulfiram for
the management of alcohol dependence. Which of the following dietary choices should
the nurse instruct the client to avoid? - Answer-Pure vanilla extract
Rationale:
The nurse should instruct the client to avoid alcohol and alcohol-containing substances,
such as pure vanilla extract, which taking disulfiram. The ingestion of alcohol while
taking this medication causes a disulfiram-alcohol reaction, which is manifested by
hyperventilation, dizziness, vomiting, and hypotension.
A nurse is reinforcing teaching with the family of a client who has Alzheimer's disease
about donepezil. Which of the following statements should the nurse include? -
Answer-"Donepezil can improve cognitive functioning during the earlier stages of the
disease."
Rationale:
The nurse should inform the family that donepezil is used to treat the manifestations of
mild to severe Alzheimer's disease. Although donepezil does not prevent the
progression of Alzheimer's disease, it is intended to prolong the client's ability to
function in the early stages of the disease.
