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Exam (elaborations)

ATI :PN Learning System Mental Health Final Quiz

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ATI :PN Learning System Mental Health Final Quiz 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? 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? 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.

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2024/2025
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ATI :PN Learning System Mental Health
Final Quiz

Afnursefinfanfacutefmentalfhealthffacilityfisfreviewingfthefmedicationfrecordsfforfafgroupfoffclients.fThef
nursefshouldfexpectfafprescriptionfforfmemantinefforfafclientfwhofhasfwhichfofftheffollowingfdiagnoses?
f-fANSWERfAlzheimer'sfdisease




Rationale:

ThefnursefshouldfexpectfafprescriptionfforfmemantinefforfafclientfwhofhasfmoderateftofseverefAlzheime
r'sfdisease.fMemantine,fanfNMDAfreceptorfagonist,fisfshownftofslowfthefprogressionfoffmanifestationsfa
ndftofimprovefcognitiveffunction.



AfnursefisfcollectingfdataffromfafclientfwhoftakesfanfMAOIfforftheftreatmentfoffdepression.fWhichfoffthe
ffollowingffindingsfisfthefpriorityfforfthefnurseftofreportftofthefprovider?f-
fANSWERfElevatedfbloodfpressure




Rationale:

Thefnursefshouldfidentifyfthatfthefgreatestfriskftofthefclientfisfanfelevatedfbloodfpressure,fwhichfincreas
esfhisfriskfforfafhypertensivefcrisisfthatfcanfresultffromftakingfanfMAOI.fThefnursefshouldfapplyfthefsafet
yfandfriskfreductionfpriority-
settingfframeworkfwhenfcollectingfdataffromfthisfclient.fThisfframeworkfassignsfpriorityftoftheffactorforf
situationfposingfthefgreatestfsafetyfriskftofthefclient.fWhenftherefarefseveralfrisksftofclientfsafety,fthefon
efposingfthefgreatestfthreatfisfthefhighestfpriority.fThefnursefshouldfusefMaslow'sfhierarchyfoffneeds,fth
efABCfpriority-
settingfframework,forfnursingfknowledgeftofidentifyfwhichfriskfposesfthefgreatestfthreatftofthefclient.



Afnursefisfreviewingfthefmedicationsfoffafclientfwhofhasfbipolarfdisorderfandfafnewfprescriptionfforflithi
um.fThefnursefshouldfidentifyfthatfitfisfsafeftofadministerfwhichfofftheffollowingfmedicationsfwhilefthefcl
ientfisftakingflithium?f-fANSWERfValproicfacid

, Rationale:

Valproicfacidfandflithiumfarefbothfindicatedfforftheftreatmentfoffbipolarfdisorder.fItfisfsafefforfthefnursef
tofadministerfbothfoffthesefmedicationsftofthefclient.



Afnursefisfcollectingfdataffromfafclientfwhofhasfcocainefintoxication.fWhichfofftheffollowingffindingsfsho
uldfthefnursefexpect?f-fANSWERfIncreasedfmaternalfalertness



Rationale:

Thefnursefshouldfexpectfafclientfwhofhasfcocainefintoxicationftofhavefincreasedfmentalfalertnessfdueftof
itsfstimulantfproperties.



Afnursefisfcaringfforfafclientfwhofhasfschizophrenia.fThefnursefnoticesfthatfthefclientfisfpacingfupfandfdo
wnfthefhallfveryfrapidlyfandfmutteringfinfanfangryfmanner.fWhichfofftheffollowingfactionsfshouldfthefnu
rseftakeffirst?f-fANSWERfApproachfthefclientfinfafnonfthreateningfmanner



Rationale:

Theffirstfactionfthefnursefshouldftakefisftofapproachfthefclientfcalmly,finfafnonfthreateningfmanner,ftofcr
eatefafnonfthreateningfenvironment.fThefnursefshouldfapplyfthefleastfrestrictivefpriority-
settingfframeworkfwhenfcaringfforfthisfclient.fThisfframeworkfassignsfpriorftofnursingfinterventionsfthatf
arefleastfrestrictiveftofthefclient,fasflongfasfthosefinterventionsfdofnotfjeopardizefclientfsafety.fLeastfrest
rictivefinterventionsfpromotefclientfsafetyfwithoutfusingfrestraints.fThefnursefshouldfonlyfusefphysicalfo
rfchemicalfrestraintsfwhenfthefsafetyfoffthefclient,fstaff,forfothersfisfatfrisk.



Afnursefinfanfacutefmentalfhealthffacilityfisfparticipatingfinfafnursingfstafffdiscussionfaboutftheflegalfaspe
ctsfoffinvoluntaryfadmissions.fWhichfofftheffollowingfinformationfshouldfthefnursefinclude?f-
fANSWERfAnfinvoluntaryfadmissionfisfjustifiedfiffthefclientfisfafdangerftofothers




Rationale:

Afclientfwhofisfafdangerftofothersforftofhimselffqualifiesfforfanfinvoluntaryfadmission.fThefinabilityftofme
etfbasicfneedsfdueftofthefneedfforfmentalfhealthftreatmentfisfalsofafjustificationfforfanfinvoluntaryfadmi
ssion.

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