ATI Mental health proctored study set
questions and answers
Phenelzine adverse side effect - Answer-orthostatic hypotension
Pentobarital sodium may cause - Answer-respiratory depression
The drug Varenicline (used for smoking cessation) is instructed to take how? - Answer-
After meal with a full glass of water to minimize nauseau
What blood test should you monitor for patients taking Quetiapine Fumarate (for
schizophrenia) - Answer-Monitor glucose levels. Increases risk of developing diabetes.
Buspirone may cause? - Answer-Dizziness (allow at least 2-4 weeks for full effect)
If a lithium level is 2.2 what may the patient be experiencing? - Answer-Blurry vision
from lithium intoxication
Lab value to monitor for Risperidone - Answer-Adverse reaction of elevated glucose
Buspirone may cause? - Answer-Nausea
After an ECTwhat would a patient require? - Answer-OXYGEN
Rape-trauma syndrome - Answer-patients experience intense guilt
Patients in acute mania require what? - Answer-Frequent rest periods due to possible
exhaustion
Bipolar disorder and group therapy - Answer-Learn from the experiences of others
(group therapy may agitate persons with acute mania)
Unkempt appearance on patient with schizophrenia. Nurses priority assessment? -
Answer-Physical needs (Think Maslow's Hierarchy of Needs)
What is a persecutory delusion in a patient with schizophrenia? - Answer-The
government is after me because I know top secret information? (Believe they are being
persecuted despite lack of evidence)
What following finding should the nurse identify as an early indication of cognitive
decline? - Answer-Impaired recent memory (MODERATE cognitive decline- withdrawing
from social events, lose ability to handle finances)
, Following alcohol withdrawal, which of the following medications should the nurse
expect to administer to the client during maintenance? - Answer-Disulfiram....Used as a
deterrant to prevent further alcohol use (IMPORTANT to ensure the clienthas not had
any alcohol intake for at least 12 hours prior to use/admition)
Patient develops postoperative delirium. What action should the nurse take? - Answer-
Request a prescription for and antianxiety medication
Which statement should indicate an AP requires further teaching when talking to a
patient with dementia? - Answer-IT's almost time for your appointment. Let me do your
hair for you and brush your teeth. (ADDITIONAL time should be given to patient to
complete activities)
A nurse caring for schizophrenic patient taking first generation antipsychotic medication
3 weeks ago reports inner restlessness, rocks back and forth when sitting down, and
paces frequently. What adverse effect should the nurse identify the patient is
experiencing? - Answer-Akathisia (extrapyramidal adverse effect that typically occur
within the first 2 months of beginning a first-generation antipsychotic mecation)
PRORANOLOL can be used to TREAT akathsia
What following instructions should a nurse provide to a patient taking valproic acid? -
Answer-You should have your liver function levels monitored regularly while taking this
medication (recommended to test every 2 months for first 6 months of therapy)
A nurse is providing teaching to a client who has a new prescription of phenelizine.
What over the counter med can cause a hypertensive crisis when taken concurrently
with phenelizine? - Answer-Pseudophedrine- interacts with MAOI meds such as
phenelizine
The nurse is teaching a client about dietary items to avoid while taking disulfiram. What
items should she include in teaching? - Answer-Pure vanilla extract (avoid alcohol
containing substances)
A nurse is providing teaching about clozapine. What should she include in the teaching?
- Answer-You should have your white blood cell checked once per WEEK for 6 months.
The nurse should inform a client that transcranial magnetic stimulation (TMS) can cause
what following adverse effect? - Answer-Seizures
A nurse overhears a patient discussing plans to harm her father in law physically after
discharge. What intervention should the nurse take? - Answer-Notify the provider of
threat
A client is being prepared for discharge follwoing his fourth admission in the last year for
bipolar disorder. What referrals should the nurse make? - Answer-Assertive community
questions and answers
Phenelzine adverse side effect - Answer-orthostatic hypotension
Pentobarital sodium may cause - Answer-respiratory depression
The drug Varenicline (used for smoking cessation) is instructed to take how? - Answer-
After meal with a full glass of water to minimize nauseau
What blood test should you monitor for patients taking Quetiapine Fumarate (for
schizophrenia) - Answer-Monitor glucose levels. Increases risk of developing diabetes.
Buspirone may cause? - Answer-Dizziness (allow at least 2-4 weeks for full effect)
If a lithium level is 2.2 what may the patient be experiencing? - Answer-Blurry vision
from lithium intoxication
Lab value to monitor for Risperidone - Answer-Adverse reaction of elevated glucose
Buspirone may cause? - Answer-Nausea
After an ECTwhat would a patient require? - Answer-OXYGEN
Rape-trauma syndrome - Answer-patients experience intense guilt
Patients in acute mania require what? - Answer-Frequent rest periods due to possible
exhaustion
Bipolar disorder and group therapy - Answer-Learn from the experiences of others
(group therapy may agitate persons with acute mania)
Unkempt appearance on patient with schizophrenia. Nurses priority assessment? -
Answer-Physical needs (Think Maslow's Hierarchy of Needs)
What is a persecutory delusion in a patient with schizophrenia? - Answer-The
government is after me because I know top secret information? (Believe they are being
persecuted despite lack of evidence)
What following finding should the nurse identify as an early indication of cognitive
decline? - Answer-Impaired recent memory (MODERATE cognitive decline- withdrawing
from social events, lose ability to handle finances)
, Following alcohol withdrawal, which of the following medications should the nurse
expect to administer to the client during maintenance? - Answer-Disulfiram....Used as a
deterrant to prevent further alcohol use (IMPORTANT to ensure the clienthas not had
any alcohol intake for at least 12 hours prior to use/admition)
Patient develops postoperative delirium. What action should the nurse take? - Answer-
Request a prescription for and antianxiety medication
Which statement should indicate an AP requires further teaching when talking to a
patient with dementia? - Answer-IT's almost time for your appointment. Let me do your
hair for you and brush your teeth. (ADDITIONAL time should be given to patient to
complete activities)
A nurse caring for schizophrenic patient taking first generation antipsychotic medication
3 weeks ago reports inner restlessness, rocks back and forth when sitting down, and
paces frequently. What adverse effect should the nurse identify the patient is
experiencing? - Answer-Akathisia (extrapyramidal adverse effect that typically occur
within the first 2 months of beginning a first-generation antipsychotic mecation)
PRORANOLOL can be used to TREAT akathsia
What following instructions should a nurse provide to a patient taking valproic acid? -
Answer-You should have your liver function levels monitored regularly while taking this
medication (recommended to test every 2 months for first 6 months of therapy)
A nurse is providing teaching to a client who has a new prescription of phenelizine.
What over the counter med can cause a hypertensive crisis when taken concurrently
with phenelizine? - Answer-Pseudophedrine- interacts with MAOI meds such as
phenelizine
The nurse is teaching a client about dietary items to avoid while taking disulfiram. What
items should she include in teaching? - Answer-Pure vanilla extract (avoid alcohol
containing substances)
A nurse is providing teaching about clozapine. What should she include in the teaching?
- Answer-You should have your white blood cell checked once per WEEK for 6 months.
The nurse should inform a client that transcranial magnetic stimulation (TMS) can cause
what following adverse effect? - Answer-Seizures
A nurse overhears a patient discussing plans to harm her father in law physically after
discharge. What intervention should the nurse take? - Answer-Notify the provider of
threat
A client is being prepared for discharge follwoing his fourth admission in the last year for
bipolar disorder. What referrals should the nurse make? - Answer-Assertive community
