ATI MENTAL HEALTH PROCTORED EXAM (VERSION 3) REAL EXAM|VERIFIED ANSWERS WITH RATIONALE

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ATI MENTAL HEALTH PROCTORED EXAM (VERSION 3) REAL EXAM|VERIFIED ANSWERS WITH RATIONALE A nurse is caring for a client who is undergoing electroconvulsive therapy (ECT) and will receive succinylchol... ine. The client asks the nurse about this medication. Which of the following responses should the nurse make? • "Succinylcholine will enhance the therapeutic effects of this treatment." • "Succinylcholine is given to reduce muscle movements during therapy." • "Succinylcholine will decrease the anxiety level that you might experience with this treatment." • "Succinylcholine is used as a general anaesthetic to make sure you are sleeping during the procedure." ---->The purpose of succinylcholine is not to increase the therapeutic effects of ECT. Correct Ans: "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 the client is less likely to be injured. Succinylcholine is not an antianxiety agent. Succinylcholine is not a general anaesthetic. A nurse is discussing the home care of a client who has advanced Alzheimer’s disease with the client's partner, who is planning to go out of town for several days. Which of the following resources should the nurse recommend to the caregiver? • Respite care • Partial hospitalization • Adult day care program • Geropsychiatric unit ---->Correct Ans: Respite care Rationale: Respite care programs allow the client to stay in a nursing facility for a set number of days, allowing the caregivers to go on vacation or have some time to themselves Partial hospitalization provides services for several hours during the day, but they are not designed to offer 24-hr care. A client who has advanced Alzheimer's disease is unable to safely remain at home unattended. Adult day care programs provide services throughout the day to clients who have Alzheimer's disease, allowing the caregiver the ability to work or have a break. The clients return home in the evening. A client who has advanced Alzheimer's disease is unable to safely remain at home unattended. A geropsychiatric unit provides care for clients requiring acute psychiatric services due to sudden mental status changes, psychosis, or other mental health issues. These services are ideal for clients who are at risk of harming themselves or others. A nurse is reviewing the electronic medical record of a client who has schizophrenia and is taking clozapine. Which of the following findings is the priority for the nurse to notify the provider? • The client's chart indicates a 1.36-kg (3-lb) weight gain in 1 month. • The client reports an inability to breathe easily. • The client's laboratory results indicate a fasting blood glucose level of 130 mg/dL. • The client reports having recently started smoking cigarettes. ---->Weight gain is an adverse effect of clozapine that can also lead to hyperlipidemia and hyperglycemia. The nurse should notify the provider so additional laboratory tests and nutritional counseling can be prescribed; however, this is not the priority finding for the nurse to report to the provider. Correct Ans: The client reports an inability to breathe easily. Rationale: Serious adverse effects, such as heart failure, myocarditis, and pulmonary embolism are associated with clozapine. When using the greatest risk framework, the nurse should identify that the greatest risk to the client is dyspnoea, which is a manifestation of respiratory or cardiac alterations, and should be reported to the provider. Hyperglycaemia is an adverse effect associated with clozapine. The nurse should notify the provider so additional laboratory tests and nutrition counselling can be prescribed; however, it is not the priority finding for the nurse to report to the provider. Nicotine decreases the concentration of clozapine in the system. The nurse should identify that the client might require dosage adjustment and report this finding to the provider; however, it is not the priority finding to report to the provider. A nurse is caring for a client who has schizophrenia and began taking conventional antipsychotic medication yesterday. Which of the following findings indicates the nurse should administer benztropine 2 mg IM? • Shuffling gait • Hypotension • Decreased WBC count • Blurred vision ---->Correct Ans: Shuffling gait Rationale: Benztropine is used to treat parkinsonism manifestations, such as shuffling gait. Orthostatic hypotension is an adverse effect of conventional antipsychotic medications. However, it is not treated with benztropine. Agranulocytosis is an adverse effect of conventional antipsychotic medications. However, it is not treated with benztropine. Blurred vision is an adverse anticholinergic effect of conventional antipsychotic medications. However, it is not treated with benztropine. [Show More]

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