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NGN ATI MENTAL HEALTH 2019 EXAM /NGN ATI MENTAL HEALTH 2019 PROCTORED EXAM 2 VERSIONS EACH WITH 70 QUESTIONS WITH DETAILED ANSWERS AND RATIONALES /A+ GRADE ASSURED£12.66
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NGN ATI MENTAL HEALTH 2019 EXAM /NGN ATI MENTAL HEALTH 2019 PROCTORED EXAM 2 VERSIONS EACH WITH 70 QUESTIONS WITH DETAILED ANSWERS AND RATIONALES /A+ GRADE ASSURED
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NGN ATI MENTAL HEALTH 2019
Institution
NGN ATI MENTAL HEALTH 2019
NGN ATI MENTAL HEALTH 2019 EXAM /NGN ATI MENTAL HEALTH 2019 PROCTORED EXAM 2 VERSIONS EACH WITH 70 QUESTIONS WITH DETAILED ANSWERS AND RATIONALES /A+ GRADE ASSURED
NGN ATI MENTAL HEALTH 2019 EXAM /NGN ATI MENTAL HEALTH 2019 PROCTORED EXAM 2 VERSIONS EACH WITH 70 QUESTIONS WITH DETAILED ANSWERS AND RATIONALES /A+ GRADE ASSURED A nurse is assessing a client who has major depressive disorder and has been receiving amitriptyline for 1 week. Which of the following outcomes s hould 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 sodiu m 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 s hould 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 tachycar dia, 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 th e 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 stoo ls 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 ment al 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 tr eatment 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 inf ormation 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 m edication." 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 teachin g 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."
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