a nurse is providing discharge instructions to a client who has been prescribed lorazepam ativan for the treatment of anxiety which of the following i
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Nursing Elites

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ATI Mental Health Practice B

1. A client has been prescribed lorazepam (Ativan) for the treatment of anxiety. Which of the following instructions should the nurse include?

Correct answer: B

Rationale: The correct answer is B because lorazepam (Ativan) can cause dizziness and drowsiness, so the client should avoid driving until they know how the medication affects them. This instruction is crucial for ensuring the client's safety and preventing any potential accidents or harm. Choice A is incorrect because lorazepam does not necessarily need to be taken with food. Choice C is incorrect as it contradicts the usual recommendation of taking lorazepam with or without food. Choice D is incorrect and dangerous advice as doubling the dose of lorazepam can lead to overdose and serious complications.

2. In pediatric mental health, there is a lack of sufficient numbers of community-based resources and providers, and there are long waiting lists for services. This has resulted in: Select one that doesn't apply.

Correct answer: C

Rationale: The lack of resources in pediatric mental health leads to underserved populations, increased stress in the family unit, and premature termination of services. However, markedly increased funding does not align with the negative consequences of resource shortages; instead, it would be a potential solution to address the lack of resources and providers in pediatric mental health.

3. When educating the family of a client diagnosed with dissociative identity disorder, which of the following instructions should the nurse include?

Correct answer: D

Rationale: In cases of dissociative identity disorder, it is beneficial for the client to establish a daily routine. This structure can enhance symptom management and provide a sense of stability, which is particularly important for individuals with this condition. Encouraging the client to avoid stressful situations (Choice A) may not always be possible and does not address the need for structure. While encouraging the client to participate in daily activities (Choice B) is important, having a routine is more crucial for managing dissociative identity disorder. Expressing feelings (Choice C) is valuable but establishing a routine takes precedence in this situation.

4. A healthcare provider is providing care for a patient with attention-deficit/hyperactivity disorder (ADHD). Which therapeutic intervention is most effective for this condition?

Correct answer: B

Rationale: Cognitive-behavioral therapy (CBT) is the most effective therapeutic intervention for managing ADHD symptoms. CBT helps individuals with ADHD develop coping strategies, improve focus, organization, and time management skills, and address behavioral challenges effectively. Group therapy might not provide the specific skills training needed for ADHD management. Psychoanalysis focuses on exploring deeper unconscious processes and may not be as practical for addressing ADHD symptoms. Family therapy can be beneficial for family dynamics but may not directly target individual ADHD symptoms as effectively as CBT.

5. A patient with bipolar disorder is prescribed quetiapine. The nurse should monitor the patient for which common side effect?

Correct answer: A

Rationale: Weight gain is a common side effect of quetiapine, an atypical antipsychotic. Quetiapine can lead to metabolic changes that may result in weight gain. Monitoring weight regularly is essential to address this potential side effect. Choices B, C, and D are incorrect. Quetiapine is not typically associated with hypertension, hair loss, or hyperthyroidism as common side effects.

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