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Practice Question

The client presents to the emergency department with a headache in the back of the head, diaphoresis, and neck stiffness. The clients blood pressure measures 180/124 mm Hg and heart rate is 168 beats/min. The spouse says the client is currently prescribed "something for depression" and denies any history of cardiac disease. The nurse should suspect the use of what medication?

Answer Choices:

Correct Answer:

A monoamine oxidase inhibitor (MAOI)

Rationale:

🔷 The client's elevated blood pressure (180/124 mm Hg), tachycardia, headache, diaphoresis, and neck stiffness are signs of a hypertensive crisis, a known risk when clients taking MAOIs ingest tyramine-containing foods or interact with contraindicated drugs.

🔷 MAOIs block the breakdown of norepinephrine, leading to excessive catecholamine accumulation when triggered.

🔷 The sudden neurological and cardiovascular symptoms, especially with no cardiac history, strongly indicate this dangerous pharmacologic interaction.

🔷 MAOIs include drugs like phenelzine and tranylcypromine, which require strict dietary precautions.

🔷 Immediate intervention is required to prevent stroke, seizure, or death in such a hypertensive crisis.

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This question is from RN ATI Mental Health NPRO200 Exam which contains 41 questions.

More Questions from This Exam
A nurse in an acute care mental health facility is caring for a client who has depression. After 3 days of treatment, the nurse notices that the client suddenly seems cheerful and relaxed and there are no longer signs of a depressive state. Which of the following interventions is appropriate to include in the plan of care?

Answer Choices:

A. Monitor the clients whereabouts at all times.
B. Reward the client for her change in behavior.
C. Ask the client why her behavior has changed.
D. Encourage family to take the client out of the facility for short periods of time.
A nurse is admitting a client who has experienced a weight loss of 11 kg (25 lb) in the past 3 months. The client weighs 40 kg (88 lb) and believes she is fat. Which of the following aspects of care should the nurse consider the first priority for this client?

Answer Choices:

A. Provide a structured environment for the client.
B. Identity the clients nutritional status.
C. Plan a therapeutic diet for the client.
D. Request a mental health consult.
A nurse is caring for a client who has obsessive-compulsive disorder (OCD). Which of the following characteristics are expected findings of OCD? (Select all that apply.)

Answer Choices:

A. Irrational tear of certain objects.
B. Rule-conscious behavior.
C. Difficulty relaxing.
D. Perfectionist behavior.
E. Unaware of compulsions.
A nurse is providing care to children on a general pediatric unit. Which of the following children should the nurse identify as a potential victim of abuse?

Answer Choices:

A. A child who uses the call light frequently
B. A child whose parents answer questions for the child
C. A child who has a BMI indicating obesity
D. A child who has frequent visitors
Which behavior would first alert the school nurse or teacher to suspect sexual abuse in a 7-year- old child?

Answer Choices:

A. The child has a preference for associating with peers, rather than adults.
B. The child has learning problems and shyness.
C. The child tells sexually explicit stories to peers.
D. The child wears dirty and threadbare clothing.
From Exam
RN ATI Mental Health NPRO200 Exam

41 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN ATI Mental Health
  • Answer Choices: 4
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