LPN LPN
ATI Mental Health Practice A 2023
1. When discharging a patient with schizophrenia on risperidone, what is an important point to include in the discharge teaching?
- A. Avoiding foods high in tyramine is essential.
- B. Getting blood levels checked regularly is necessary.
- C. Being cautious when driving due to possible drowsiness is crucial.
- D. Taking this medication on an as-needed basis is recommended.
Correct answer: B
Rationale: Regular monitoring of blood levels is crucial for patients taking risperidone to ensure the medication is at therapeutic levels and to prevent potential toxicity. This monitoring helps healthcare providers adjust the dosage as needed to optimize treatment outcomes and minimize adverse effects.
2. A patient with bipolar disorder is prescribed lithium. What is a common side effect the nurse should monitor for?
- A. Increased energy
- B. Constipation
- C. Weight gain
- D. Dry mouth
Correct answer: C
Rationale: Weight gain is a common side effect associated with lithium therapy. It is essential for the nurse to monitor the patient for changes in weight as it can impact the individual's overall health and well-being. Patients on lithium should be advised on dietary and lifestyle modifications to manage potential weight gain and maintain a healthy weight.
3. A healthcare professional is assessing a patient with bipolar disorder. Which finding suggests the patient is experiencing a manic episode?
- A. Decreased need for sleep
- B. Feelings of worthlessness
- C. Increased need for sleep
- D. Avoidance of social interactions
Correct answer: A
Rationale: During a manic episode in patients with bipolar disorder, they often experience a decreased need for sleep. This symptom is characterized by feeling rested after only a few hours of sleep, or even feeling like they can go without sleep for extended periods without feeling tired. The increased energy levels and racing thoughts during a manic episode contribute to the decreased need for sleep.
4. A patient with obsessive-compulsive disorder (OCD) is prescribed fluvoxamine. What is a common side effect of this medication?
- A. Increased appetite
- B. Dry mouth
- C. Weight gain
- D. Nausea
Correct answer: D
Rationale: Nausea is a common side effect of fluvoxamine, a selective serotonin reuptake inhibitor (SSRI) commonly used in the treatment of OCD. Patients should be advised to monitor and report any gastrointestinal disturbances, including nausea, to their healthcare provider.
5. A patient with posttraumatic stress disorder (PTSD) is experiencing flashbacks. What is the best initial intervention?
- A. Encouraging the patient to avoid triggers
- B. Encouraging the patient to talk about their feelings
- C. Providing the patient with relaxation techniques
- D. Advising the patient to avoid social situations
Correct answer: C
Rationale: The best initial intervention for a patient with PTSD experiencing flashbacks is to provide relaxation techniques. This approach helps the patient manage flashbacks by focusing on the present moment, promoting relaxation, and reducing anxiety associated with the traumatic memories. Encouraging the patient to avoid triggers or social situations may not address the immediate distress caused by flashbacks, while talking about feelings may not be as effective as providing immediate tools to manage the distressing symptoms.
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