LPN LPN
ATI Mental Health Practice A 2023
1. While being treated in an inpatient facility, what is the most appropriate intervention for a patient with anorexia nervosa?
- A. Allowing the patient to eat alone to reduce stress
- B. Monitoring the patient's weight daily
- C. Encouraging the patient to exercise daily
- D. Providing the patient with a high-calorie diet
Correct answer: B
Rationale: Monitoring the patient's weight daily is the most appropriate intervention for a patient with anorexia nervosa being treated in an inpatient facility. This approach helps healthcare providers track the patient's progress, assess nutritional status, and promptly identify any concerning changes or trends that may require intervention.
2. A healthcare professional is assessing a patient with anorexia nervosa. Which finding is most concerning?
- A. Mild bradycardia
- B. Electrolyte imbalances
- C. Slight hypotension
- D. Lanugo
Correct answer: B
Rationale: Electrolyte imbalances are a critical concern in patients with anorexia nervosa due to the potential for severe complications such as cardiac arrhythmias, muscle weakness, and neurological disturbances. Prompt identification and management of electrolyte imbalances are essential to prevent life-threatening outcomes.
3. In schizophrenia, a patient is experiencing negative symptoms. Which of the following is a negative symptom?
- A. Hallucinations
- B. Delusions
- C. Apathy
- D. Disorganized speech
Correct answer: C
Rationale: In schizophrenia, negative symptoms refer to deficits in normal emotional responses or other thought processes. Apathy is a negative symptom characterized by a lack of interest, enthusiasm, or concern. Hallucinations (seeing or hearing things that aren't there), delusions (false beliefs), and disorganized speech are positive symptoms, which involve the presence of abnormal behaviors or thoughts.
4. A patient with generalized anxiety disorder (GAD) is prescribed sertraline. What is a common side effect the nurse should monitor for?
- A. Dry mouth
- B. Weight gain
- C. Insomnia
- D. Nausea
Correct answer: D
Rationale: Nausea is a common side effect associated with sertraline, a medication commonly used in the treatment of generalized anxiety disorder (GAD). It is essential for the nurse to monitor for nausea as it can impact the patient's adherence to the medication regimen. Educating the patient about this potential side effect and advising ways to manage it can enhance treatment compliance and overall therapeutic outcomes.
5. A patient with obsessive-compulsive disorder (OCD) performs hand washing repeatedly. Which nursing intervention is most appropriate?
- A. Restricting the patient from washing hands
- B. Setting strict limits on the patient's hand washing
- C. Allowing the patient to wash hands at specified times
- D. Ignoring the patient's behavior
Correct answer: C
Rationale: Allowing the patient to wash hands at specified times is the most appropriate nursing intervention for a patient with OCD who repetitively performs hand washing. This intervention provides structure by allowing the patient to engage in the behavior at designated times, helping to reduce the compulsion gradually. Restricting or setting strict limits may increase anxiety and worsen the condition, while ignoring the behavior does not address the underlying issue of OCD.
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