LPN LPN
ATI Mental Health Practice A 2023
1. A patient with major depressive disorder is struggling to cope. Which intervention is most appropriate to help the patient develop better coping skills?
- A. Encouraging the patient to express their feelings through art
- B. Providing the patient with information about their diagnosis
- C. Encouraging the patient to keep a journal of their thoughts and feelings
- D. Providing the patient with a structured daily routine
Correct answer: D
Rationale: Providing a patient with major depressive disorder a structured daily routine can help them establish a sense of stability, which is crucial for coping with their condition. Routine provides predictability and helps in organizing activities, promoting a sense of accomplishment and control, which can be especially beneficial for individuals struggling with depression.
2. When developing a care plan for a patient with borderline personality disorder, which intervention should be included to address self-harm behaviors?
- A. Encouraging the patient to keep a journal of their thoughts and feelings.
- B. Setting clear and consistent boundaries with the patient.
- C. Providing the patient with coping skills to manage their emotions.
- D. Developing a safety plan with the patient.
Correct answer: D
Rationale: Developing a safety plan with the patient is crucial when addressing self-harm behaviors in individuals with borderline personality disorder. This intervention helps outline steps to take during a crisis, identifies triggers, and provides strategies to prevent self-harm incidents. It involves collaboratively creating a plan between the patient and the healthcare team to ensure a structured and supportive approach to managing potentially dangerous situations.
3. A patient with major depressive disorder is started on fluoxetine. What is a common side effect the nurse should monitor for?
- A. Weight gain
- B. Increased appetite
- C. Nausea
- D. Dry mouth
Correct answer: C
Rationale: Nausea is a common side effect of fluoxetine and should be monitored.
4. 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.
5. A patient is receiving education about dietary restrictions while taking a monoamine oxidase inhibitor (MAOI). Which food should the patient avoid?
- A. Aged cheese
- B. Fresh vegetables
- C. Grilled chicken
- D. Fruit juices
Correct answer: A
Rationale: Patients taking MAOIs should avoid aged cheese as it contains high levels of tyramine, which can lead to a hypertensive crisis. Monoamine oxidase inhibitors can inhibit the breakdown of tyramine, leading to an excess accumulation in the body and potentially dangerous increases in blood pressure.
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