LPN LPN
ATI Mental Health Practice A 2023
1. Which of the following is a common symptom of borderline personality disorder?
- A. Obsessive-compulsive behaviors
- B. Fear of social situations
- C. Grandiose sense of self-importance
- D. Impulsive and self-destructive behaviors
Correct answer: D
Rationale: Individuals with borderline personality disorder often exhibit impulsive and self-destructive behaviors. These behaviors can include reckless driving, substance abuse, self-harm, and suicidal gestures. These actions are often attempts to cope with intense emotional pain or to avoid feelings of emptiness and abandonment. It is crucial for healthcare professionals to recognize and address these symptoms when diagnosing and treating borderline personality disorder.
2. A patient with anorexia nervosa is being treated in an inpatient facility. Which intervention should be included in the care plan?
- A. Allowing the patient to eat alone to reduce stress
- B. Monitoring the patient's weight weekly
- 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 weekly is crucial in the care of individuals with anorexia nervosa as it allows healthcare providers to track changes in weight, which is a key indicator of nutritional status. Regular weight monitoring helps in identifying any significant weight loss or gain, enabling prompt intervention and adjustment of the treatment plan to address the patient's nutritional needs effectively.
3. 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.
4. What is the primary goal of eye movement desensitization and reprocessing (EMDR) when treating a patient with posttraumatic stress disorder (PTSD)?
- A. To help the patient confront and process traumatic memories
- B. To help the patient change negative thought patterns
- C. To help the patient develop relaxation techniques
- D. To help the patient avoid triggers
Correct answer: A
Rationale: The primary goal of eye movement desensitization and reprocessing (EMDR) in treating patients with posttraumatic stress disorder (PTSD) is to help them confront and process traumatic memories. EMDR uses bilateral stimulation to facilitate the processing of distressing memories, leading to their desensitization and reprocessing, ultimately reducing PTSD symptoms.
5. A patient with schizophrenia is prescribed risperidone. Which statement by the patient indicates understanding of the medication?
- A. I should take this medication at the same time every day.
- B. I can stop taking this medication once I feel better.
- C. I should avoid drinking alcohol while taking this medication.
- D. I should take this medication on an as-needed basis.
Correct answer: A
Rationale: The correct answer is A because taking the medication at the same time every day helps maintain consistent blood levels and effectiveness. Consistency in dosing is crucial for the medication to work optimally in managing symptoms of schizophrenia. Option B is incorrect because stopping the medication abruptly can lead to a worsening of symptoms. Option C is important as alcohol can interact with the medication and cause adverse effects. Option D is incorrect because risperidone is typically taken regularly, not on an as-needed basis, to manage symptoms effectively.
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