LPN LPN
ATI Mental Health Practice A 2023
1. A patient with posttraumatic stress disorder (PTSD) is experiencing nightmares. Which intervention should the nurse include in the care plan?
- A. Encouraging the patient to journal before bedtime
- B. Teaching relaxation techniques
- C. Avoiding discussing the nightmares directly
- D. Developing a safety plan
Correct answer: B
Rationale: Teaching relaxation techniques is an appropriate intervention for a patient with PTSD experiencing nightmares. Relaxation techniques can help the patient manage anxiety and improve sleep quality, potentially decreasing the frequency and intensity of nightmares. By teaching relaxation techniques, the nurse empowers the patient to actively cope with and reduce the distressing symptoms of PTSD, contributing to overall therapeutic outcomes.
2. Which of the following is an example of a cognitive-behavioral therapy (CBT) technique?
- A. Free association
- B. Thought stopping
- C. Dream analysis
- D. Systematic desensitization
Correct answer: B
Rationale: Thought stopping is a specific cognitive-behavioral therapy (CBT) technique aimed at helping individuals manage and interrupt negative or intrusive thoughts. This technique involves identifying and stopping negative thought patterns to promote healthier thinking and emotional well-being. Free association and dream analysis are associated with psychoanalytic therapy, while systematic desensitization is a technique commonly used in behavior therapy.
3. A patient with obsessive-compulsive disorder (OCD) spends hours washing their hands. Which nursing intervention is most appropriate?
- A. Encouraging the patient to stop washing their hands
- B. Allowing the patient to wash hands at specified times
- C. Ignoring the patient's behavior
- D. Setting strict limits on the time allowed for hand washing
Correct answer: B
Rationale: In managing a patient with OCD who spends excessive time washing hands, allowing the patient to wash hands at specified times is the most appropriate nursing intervention. This approach helps establish a structured routine for hand washing, which can assist in managing OCD symptoms without reinforcing the behavior. Encouraging the patient to stop washing hands may lead to increased anxiety and resistance. Ignoring the behavior can perpetuate the cycle of OCD, and setting strict limits on hand washing time may cause distress and may not effectively address the underlying issues associated with OCD.
4. Which therapeutic communication technique is being used when the nurse says, 'Tell me more about what you are feeling right now'?
- A. Restating
- B. Clarification
- C. Reflection
- D. Exploration
Correct answer: D
Rationale: The correct answer is D, Exploration. In this scenario, the nurse is using the exploration technique to encourage the patient to elaborate further on their feelings. Exploration involves prompting the patient to delve deeper into their thoughts and emotions, fostering a more comprehensive discussion and understanding of their experiences.
5. Which medication is often prescribed for patients with bipolar disorder to help stabilize mood?
- A. Sertraline
- B. Lithium
- C. Haloperidol
- D. Diazepam
Correct answer: B
Rationale: Lithium is the medication frequently prescribed to stabilize mood in patients with bipolar disorder. It helps to reduce the frequency and severity of manic episodes, making it a cornerstone in the treatment of bipolar disorder. Sertraline is an antidepressant commonly used for depression, while haloperidol and diazepam are not typically first-line treatments for bipolar disorder.
Similar Questions
Access More Features
ATI LPN Basic
$69.99/ 30 days
- 50,000 Questions with answers
- All ATI courses Coverage
- 30 days access @ $69.99
ATI LPN Premium
$149.99/ 90 days
- 50,000 Questions with answers
- All ATI courses Coverage
- 30 days access @ $149.99