LPN LPN
ATI Mental Health Practice A 2023
1. 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.
2. In cognitive processing therapy for PTSD, what is the primary goal for the patient?
- A. To help the patient process the trauma and reduce avoidance behaviors.
- B. To help the patient confront and process the trauma in a safe environment.
- C. To help the patient understand the impact of the trauma on their current thoughts and behaviors.
- D. To help the patient avoid triggers that remind them of the trauma.
Correct answer: C
Rationale: The primary goal of cognitive processing therapy for PTSD is to help the patient understand the impact of the trauma on their current thoughts and behaviors. Through this therapy, individuals learn to identify and challenge maladaptive beliefs related to the traumatic event, ultimately helping them to process the trauma and develop healthier coping mechanisms. This approach aims to address the cognitive distortions and negative thoughts that have resulted from the trauma, facilitating healing and recovery.
3. A patient with schizophrenia is being educated about the significance of medication adherence. Which statement by the patient indicates understanding?
- A. I will take my medication only when I feel symptoms returning.
- B. I understand that taking my medication regularly is important to manage my symptoms.
- C. I can stop taking my medication once I feel better.
- D. I should take my medication on an as-needed basis.
Correct answer: B
Rationale: The correct answer is B because acknowledging the importance of consistently taking medication is crucial for effectively managing symptoms of schizophrenia. It is essential for patients with schizophrenia to adhere to their medication regimen to stabilize their condition and prevent symptom exacerbation. Waiting for symptoms to return before taking medication, stopping medication once feeling better, or taking medications on an as-needed basis are not recommended practices for managing schizophrenia effectively.
4. 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.
5. 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.
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