ATI RN
ATI Mental Health Practice A
1. Which mood stabilizer is commonly prescribed for bipolar disorder?
- A. Sertraline
- B. Lithium
- C. Clozapine
- D. Haloperidol
Correct answer: B
Rationale: Lithium is a well-established mood stabilizer commonly prescribed for the treatment of bipolar disorder. It helps to control manic episodes, stabilize mood swings, and reduce the risk of relapse in individuals with this condition. Sertraline is an antidepressant commonly used for treating depression, while Clozapine and Haloperidol are antipsychotic medications used for different psychiatric conditions. Therefore, the correct answer is B because it is specifically indicated and effective for bipolar disorder.
2. Which of the following is a negative symptom of schizophrenia?
- A. Hallucinations
- B. Delusions
- C. Alogia
- D. Paranoia
Correct answer: C
Rationale: Alogia, also known as poverty of speech, is a negative symptom of schizophrenia. It refers to a reduction in the amount of speech or the feeling that one has nothing to say. Hallucinations and delusions are positive symptoms, characterized by the presence of abnormal experiences and beliefs. Paranoia is a symptom involving intense anxious or fearful feelings, which is not classified as a negative symptom of schizophrenia.
3. For a patient diagnosed with borderline personality disorder exhibiting self-harming behavior, which therapeutic approach is most appropriate?
- A. Dialectical behavior therapy
- B. Psychoanalysis
- C. Supportive therapy
- D. Pharmacotherapy
Correct answer: A
Rationale: The most appropriate therapeutic approach for a patient diagnosed with borderline personality disorder exhibiting self-harming behavior is dialectical behavior therapy (DBT). DBT is specifically designed to address the core symptoms of borderline personality disorder, including self-harming behaviors. It focuses on teaching patients skills to manage emotions, improve interpersonal relationships, and enhance distress tolerance. Psychoanalysis (Choice B) is not the most appropriate for immediate symptom management in this case. Supportive therapy (Choice C) may not provide the structured approach needed to address self-harming behaviors effectively. Pharmacotherapy (Choice D) may be used as an adjunct in some cases, but DBT is the frontline therapy for managing self-harming behaviors in borderline personality disorder.
4. What should the nurse include in patient education for a patient starting on bupropion for major depressive disorder?
- A. Avoid consuming alcohol while taking this medication.
- B. Take the medication in the morning to prevent insomnia.
- C. It may cause significant weight gain.
- D. It is used as a first-line treatment for anxiety.
Correct answer: A
Rationale: Patients prescribed bupropion should be educated to avoid consuming alcohol while on this medication to reduce the risk of seizures. Bupropion lowers the seizure threshold, and alcohol can further increase this risk. It is important for patients to understand the potential consequences of combining bupropion with alcohol to ensure their safety and treatment effectiveness. Choices B, C, and D are incorrect. Taking bupropion in the morning does not prevent insomnia; it is not associated with significant weight gain; and it is not a first-line treatment for anxiety.
5. In a patient with bipolar disorder, which symptom would indicate a manic episode?
- A. Excessive sleeping
- B. Low self-esteem
- C. Decreased need for sleep
- D. Anhedonia
Correct answer: C
Rationale: The correct answer is C: Decreased need for sleep. A decreased need for sleep is a hallmark symptom of a manic episode in bipolar disorder. During manic episodes, individuals may experience significantly reduced sleep without feeling tired, which can lead to increased energy levels, impulsivity, and other manic symptoms. Excessive sleeping (choice A) is more indicative of depression rather than mania. Low self-esteem (choice B) and anhedonia (choice D) are also more commonly associated with depressive episodes rather than manic episodes in bipolar disorder.
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