ATI LPN
ATI Mental Health Practice A 2023
1. What is the priority nursing intervention for a patient experiencing a panic attack?
- A. Encouraging the patient to focus on deep breathing exercises.
- B. Encouraging the patient to avoid any physical activity.
- C. Asking the patient to describe their feelings in detail.
- D. Providing the patient with detailed information about panic attacks.
Correct answer: A
Rationale: The priority nursing intervention for a patient experiencing a panic attack is to encourage them to focus on deep breathing exercises. This intervention helps the patient manage the physiological symptoms of a panic attack by promoting relaxation and reducing hyperventilation, which are common during such episodes. Deep breathing exercises can help regulate breathing patterns and alleviate feelings of anxiety and panic.
2. A healthcare provider is developing a care plan for a patient with posttraumatic stress disorder (PTSD). Which intervention should be included to help the patient manage flashbacks?
- A. Encouraging the patient to confront the trauma directly.
- B. Teaching the patient grounding techniques.
- C. Encouraging the patient to use relaxation techniques.
- D. Helping the patient develop a safety plan.
Correct answer: B
Rationale: Teaching grounding techniques is an effective intervention for managing flashbacks in patients with PTSD. Grounding techniques help individuals focus on the present moment, which can reduce the intensity of flashbacks and promote a sense of safety and stability.
3. When a patient is diagnosed with major depressive disorder, which nursing diagnosis should be the priority?
- A. Imbalanced nutrition: less than body requirements
- B. Risk for suicide
- C. Disturbed sleep pattern
- D. Ineffective coping
Correct answer: B
Rationale: The priority nursing diagnosis for a patient diagnosed with major depressive disorder is 'Risk for suicide.' This is the priority as it addresses the immediate risk of self-harm in individuals suffering from major depressive disorder. Monitoring and intervening to prevent self-harm take precedence over other nursing diagnoses in this scenario.
4. Which of the following is a positive symptom of schizophrenia?
- A. Apathy
- B. Social withdrawal
- C. Delusions
- D. Flat affect
Correct answer: C
Rationale: The correct answer is 'C: Delusions.' Positive symptoms of schizophrenia involve an excess or distortion of normal functions. Delusions are fixed false beliefs that are not based in reality and are considered positive symptoms because they represent an addition of abnormal behavior or thoughts.
5. A patient with obsessive-compulsive disorder (OCD) performs hand washing repeatedly. Which nursing intervention is most appropriate?
- A. Restricting the patient from washing hands
- B. Setting strict limits on the patient's hand washing
- C. Allowing the patient to wash hands at specified times
- D. Ignoring the patient's behavior
Correct answer: C
Rationale: Allowing the patient to wash hands at specified times is the most appropriate nursing intervention for a patient with OCD who repetitively performs hand washing. This intervention provides structure by allowing the patient to engage in the behavior at designated times, helping to reduce the compulsion gradually. Restricting or setting strict limits may increase anxiety and worsen the condition, while ignoring the behavior does not address the underlying issue of OCD.
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