ATI LPN
ATI Mental Health Practice A 2023
1. When assessing a patient with major depressive disorder, which of the following is a common cognitive symptom?
- A. Hallucinations
- B. Delusions
- C. Lack of appetite
- D. Negative self-talk
Correct answer: D
Rationale: Negative self-talk is a common cognitive symptom of major depressive disorder. It involves a pattern of negative thoughts and beliefs about oneself, which can significantly impact a patient's self-esteem and overall outlook on life. Hallucinations and delusions are more commonly associated with other mental health conditions like schizophrenia, while lack of appetite is typically considered a physical symptom of depression rather than a cognitive one.
2. A patient is being discharged with a prescription for an antidepressant for their depression. Which instruction is most important?
- A. Take the medication with food to prevent stomach upset.
- B. Refrain from driving until you understand the effects of the medication.
- C. Do not discontinue the medication suddenly.
- D. Avoid alcohol consumption while taking this medication.
Correct answer: C
Rationale: The most critical instruction is to not discontinue the antidepressant medication suddenly. Abrupt discontinuation can lead to withdrawal symptoms and potentially trigger a relapse of depression. Options A, B, and D are important but not as crucial as ensuring the patient follows the prescribed regimen and consults with a healthcare provider before making any changes to the medication routine.
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. Gilbert, age 19, is described by his parents as a 'moody child' with an onset of odd behavior at age 14, which caused Gilbert to suffer academically and socially. Gilbert has lost the ability to complete household chores, is reluctant to leave the house, and is obsessed with the locks on the windows and doors. Due to Gilbert’s early and slow onset of what is now recognized as schizophrenia, his prognosis is considered:
- A. Favorable with medication
- B. In the relapse stage
- C. Improvable with psychosocial interventions
- D. To have a less positive outcome
Correct answer: D
Rationale: Individuals with an early and slow onset of schizophrenia typically have a less positive outcome or prognosis. This is because early onset schizophrenia is often associated with a more severe form of the illness and can lead to greater functional impairment in various aspects of life, including academic and social functioning. Therefore, the prognosis for Gilbert, given his presentation and age of onset, would be considered to have a less positive outcome.
5. When the caregiver of a child asks the nurse for reassurance about their child’s condition, which of the following responses should the nurse make?
- A. “I think your child is getting better. What have you noticed?”
- B. “I’m sure everything will be okay. It just takes time to heal.”
- C. “I’m not sure what’s wrong. Have you asked the doctor about your concerns?”
- D. “I understand you’re concerned. Let’s discuss what concerns you specifically.”
Correct answer: D
Rationale: When providing reassurance to a caregiver about their child’s condition, it's essential to acknowledge their concern and address it specifically. Response D demonstrates empathy and a willingness to discuss the caregiver's specific concerns, which can help in providing accurate information and support to them. Choices A and B provide general reassurance without addressing the caregiver's specific concerns, which may not alleviate their worries effectively. Choice C deflects the question back to the caregiver and suggests consulting the doctor without directly engaging with the caregiver's worries, which may not offer the needed support and reassurance.
Similar Questions
Access More Features
ATI LPN Basic
$69.99/ 30 days
- 5,000 Questions with answers
- All ATI courses Coverage
- 30 days access
ATI LPN Premium
$149.99/ 90 days
- 5,000 Questions with answers
- All ATI courses Coverage
- 30 days access