a nurse is providing discharge instructions to a client who has been prescribed lithium for the treatment of bipolar disorder which of the following i

ATI RN

ATI Mental Health Practice B

1. A client has been prescribed lithium for the treatment of bipolar disorder. Which of the following instructions should the nurse include?

A. Avoid driving until you know how the medication affects you.
B. Take the medication with food to prevent stomach upset.
C. You may experience mild nausea when initiating the medication.
D. Do not double the next dose if you miss one.

Correct answer: A

Rationale: The correct instruction for the nurse to provide is to advise the client to avoid driving until they know how the medication affects them. Lithium can lead to side effects like dizziness and drowsiness, which could impair one's ability to drive safely. Choice B is incorrect because lithium is usually taken on an empty stomach. Choice C may be true but is not as critical as the potential side effects affecting driving. Choice D is important but not as immediate as ensuring the client's safety while driving.

2. A healthcare professional is assessing a client with suspected substance use disorder. Which of the following findings should the healthcare professional not expect?

A. Neglect of responsibilities
B. Increased tolerance to the substance
C. Withdrawal symptoms when not using the substance
D. Unsuccessful attempts to cut down or control use

Correct answer: B

Rationale: Findings in a client with substance use disorder typically include neglect of responsibilities, withdrawal symptoms when not using the substance, and unsuccessful attempts to cut down or control use. Increased tolerance to the substance is a common phenomenon in substance use disorder and is expected as the individual requires higher doses to achieve the same effect.

3. Cognitive-behavioral therapy (CBT) is often used to treat which of the following conditions?

A. Schizophrenia
B. Bipolar disorder
C. Posttraumatic stress disorder
D. Generalized anxiety disorder

Correct answer: D

Rationale: Cognitive-behavioral therapy (CBT) is a widely used therapeutic approach effective in treating various mental health conditions. While CBT can be beneficial for different disorders, it is particularly well-suited for anxiety-related conditions like generalized anxiety disorder. CBT focuses on identifying and modifying negative thought patterns and behaviors contributing to anxiety, making it a suitable choice for treating generalized anxiety disorder. Therefore, the correct answer is D. Choices A, B, and C are incorrect because CBT is not typically the first-line treatment for schizophrenia, bipolar disorder, or posttraumatic stress disorder, although it may be used as a part of a comprehensive treatment plan.

4. Which statement about the concept of psychoses is most accurate?

A. Individuals experiencing psychoses are aware that their behaviors are maladaptive.
B. Individuals experiencing psychoses experience little distress.
C. Individuals experiencing psychoses are aware of experiencing psychological problems.
D. Individuals experiencing psychoses are based in reality.

Correct answer: B

Rationale: The most accurate statement about psychoses is that individuals experiencing it often exhibit limited distress because they are not fully aware of their altered perception of reality. They may not recognize that their behaviors are maladaptive or acknowledge the presence of psychological issues. Choice A is incorrect because individuals with psychoses may not be aware that their behaviors are maladaptive. Choice C is incorrect because individuals with psychoses may not have insight into their psychological problems. Choice D is incorrect because individuals with psychoses often struggle to differentiate between reality and their altered perceptions.

5. 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.