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ATI Mental Health Practice A 2023
1. 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.
2. What is the primary goal of exposure therapy for a patient with specific phobia?
- A. To eliminate the phobic response completely
- B. To increase the patient's exposure to the feared object
- C. To help the patient confront and reduce their fear gradually
- D. To provide immediate relief from anxiety symptoms
Correct answer: C
Rationale: The primary goal of exposure therapy for a patient with a specific phobia is to help them confront their fear gradually, leading to a reduction in their fear response over time. This gradual exposure helps the individual learn to manage and cope with their phobia, ultimately reducing the intensity of their fear reactions. Choice A is incorrect because while the goal is to reduce the fear response, complete elimination may not always be feasible. Choice B is incorrect as the focus is not solely on increasing exposure but on gradual confrontation. Choice D is incorrect as the therapy aims for long-term reduction rather than immediate relief.
3. What is a common side effect of benzodiazepines prescribed for anxiety?
- A. Weight gain
- B. Insomnia
- C. Drowsiness
- D. Increased appetite
Correct answer: C
Rationale: The correct answer is C: Drowsiness. Benzodiazepines, commonly prescribed for anxiety, often cause drowsiness as a side effect due to their sedative properties. This can lead to impairments in cognitive and motor skills, making it important for individuals on these medications to exercise caution when performing tasks that require alertness, such as driving or operating machinery. Choices A, B, and D are incorrect because weight gain, insomnia, and increased appetite are not typically associated with benzodiazepines; instead, drowsiness and sedation are more commonly reported side effects.
4. What medication is frequently prescribed for patients with generalized anxiety disorder (GAD)?
- A. Fluoxetine
- B. Sertraline
- C. Buspirone
- D. Diazepam
Correct answer: C
Rationale: Buspirone is a medication commonly prescribed for generalized anxiety disorder (GAD) due to its effectiveness and lower risk of dependency compared to benzodiazepines like diazepam. While fluoxetine and sertraline are selective serotonin reuptake inhibitors (SSRIs) often used for various anxiety disorders, buspirone is specifically indicated for GAD.
5. Which medication is commonly used to treat both major depressive disorder and neuropathic pain?
- A. Gabapentin
- B. Duloxetine
- C. Amitriptyline
- D. Tramadol
Correct answer: B
Rationale: Duloxetine, also known as Cymbalta, is a medication commonly used to treat both major depressive disorder and neuropathic pain. It is a serotonin-norepinephrine reuptake inhibitor (SNRI) that helps alleviate symptoms associated with these conditions. Gabapentin is primarily used for neuropathic pain, Amitriptyline is commonly used as an antidepressant, and Tramadol is an opioid analgesic often used for pain relief but not typically indicated for major depressive disorder.
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