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ATI Mental Health Practice A 2023
1. In schizophrenia, a patient is experiencing negative symptoms. Which of the following is a negative symptom?
- A. Hallucinations
- B. Delusions
- C. Apathy
- D. Disorganized speech
Correct answer: C
Rationale: In schizophrenia, negative symptoms refer to deficits in normal emotional responses or other thought processes. Apathy is a negative symptom characterized by a lack of interest, enthusiasm, or concern. Hallucinations (seeing or hearing things that aren't there), delusions (false beliefs), and disorganized speech are positive symptoms, which involve the presence of abnormal behaviors or thoughts.
2. What is the primary benefit of cognitive-behavioral therapy (CBT) for patients with anxiety disorders?
- A. It focuses on the long-term use of medications.
- B. It helps patients understand and change their thought patterns.
- C. It primarily addresses childhood traumas.
- D. It encourages patients to avoid anxiety-provoking situations.
Correct answer: B
Rationale: The primary benefit of cognitive-behavioral therapy (CBT) for patients with anxiety disorders is that it helps individuals understand and change their thought patterns. By doing so, patients can effectively reduce their anxiety levels by altering their responses to anxious thoughts and situations, leading to improved coping mechanisms and overall well-being. Choice A is incorrect because CBT does not focus on the long-term use of medications but rather on changing cognitive patterns. Choice C is incorrect because while CBT may address past experiences, its primary focus is on current thoughts and behaviors. Choice D is incorrect as CBT aims to help patients confront and manage anxiety-provoking situations rather than avoid them.
3. Which symptom is most indicative of posttraumatic stress disorder (PTSD)?
- A. Persistent low mood
- B. Frequent nightmares
- C. Hallucinations
- D. Compulsive behaviors
Correct answer: B
Rationale: Frequent nightmares are a hallmark symptom of posttraumatic stress disorder (PTSD). Individuals with PTSD often experience intrusive and distressing nightmares related to the traumatic event they have experienced. These nightmares can contribute to sleep disturbances and further exacerbate the individual's overall psychological distress. Persistent low mood, hallucinations, and compulsive behaviors are not specific symptoms of PTSD and are more commonly associated with other mental health conditions such as depression, psychotic disorders, and obsessive-compulsive disorder respectively.
4. Which of the following is an example of a mood stabilizer used to treat bipolar disorder?
- A. Fluoxetine
- B. Lithium
- C. Haloperidol
- D. Lorazepam
Correct answer: B
Rationale: Lithium is a widely recognized mood stabilizer used in the treatment of bipolar disorder. It helps to control mood swings, prevent manic episodes, and reduce the risk of suicidal behavior in individuals with bipolar disorder. Fluoxetine is an antidepressant, Haloperidol is an antipsychotic, and Lorazepam is a benzodiazepine used for anxiety and insomnia, none of which are primary mood stabilizers for bipolar disorder.
5. Which symptom is most indicative of obsessive-compulsive disorder (OCD)?
- A. Flashbacks of traumatic events
- B. Persistent, intrusive thoughts
- C. Frequent mood swings
- D. Auditory hallucinations
Correct answer: B
Rationale: Persistent, intrusive thoughts are a hallmark symptom of obsessive-compulsive disorder. Individuals with OCD experience persistent and unwanted thoughts or obsessions that are intrusive and cause significant distress. These thoughts often lead to repetitive behaviors or compulsions to try to alleviate the anxiety or distress caused by the obsessions. Flashbacks of traumatic events (Choice A), frequent mood swings (Choice C), and auditory hallucinations (Choice D) are not typical symptoms of OCD. Flashbacks are more commonly associated with post-traumatic stress disorder, mood swings can be seen in mood disorders, and auditory hallucinations are more characteristic of psychotic disorders.
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