ATI Mental Health Practice B 2023

Questions 202

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ATI RN Mental Health Asn Questions

Question 1 of 5

Which medication is commonly prescribed to treat obsessive-compulsive disorder (OCD)?

Correct Answer: A

Rationale: The correct answer is A: Paroxetine. Paroxetine is a selective serotonin reuptake inhibitor (SSRI) commonly prescribed for OCD due to its effectiveness in increasing serotonin levels in the brain, which helps reduce obsessive thoughts and compulsive behaviors. Lithium, Donepezil, Valproate, and Carbamazepine are not typically used to treat OCD as they are more commonly indicated for conditions such as mood disorders, Alzheimer's disease, epilepsy, and bipolar disorder, respectively.
Therefore, Paroxetine is the most appropriate choice for treating OCD based on its mechanism of action and proven efficacy.

Question 2 of 5

A nurse is speaking with a client experiencing anxiety. Which of the following responses is most therapeutic?

Correct Answer: B

Rationale: The correct answer is B. Bringing the client to an area for uninterrupted conversation shows active listening and support. It promotes a safe space for the client to express feelings and reduces anxiety.
Choice A is incorrect as it assumes all clients benefit from lying down, which may not be true.
Choice C is incorrect because recommending relaxation exercises may not address the client's immediate needs.
Choice D is incorrect as medication should not be the first response for managing anxiety without exploring other options first.

Question 3 of 5

A newly admitted client with obsessive-compulsive disorder (OCD) is performing ritualistic behaviors. What should the nurse do first?

Correct Answer: B

Rationale: The correct answer is B: Identify precipitating factors for rituals. This is the first step because understanding what triggers the client's rituals is crucial in developing an effective treatment plan. By identifying these factors, the nurse can address the root cause of the behavior and work towards reducing or eliminating it. Discussing coping strategies (
A) may come later once the triggers are identified. Instructing on relaxation techniques (
C) and providing a structured activity schedule (
D) are helpful interventions but addressing the triggers takes precedence.

Question 4 of 5

A nurse is assessing a client experiencing chronic stress. Which of the following findings should the nurse expect?

Correct Answer: D

Rationale: The correct answer is D: Hyperglycemia. Chronic stress can lead to the release of stress hormones like cortisol and adrenaline, which can increase blood sugar levels. This occurs due to the body's fight-or-flight response to stress. Hypotension (
A) is unlikely as stress typically leads to increased blood pressure. Increased energy (
B) is less likely as chronic stress can lead to fatigue and exhaustion. Increased cognitive awareness (
C) is not a common finding in chronic stress, as it can impair cognitive function. Hyperglycemia (
D) is the most likely finding due to the physiological response to stress.

Question 5 of 5

Which intervention should a nurse prioritize when caring for a client with alcohol use disorder?

Correct Answer: B

Rationale: The correct answer is B: Providing adequate hydration and rest. This intervention is crucial because individuals with alcohol use disorder often experience dehydration and fatigue due to excessive alcohol consumption. Hydration helps to flush out toxins and restore electrolyte balance, while rest supports physical and mental recovery. Helping the client identify positive personality traits (
A) may be beneficial in building self-esteem but is not as urgent as addressing physical needs. Confronting denial and defense mechanisms (
C) may lead to resistance and hinder the therapeutic relationship. Educating the client about alcohol misuse (
D) is important but should be done after addressing immediate physical needs.

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