A client with a history of alcohol abuse is participating in a 12-step Alcoholics Anonymous (AA) program. The nurse determines that the client is at step two when he states which of the following?

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ATI Capstone Mental Health Questions

Question 1 of 5

A client with a history of alcohol abuse is participating in a 12-step Alcoholics Anonymous (AA) program. The nurse determines that the client is at step two when he states which of the following?

Correct Answer: B

Rationale: Step-by-step rationale: 1. Step 2 in AA involves believing in a higher power's ability to help overcome alcoholism. 2. The client stating "I realize that there is a higher power that can help me" aligns with step 2. 3. This step acknowledges the need for external support beyond oneself in the recovery process. 4. Choice A refers to step 9, making amends. Choice C refers to step 1, admitting powerlessness. Choice D refers to step 8, making amends.

Question 2 of 5

Guadalupe is the matriarch of a large family. She is terminally ill and none of her family members know her end-of-life wishes. The best action for the nurse is to:

Correct Answer: B

Rationale: The correct answer is B because organizing a family meeting with Guadalupe's permission allows for open communication about her end-of-life wishes. This approach respects her autonomy and ensures her preferences are known. Discussing durable power of attorney (A) may be premature without knowing Guadalupe's wishes. Having a family meeting without her (C) disregards her right to be involved in decision-making. Asking the doctor to inform Guadalupe about her terminal illness (D) should be done by a healthcare provider, not a nurse, and may cause distress without addressing her specific wishes.

Question 3 of 5

Tammy, a 28-year-old with major depressive disorder and bulimia nervosa, is ready for discharge from the county hospital after 2 weeks of inpatient therapy. Tammy is taking citalopram (Celexa) and reports that it has made her feel more hopeful. With a secondary diagnosis of bulimia nervosa, what is an alternative antidepressant to consider?

Correct Answer: A

Rationale: The correct answer is A: Fluoxetine (Prozac). Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) that is FDA-approved for both major depressive disorder and bulimia nervosa. It is commonly used in treating patients with co-occurring depression and eating disorders, like bulimia nervosa. Fluoxetine has shown efficacy in reducing binge eating and purging behaviors associated with bulimia nervosa. Now, let's analyze the other choices: B: Isocarboxazid (Marplan) is a monoamine oxidase inhibitor (MAOI) that is not commonly used as a first-line treatment for bulimia nervosa. MAOIs have more dietary and drug interaction concerns compared to SSRIs. C: Amitriptyline is a tricyclic antidepressant (TCA) that is not typically preferred for bulimia nervosa due to its side effect profile and overdose risk. D: Duloxetine (Cymbalta)

Question 4 of 5

A family member of an adolescent who has expressed a desire to commit suicide asks the nurse, 'What might predict the possibility of future suicide attempts?' Which of the following would the nurse include in the response?

Correct Answer: C

Rationale: The correct answer is C: Previous suicide attempt. This is a critical risk factor for future suicide attempts as individuals who have previously attempted suicide are at a higher risk of attempting it again. It indicates underlying mental health issues and distress. Unemployment (A), Death of a spouse (B), and Polydrug use (D) are also risk factors for suicide, but not as strong predictors as a previous suicide attempt. Unemployment and loss of a loved one can contribute to feelings of hopelessness, while polydrug use can impair judgment, but they do not directly indicate a previous suicide attempt like choice C does.

Question 5 of 5

A client with a history of alcohol abuse is participating in a 12-step Alcoholics Anonymous (AA) program. The nurse determines that the client is at step two when he states which of the following?

Correct Answer: B

Rationale: Step-by-step rationale: 1. Step 2 in AA involves believing in a higher power's ability to help overcome alcoholism. 2. The client stating "I realize that there is a higher power that can help me" aligns with step 2. 3. This step acknowledges the need for external support beyond oneself in the recovery process. 4. Choice A refers to step 9, making amends. Choice C refers to step 1, admitting powerlessness. Choice D refers to step 8, making amends.

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