Tomas is a 21-year-old male with a recent diagnosis of schizophrenia. Tomas's nurse recognizes that self-medicating with excessive alcohol is common in this disease and can co-occur along with:

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Mental Health ATI Test Bank Questions

Question 1 of 5

Tomas is a 21-year-old male with a recent diagnosis of schizophrenia. Tomas's nurse recognizes that self-medicating with excessive alcohol is common in this disease and can co-occur along with:

Correct Answer: C

Rationale: The correct answer is C: Anxiety and depression. Schizophrenia is often accompanied by co-occurring anxiety and depression. This is because individuals with schizophrenia may experience significant levels of stress, fear, and sadness due to their symptoms. Alcohol is commonly used as a form of self-medication to cope with these negative emotions. Explanation for other choices: A: Generally good health despite the mental illness - This is incorrect because individuals with schizophrenia often have physical health issues due to poor self-care and lifestyle choices. B: An aversion to drinking fluids - This is incorrect as there is no direct correlation between schizophrenia and aversion to drinking fluids. D: The ability to express his needs - This is incorrect as individuals with schizophrenia may struggle to express their needs effectively due to communication difficulties associated with the disorder.

Question 2 of 5

Madelyn, a 29-year-old patient recently diagnosed with depression, comes to the mental health clinic complaining of continued difficulty sleeping. One week ago she was started on a selective serotonin reuptake inhibitor (SRRI), fluoxetine (Prozac), for her depressive symptoms. When educating Madelyn your response is guided by the knowledge that:

Correct Answer: C

Rationale: The correct answer is C because neurotransmitters involved in sleep and wakefulness are targeted by many psychiatric medications, including SSRIs like fluoxetine. The difficulty sleeping may be a temporary side effect as Madelyn's body adjusts to the medication. This explanation is supported by the fact that changes in neurotransmitter levels can impact sleep patterns. Choice A is incorrect because while SSRIs can cause side effects like hypersomnolence, difficulty sleeping is also a known side effect. Choice B is incorrect because while depression can affect sleep, starting a new medication like fluoxetine can also impact sleep patterns. Choice D is incorrect because discontinuing the medication without consulting a healthcare provider can have negative consequences for Madelyn's mental health. Addressing the sleep issue through education and monitoring is a more appropriate approach.

Question 3 of 5

Group dynamics can vary widely and at times members are capable of disrupting the group process. Which of the following participant traits may indicate a need for additional support for a new nurse facilitator? Select all that apply.

Correct Answer: B

Rationale: The correct answer is B because a quietly tearful participant expressing suicidal thoughts indicates a serious mental health concern that requires immediate attention and support. This participant may be in distress and at risk of harm, making it crucial for the new nurse facilitator to provide appropriate resources and assistance. Choice A is incorrect because paranoid delusions may not necessarily impact the group dynamics unless they lead to disruptive behavior. Choice C is incorrect as anger alone does not indicate a need for additional support unless it escalates to disruptive behavior. Choice D is also incorrect as being a calm but ineffective communicator may not necessarily indicate a need for additional support unless it hinders the group process.

Question 4 of 5

A nursing instructor is integrating Piaget's theory of cognitive development into the discussion of learning and mental health issues affecting adolescents. The instructor would identify this age group as in which stage?

Correct Answer: C

Rationale: The correct answer is C: Formal operations. Adolescents are typically in Piaget's formal operations stage, which occurs around ages 11 to adulthood. In this stage, individuals develop abstract thinking, logical reasoning, hypothetical thinking, and problem-solving skills. This stage allows adolescents to think about possibilities, consequences, and hypothetical situations. Choices A, B, and D are incorrect because they correspond to earlier stages of cognitive development. Concrete operations (choice A) typically occur between ages 7 to 11, preoperational (choice B) between ages 2 to 7, and sensorimotor (choice D) from birth to 2 years old. These stages do not align with the cognitive abilities and characteristics of adolescents.

Question 5 of 5

A group of nursing students is reviewing information about the types of crisis. The students demonstrate understanding of the information when they identify which of the following as a developmental crisis?

Correct Answer: A

Rationale: The correct answer is A: Going away to college. A developmental crisis is a normal life event that occurs as a person progresses through the stages of life. Going away to college is a typical developmental milestone that can cause stress and require adaptation. This type of crisis is expected and can lead to personal growth and development. Choice B, obtaining a job promotion, is not a developmental crisis as it is not a typical life event associated with a specific stage of life. Choice C, loss of a pet, is considered a situational crisis rather than a developmental crisis. Choice D, earthquake, is classified as a traumatic crisis caused by a sudden and unexpected event, which is not related to personal growth or normal life transitions.

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