ATI LPN
ATI LPM Mental Health Quiz Questions
Extract:
Question 1 of 5
A client with generalized anxiety disorder (GAD) is prescribed buspirone (BuSpar). Which information regarding side effects should be given to the client?
Correct Answer: B
Rationale: Cardiac arrest is not a common side effect of buspirone; it’s a rare and extreme outcome not typically associated with this medication. Buspirone can cause gastrointestinal side effects like constipation, so advising the client to drink adequate fluids helps mitigate this risk and supports overall health. There is no evidence that buspirone significantly affects vision as a common side effect, but this isn’t the most critical information to share. Buspirone is less sedating compared to other anxiolytics like benzodiazepines, so warning about increased sedation would be inaccurate.
Question 2 of 5
A client describes flashbacks of a terrifying car crash in which he saw his best friend die. Which disorder should the nurse suspect in this situation?
Correct Answer: C
Rationale: Panic disorder involves unexpected and repeated episodes of intense fear, often without a specific trigger, and isn’t typically linked to flashbacks. Obsessive-compulsive disorder is characterized by unwanted repeated thoughts (obsessions) and actions (compulsions), not trauma-related flashbacks. PTSD involves re-experiencing a traumatic event through flashbacks and nightmares, directly matching the client’s symptoms of reliving the car crash. Agoraphobia is an anxiety disorder involving fear of places or situations that might cause panic, not tied to specific traumatic memories.
Question 3 of 5
An older adult is given the diagnosis of depression and is started on medication. Which group of medications would be appropriate for the depressed older adult?
Correct Answer: A
Rationale: SSRIs are often the first-line treatment for depression in older adults due to their favorable side effect profile, including lower risk of sedation and falls compared to other options. Benzodiazepines are not typically used for depression as they treat anxiety and can increase the risk of falls and confusion in older adults. Hypnotics are used for sleep issues, not as antidepressants, and don’t address the core symptoms of depression. Monoamine oxidase inhibitors are effective but often reserved for cases where other treatments fail due to their dietary restrictions and potential for serious side effects.
Question 4 of 5
A client with Alzheimer's disease has lost all sense of time and place and has developed visual agnosia. The client is in which of the following stages of Alzheimer's disease?
Correct Answer: B
Rationale: The intermediate stage might involve moderate memory loss and some disorientation, but not typically severe symptoms like complete loss of time and place or visual agnosia. In the severe stage, clients exhibit major confusion, losing all sense of time and place, and may develop visual agnosia (inability to recognize objects), aligning with the client’s condition. The end stage involves near-total dependence and loss of physical abilities, often beyond the cognitive symptoms described. Early-stage symptoms are mild, like forgetfulness, and don’t include such advanced disorientation.
Question 5 of 5
Which of the following is a physical clinical finding of depression in older adults?
Correct Answer: D
Rationale: Increased anxiety is a psychological symptom, not a physical finding, though it may accompany depression. Slowed memory and intellect are cognitive symptoms related to depression’s impact on thinking, not physical manifestations. Physical symptoms of depression can include changes in sleep, appetite, or pain, such as headaches, which are commonly reported in older adults as a somatic expression of the disorder.