ATI LPN
ATI LPN Mental Health Quiz Chapters Questions
Extract:
Question 1 of 5
A depressed client has been prescribed a selective serotonin reuptake inhibitor. Which medication may have been prescribed?
Correct Answer: B
Rationale: Lorazepam is a benzodiazepine used primarily for its anxiolytic (anti-anxiety) effects. It is not an SSRI and is not typically prescribed as a first-line treatment for depression. Sertraline is a commonly prescribed SSRI used to treat depression, anxiety disorders, obsessive-compulsive disorder (OC
D), and other conditions. It works by increasing the levels of serotonin in the brain, which helps improve mood and reduce symptoms of depression. Amitriptyline is a tricyclic antidepressant (TC
A), not an SSRI. TCAs are older antidepressants that work on multiple neurotransmitter systems, including serotonin, but they are less commonly prescribed as first-line treatment due to their side effect profile. Clonazepam is also a benzodiazepine used for treating anxiety disorders and certain types of seizures. Like lorazepam, it is not an SSRI and is not typically used as a first-line treatment for depression.
Question 2 of 5
A nurse is contributing to the plan of care for a client who has severe depression following the loss of her spouse. When identifying client goals, which of the following goals should the nurse identify as the highest priority?
Correct Answer: D
Rationale: While this is an important goal for improving self-esteem and mood, it may not be the highest priority when the client's safety is at risk. This goal focuses on future planning and motivation, which is important for recovery but may not be as urgent as ensuring immediate safety. Understanding one's grief process is important for emotional healing, but it is not typically as critical as ensuring safety in the immediate term. This goal addresses the immediate safety and well-being of the client. Depression, especially severe depression, can increase the risk of suicidal ideation and behaviors. It is crucial to ensure the client's safety and have measures in place for her to reach out for help if she feels overwhelmed or unsafe.
Question 3 of 5
A male client who suffered a stroke completed his physical therapy and is returning to work. The client is in which stage of the illness experience?
Correct Answer: B
Rationale: This stage typically involves initial diagnosis, treatment, and acute management of the illness or condition. It focuses on stabilizing the patient's health and addressing immediate medical needs. This stage follows the acute phase of illness and involves efforts to restore functioning, improve quality of life, and regain independence through therapies such as physical therapy, occupational therapy, and speech therapy. Returning to work is a significant milestone in this phase, indicating progress in functional recovery. This stage emphasizes maintaining health and preventing recurrence or complications once the acute phase and recovery are complete. It involves strategies such as regular check-ups, lifestyle modifications, and adherence to health-promoting behaviors. This stage typically refers to the closure of formal medical or rehabilitative services when the patient no longer requires ongoing professional intervention for the condition.
Question 4 of 5
Which instruction should the nurse give a client who is prescribed lithium carbonate (lithium)?
Correct Answer: A
Rationale: Lithium is excreted primarily by the kidneys, and its clearance can be affected by changes in fluid balance. It's important for clients taking lithium to maintain a stable and adequate fluid intake to help regulate lithium levels in the body. Stable fluid intake helps maintain electrolyte balance, which is crucial for the proper function of lithium and prevention of adverse effects. Lithium can affect sodium reabsorption in the kidneys. High levels of sodium intake can alter lithium levels in the body, potentially leading to toxicity.
Therefore, clients on lithium therapy are often advised to maintain a consistent and moderate level of sodium intake. Excessive dietary salt can interfere with lithium's therapeutic effects. Restricting fluid intake is not recommended unless there are specific medical reasons to do so. Lithium therapy generally requires adequate hydration to maintain kidney function and prevent dehydration, which can affect lithium levels. Exercising in hot weather can lead to increased sweating and fluid loss, which can potentially affect lithium levels by altering hydration status. However, the primary concern during exercise in hot weather is maintaining adequate hydration rather than restricting it.
Question 5 of 5
Assessment of a client reveals severe and sudden mood swings from mania to depression. Which diagnosis should the nurse suspect?
Correct Answer: D
Rationale: Major depressive disorder is characterized by persistent feelings of sadness and loss of interest or pleasure in activities. It does not involve manic or hypomanic episodes, which are essential for diagnosing bipolar disorder. Dysthymic disorder involves chronic, low-grade depression that lasts for at least two years. It does not typically present with episodes of mania or hypomania. Personality disorders involve enduring patterns of behavior, cognition, and inner experience that deviate markedly from the expectations of the individual's culture. While some personality disorders can present with mood instability, the description of severe and sudden mood swings from mania to depression is not characteristic of personality disorders in general. Bipolar disorder is characterized by episodes of mania or hypomania (elevated, expansive, or irritable mood, increased energy, racing thoughts) alternating with episodes of depression (sadness, loss of interest, low energy). The mood swings can be severe, and the transition between mood states can occur suddenly.