ATI LPN
ATI LPN Mental Health Quiz Chapters Questions
Extract:
Question 1 of 5
A nurse is caring for a 20-year-old college student who has a 2-year history of bulimia nervosa. She tells the nurse, 'I know my eating binges and vomiting are not normal, but I cannot do anything about them.' Which of the following is a therapeutic response by the nurse?
Correct Answer: A
Rationale: This response acknowledges the client's feelings of helplessness, which can validate her experience and promote further discussion about her emotions and challenges related to her eating disorder. It shows empathy and encourages the client to explore her feelings. While this question is open-ended and invites the client to explore the underlying reasons for her behavior, it might inadvertently suggest that the client should have insights or control over her behavior that she may not currently possess. It could potentially make the client feel blamed or misunderstood if she cannot provide a clear answer. This response is directive and judgmental, which can lead to the client feeling criticized or defensive. It does not acknowledge the complexity of the client's experience and may not be effective in building rapport or promoting trust between the nurse and client. This response acknowledges the client's self-awareness and validates her recognition of the problem, which can be empowering and supportive. However, it does not directly address her expressed feelings of helplessness, making it less therapeutic in this context.
Question 2 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 3 of 5
A nurse is caring for a 20-year-old college student who has a 2-year history of bulimia nervosa. She tells the nurse, 'I know my eating binges and vomiting are not normal, but I cannot do anything about them.' Which of the following is a therapeutic response by the nurse?
Correct Answer: A
Rationale: This response acknowledges the client's feelings of helplessness, which can validate her experience and promote further discussion about her emotions and challenges related to her eating disorder. It shows empathy and encourages the client to explore her feelings. While this question is open-ended and invites the client to explore the underlying reasons for her behavior, it might inadvertently suggest that the client should have insights or control over her behavior that she may not currently possess. It could potentially make the client feel blamed or misunderstood if she cannot provide a clear answer. This response is directive and judgmental, which can lead to the client feeling criticized or defensive. It does not acknowledge the complexity of the client's experience and may not be effective in building rapport or promoting trust between the nurse and client. This response acknowledges the client's self-awareness and validates her recognition of the problem, which can be empowering and supportive. However, it does not directly address her expressed feelings of helplessness, making it less therapeutic in this context.
Question 4 of 5
The death rate from anorexia is higher than any other mental illness. Death usually results from which of the following? (Select all that apply.)
Correct Answer: A,B,D,E
Rationale: A. Severely restricted food intake can lead to imbalances in electrolytes such as potassium, sodium, and chloride. These imbalances can disrupt normal heart rhythm (arrhythmias) and other vital functions, potentially leading to cardiac arrest, which is a common cause of death in individuals with anorexia nervosa. B. Individuals with anorexia nervosa are at increased risk of suicidal thoughts and behaviors. This risk may be due to the severe psychological distress associated with the disorder, as well as the physical complications that can feel overwhelming. Suicide can unfortunately be a tragic consequence in some cases. D. Dehydration is a significant risk in individuals with anorexia nervosa, especially when combined with electrolyte imbalances. Dehydration can lead to organ failure, particularly kidney failure, which can be life-threatening if not promptly treated. E. Severe muscle wasting can occur in individuals with anorexia nervosa, particularly in later stages of the disorder. Loss of muscle mass contributes to overall physical weakness and compromises essential bodily functions, potentially leading to organ failure and death. C. Anorexia nervosa itself does not directly cause diabetes. However, individuals with severe anorexia may develop metabolic disturbances, including insulin resistance, due to malnutrition. This can lead to abnormal blood sugar levels, but diabetes as a direct cause of death in anorexia is less common compared to other complications.
Question 5 of 5
A female client's husband, in whom a chronic illness was recently diagnosed, is hospitalized. She states that she cannot stop worrying about what is going to happen with her husband's treatment and how they are going to pay the bills because he will not be working. What reaction is the client most likely experiencing?
Correct Answer: A
Rationale: Anxiety is characterized by feelings of worry, fear, and apprehension about future events or uncertain outcomes. In this situation, the client's concerns about her husband's chronic illness diagnosis, his treatment, and financial implications (due to his inability to work) indicate that she is experiencing anxiety. These worries are typical responses to stressful life events and uncertainties. Shock is a sudden and intense emotional reaction typically experienced immediately after a traumatic or unexpected event. While the client may initially experience shock upon hearing her husband's diagnosis, ongoing worry about treatment and financial concerns suggests a more prolonged state of anxiety rather than acute shock. Withdrawal refers to a disengagement or retreat from social interactions or activities. There is no indication in the scenario that the client is withdrawing from social interactions. Rather, she is actively expressing concerns and seeking support, which is inconsistent with withdrawal. Anger involves feelings of hostility, frustration, or resentment towards others or situations. While anger could potentially arise in response to the stressors described, the primary emotion expressed by the client in this scenario is worry and concern, which aligns more closely with anxiety than anger.