ATI LPN Mental Health Quiz Chapters | Nurselytic

Correct Answer: A

Rationale: ECT is often considered for severe major depression that has not responded to other treatments, especially when there is a risk of suicide. ECT can provide rapid relief of symptoms, which is crucial in cases where immediate intervention is needed to prevent harm to the patient. While ECT is generally safe for individuals with medical conditions, including heart disease, special precautions might be needed. However, the presence of heart disease alone would not necessarily preclude ECT if the benefits outweigh the risks and if the client's cardiac status is stable. Dysthymic disorder, characterized by persistent depressive symptoms that are less severe than major depression, typically does not warrant ECT. ECT is usually reserved for more severe forms of depression that significantly impair daily functioning or pose a risk to the patient's safety. ECT may be contraindicated or require careful consideration in clients with brain metastasis due to potential risks related to increased intracranial pressure or neurological complications. Alternative treatments may be preferred in such cases.

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.

Correct Answer: A,C,D,F

Rationale: A. Purging is a behavior associated with bulimia nervosa, where individuals engage in self-induced vomiting, misuse of laxatives, diuretics, or enemas to compensate for binge eating episodes. C. Night eating disorder is characterized by recurrent episodes of night eating, typically waking up from sleep to consume food, often accompanied by a lack of appetite in the morning and a significant portion of daily caloric intake occurring after the evening meal. D. Pica is a disorder characterized by persistent eating of non-nutritive substances, such as clay, dirt, chalk, or paper. Pica involves eating non-food substances and is recognized as an eating disorder due to the potential harm it can cause. F. Binge eating disorder involves recurrent episodes of consuming large amounts of food within a discrete period, accompanied by a sense of loss of control over eating behavior. Unlike bulimia nervosa, individuals with binge eating disorder do not engage in purging behaviors. B. Cataplexy is a symptom of narcolepsy, characterized by sudden episodes of muscle weakness or loss of muscle tone, often triggered by strong emotions. E. Nocturnal myoclonus, also known as periodic limb movement disorder, involves involuntary muscle contractions or jerks during sleep, which can disrupt sleep but is not related to eating behaviors.

Correct Answer: D

Rationale: When someone assumes the sick role, their engagement in social responsibilities typically decreases or is temporarily suspended. This is because the focus shifts towards managing the illness, seeking treatment, and recovering. Social interactions may be reduced due to physical limitations or the need to avoid spreading illness to others. Denial of illness is not characteristic of assuming the sick role. Assuming the sick role involves acknowledging and recognizing the presence of illness, which prompts seeking medical attention and adopting behaviors conducive to recovery. On the contrary, assuming the sick role often involves a change in duties and responsibilities. The individual may need to delegate tasks or take a break from their usual obligations to focus on recuperation and treatment. When someone assumes the sick role, society typically grants them permission to prioritize their health and well-being. This often includes being excused from work, school, or other responsibilities to focus on recovery. Rest is an important aspect of recuperation during illness.

Correct Answer: D

Rationale: Dissociative fugue involves sudden, unexpected travel away from home or one's customary place of activities, accompanied by an inability to recall one's past. It is usually associated with amnesia for personal information and is not characterized by depersonalization symptoms. DID involves the presence of two or more distinct personality states or identities within an individual, which alternate and take control of behavior. Each identity may have its own unique way of perceiving and interacting with the environment, which differs from the symptoms described in the scenario. Dissociative amnesia involves the inability to recall important personal information, usually related to stressful or traumatic events. While depersonalization symptoms can occur in dissociative amnesia, the hallmark feature is memory loss rather than the feeling of detachment from one's body. Depersonalization disorder is a dissociative disorder where individuals feel detached from themselves, as if they are observing their own thoughts, feelings, sensations, or actions from outside their body. This can lead to a sense of unreality or detachment from the environment or one's own experiences. It is often triggered by stressful events or trauma, and it can occur in individuals experiencing grief or loss, such as the surviving husband in this scenario.