ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
Which medication is commonly prescribed to treat obsessive-compulsive disorder (OCD)?
Correct Answer: A
Rationale:
Step-by-step rationale for why Paroxetine (
A) is the correct answer:
1. Paroxetine is a selective serotonin reuptake inhibitor (SSRI) commonly used to treat OCD.
2. SSRIs help increase serotonin levels in the brain, which can alleviate OCD symptoms.
3. Clinical studies have shown the effectiveness of Paroxetine in reducing obsessions and compulsions in OCD patients.
4. Lithium (
B), Donepezil (
C), Valproate (
D), and Carbamazepine (E) are not typically prescribed for OCD.
Summary:
Paroxetine is the correct choice due to its specific mechanism of action targeting serotonin levels, supported by clinical evidence. Other options lack efficacy or are not commonly used for OCD treatment.
Question 2 of 5
A school nurse is speaking to the mother of a 16-year-old male adolescent. The mother has concerns about her son. Which of the following statements by the mother should indicate to the nurse that the adolescent is at risk for suicide?
Correct Answer: A
Rationale: A close connection to someone who has died by suicide is a known risk factor for adolescent suicide.
Question 3 of 5
A male nurse is assigned to care for a female client who was admitted to the hospital for treatment of injuries following a domestic abuse incident. The client tells the nurse manager she does not want a male nurse as her caregiver. Which of the following nursing responses should the nurse manager make?
Correct Answer: D
Rationale: The correct answer is D: "I can review the assignments and arrange for a female nurse to care for you." This response respects the client's preference for a female caregiver, prioritizing her comfort and sense of safety. It acknowledges and addresses the client's concerns promptly and professionally.
Option A is incorrect because it only offers a female assistive personnel for personal hygiene care, not the nurse, which may not fully address the client's request. Option B is incorrect as it focuses on the nurse's capability rather than the client's comfort. Option C is incorrect as it dismisses the client's preference by comparing it to the doctor's gender. The correct response should prioritize the client's emotional well-being and autonomy.
Question 4 of 5
A nurse is caring for a client who has obsessive-compulsive disorder (OCD). Which of the following characteristics are expected findings of OCD? (Select all that apply.)
Correct Answer: A, B, C, E
Rationale: The correct answer includes characteristics that are commonly associated with obsessive-compulsive disorder (OC
D).
A: Difficulty relaxing - Individuals with OCD often experience persistent intrusive thoughts or obsessions, leading to heightened anxiety and difficulty relaxing.
B: Irrational fear of certain objects - OCD can manifest as specific fears or obsessions that are irrational and intrusive, causing distress and leading to compulsive behaviors.
C: Rule-conscious behavior - People with OCD tend to adhere rigidly to self-imposed rules or rituals to manage their anxiety and obsessions.
E: Perfectionist behavior - Perfectionism is a common trait in individuals with OCD, as they may feel the need to perform tasks perfectly to alleviate anxiety associated with obsessions.
Incorrect choices:
D: Unaware of compulsions - Individuals with OCD are usually aware of their compulsive behaviors, as these actions are driven by the need to reduce anxiety related to obsessions.
Question 5 of 5
A nurse is caring for an older adult client who had a cerebrovascular accident and has right-sided paralysis and aphasia. The client's son tells the nurse it is his fault because he did not insist that his mother live with him. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Reflecting the client’s feelings validates emotions and encourages further expression.