ATI LPN Mental Health Quiz Chapters | Nurselytic

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.

Correct Answer: C

Rationale: CNS stimulants are not typically used in the treatment of bulimia. They may increase anxiety and have abuse potential, which could exacerbate symptoms. While some anxiolytics may be prescribed for comorbid anxiety disorders often seen with bulimia nervosa, they are not the primary treatment for bulimia itself. Antidepressants, specifically selective serotonin reuptake inhibitors (SSRIs), are commonly used in the treatment of bulimia nervosa. SSRIs such as fluoxetine (Prozac), sertraline (Zoloft), and others are FDA-approved for the treatment of bulimia nervosa due to their effectiveness in reducing binge eating episodes and helping to control the symptoms associated with the disorder.

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.