ATI Mental Health Practice A

ATI Mental Health Practice A Related

Review ATI Mental Health Practice A related questions and content

For a patient diagnosed with borderline personality disorder exhibiting self-harming behavior, which therapeutic approach is most appropriate?

  • A. Dialectical behavior therapy
  • B. Psychoanalysis
  • C. Supportive therapy
  • D. Pharmacotherapy
Correct Answer: A

Rationale: The most appropriate therapeutic approach for a patient diagnosed with borderline personality disorder exhibiting self-harming behavior is dialectical behavior therapy (DBT). DBT is specifically designed to address the core symptoms of borderline personality disorder, including self-harming behaviors. It focuses on teaching patients skills to manage emotions, improve interpersonal relationships, and enhance distress tolerance. Psychoanalysis (Choice B) is not the most appropriate for immediate symptom management in this case. Supportive therapy (Choice C) may not provide the structured approach needed to address self-harming behaviors effectively. Pharmacotherapy (Choice D) may be used as an adjunct in some cases, but DBT is the frontline therapy for managing self-harming behaviors in borderline personality disorder.

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A patient with bipolar disorder has been prescribed lithium. Which dietary advice is important for the nurse to include?

  • A. Avoid foods high in tyramine.
  • B. Maintain a consistent salt intake.
  • C. Increase protein intake.
  • D. Avoid foods high in fat.
Correct Answer: B

Rationale: Patients prescribed lithium should maintain a consistent salt intake to prevent fluctuations in lithium levels. Salt intake can impact lithium levels, and sudden changes in salt intake can affect how the body absorbs and excretes lithium. Therefore, advising the patient to maintain a stable salt intake is crucial for the effectiveness and safety of lithium therapy. Choices A, C, and D are incorrect. Avoiding foods high in tyramine is more relevant for patients taking MAOIs, not lithium. Increasing protein intake or avoiding foods high in fat are not specific dietary recommendations for patients on lithium therapy.

Which neurotransmitter is primarily implicated in the development of schizophrenia?

  • A. Serotonin
  • B. Norepinephrine
  • C. Dopamine
  • D. Acetylcholine
Correct Answer: C

Rationale: The correct answer is dopamine. Dopamine dysregulation is a key factor in the development of schizophrenia. Excess dopamine activity in certain brain regions is associated with positive symptoms of schizophrenia, such as hallucinations and delusions. Dopaminergic medications that reduce dopamine levels are often used to manage these symptoms, further supporting the role of dopamine in schizophrenia. Serotonin (Choice A) is more commonly associated with mood regulation and is implicated in depression and anxiety disorders. Norepinephrine (Choice B) is involved in the body's 'fight or flight' response and is linked to conditions like anxiety and PTSD. Acetylcholine (Choice D) plays a role in muscle movement and memory but is not primarily implicated in schizophrenia.

Which of the following is a hallmark symptom of generalized anxiety disorder (GAD)?

  • A. Flashbacks
  • B. Excessive worry
  • C. Hallucinations
  • D. Compulsive behaviors
Correct Answer: B

Rationale: Excessive worry is a hallmark symptom of generalized anxiety disorder (GAD). Individuals with GAD often experience persistent and excessive worry or anxiety about a variety of situations or activities, even when there is little or no reason to worry. This chronic worrying can significantly impact their daily functioning and quality of life, distinguishing it as a key feature of GAD. Flashbacks are more commonly associated with post-traumatic stress disorder (PTSD), not GAD. Hallucinations are not typically seen in GAD but may be present in conditions like schizophrenia. Compulsive behaviors are characteristic of obsessive-compulsive disorder (OCD), not GAD.

Which of the following is a negative symptom of schizophrenia?

  • A. Hallucinations
  • B. Delusions
  • C. Alogia
  • D. Paranoia
Correct Answer: C

Rationale: Alogia, also known as poverty of speech, is a negative symptom of schizophrenia. It refers to a reduction in the amount of speech or the feeling that one has nothing to say. Hallucinations and delusions are positive symptoms, characterized by the presence of abnormal experiences and beliefs. Paranoia is a symptom involving intense anxious or fearful feelings, which is not classified as a negative symptom of schizophrenia.

When assessing a patient with schizophrenia who exhibits disorganized speech and behavior, these symptoms are classified as:

  • A. Positive symptoms
  • B. Negative symptoms
  • C. Cognitive symptoms
  • D. Mood symptoms
Correct Answer: A

Rationale: Positive symptoms in schizophrenia refer to excesses or distortions in normal behavior and include symptoms like hallucinations, delusions, and disorganized speech and behavior. Disorganized speech and behavior are considered positive symptoms because they represent an excess or distortion of normal functions. Negative symptoms involve deficits in normal behavior, cognitive symptoms affect thinking processes, and mood symptoms relate to emotional experiences. Therefore, in this scenario, the disorganized speech and behavior exhibited by the patient are classified as positive symptoms.

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