ATI Mental Health Proctored Exam 2023 Quizlet

ATI Mental Health Proctored Exam 2023 Quizlet Related

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A 33-year-old female diagnosed with bipolar I disorder has been functioning well on lithium for 11 months. At her most recent checkup, the psychiatric nurse practitioner states, 'You are ready to enter the maintenance therapy stage, so at this time I am going to adjust your dosage by prescribing:'

  • A. A higher dosage
  • B. Once-a-week dosing
  • C. A lower dosage
  • D. A different drug
Correct Answer: C

Rationale: As the patient transitions to maintenance therapy, the typical approach involves decreasing the dosage to a lower level. This adjustment is made to find the minimum effective dose needed for symptom control while reducing the potential side effects associated with long-term use. Choosing a higher dosage (A) would not align with the goal of maintenance therapy, as it may increase the risk of adverse effects. Once-a-week dosing (B) is not a common adjustment for lithium, which is usually prescribed daily for bipolar disorder. Switching to a different drug (D) is typically considered if the current medication is ineffective or intolerable, not as a routine step in transitioning to maintenance therapy.

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A patient with bipolar disorder is being educated by a nurse on the importance of medication adherence. Which statement by the patient indicates understanding?

  • A. I will take my medication only when I feel manic symptoms.
  • B. I understand that I need to take my medication regularly, even if I feel well.
  • C. I will stop taking my medication if I experience side effects.
  • D. I will take my medication whenever I remember.
Correct Answer: B

Rationale: The correct answer is B. Taking medication regularly, even when feeling well, is crucial in managing bipolar disorder. Choice A is incorrect because medication adherence should not be based on symptoms alone. Choice C is incorrect as stopping medication due to side effects should be discussed with a healthcare provider. Choice D is incorrect because relying on memory may lead to missed doses, impacting treatment effectiveness.

A patient is being assessed for generalized anxiety disorder (GAD). Which symptom is the patient most likely to report?

  • A. Excessive worrying about various aspects of life.
  • B. Extreme mood swings between euphoria and depression.
  • C. Persistent thoughts of self-harm.
  • D. Hearing voices that others do not hear.
Correct Answer: A

Rationale: Patients with generalized anxiety disorder (GAD) commonly present with excessive worrying about various aspects of life. This persistent and uncontrollable worry is a hallmark symptom of GAD and can significantly impact daily functioning and quality of life. Extreme mood swings (choice B), persistent thoughts of self-harm (choice C), and auditory hallucinations (choice D) are more indicative of other mental health conditions like bipolar disorder, depression, and schizophrenia, respectively. These symptoms are not specific to GAD.

A patient with borderline personality disorder is admitted to the psychiatric unit. Which behavior is most characteristic of this disorder?

  • A. Avoiding social interactions due to fear of rejection.
  • B. Engaging in impulsive and self-destructive behaviors.
  • C. Having a grandiose sense of self-importance.
  • D. Exhibiting a pattern of unstable relationships.
Correct Answer: B

Rationale: Borderline personality disorder is characterized by impulsivity and self-destructive behaviors, such as substance abuse, reckless driving, and self-harm. These behaviors are often used to cope with intense emotional distress and are a key feature of this disorder. While individuals with borderline personality disorder may also struggle with unstable relationships, the hallmark feature that sets it apart is the impulsivity and self-destructive behaviors. Avoiding social interactions due to fear of rejection is more characteristic of avoidant personality disorder. Having a grandiose sense of self-importance is a feature of narcissistic personality disorder.

During a mental health assessment, a patient states, 'I just don't see the point in anything anymore.' This statement is an indication of which of the following?

  • A. Anxiety disorder
  • B. Bipolar disorder
  • C. Depression
  • D. Schizophrenia
Correct Answer: C

Rationale: The patient's statement 'I just don't see the point in anything anymore' reflects feelings of hopelessness and a lack of purpose, which are common symptoms of depression. Depression is characterized by persistent feelings of sadness, emptiness, and loss of interest or pleasure in activities that were once enjoyable. While anxiety disorders can involve excessive worry and fear, bipolar disorder includes episodes of both depression and mania, and schizophrenia typically involves symptoms such as hallucinations and delusions. Therefore, depression is the most appropriate choice based on the patient's statement.

Which of the following is an example of a mood stabilizer used to treat bipolar disorder?

  • A. Fluoxetine
  • B. Lithium
  • C. Haloperidol
  • D. Lorazepam
Correct Answer: B

Rationale: Lithium is a widely recognized mood stabilizer used in the treatment of bipolar disorder. It helps to control mood swings, prevent manic episodes, and reduce the risk of suicidal behavior in individuals with bipolar disorder. Fluoxetine is an antidepressant, Haloperidol is an antipsychotic, and Lorazepam is a benzodiazepine used for anxiety and insomnia, none of which are primary mood stabilizers for bipolar disorder.

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