ATI Mental Health Practice A

ATI Mental Health Practice A Related

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A patient with social anxiety disorder is starting cognitive-behavioral therapy (CBT). Which statement by the nurse best explains the purpose of this therapy?

  • A. CBT will help you understand and change your thought patterns.
  • B. CBT will focus on exploring your childhood experiences.
  • C. CBT will teach you relaxation techniques to use in social situations.
  • D. CBT will help you avoid situations that cause anxiety.
Correct Answer: A

Rationale: Cognitive-behavioral therapy (CBT) is a structured, short-term psychotherapy that aims to help patients identify and change negative thought patterns and behaviors associated with anxiety. By understanding and altering these patterns, individuals can learn to manage and alleviate their symptoms effectively. Choice A is the correct answer as it accurately describes the purpose of CBT for social anxiety disorder. Choices B, C, and D are incorrect. B is incorrect because while childhood experiences may be explored, the primary focus of CBT is on thought patterns and behaviors in the present. C is incorrect because although relaxation techniques may be a component of CBT, the primary goal is not just to teach relaxation but to address underlying cognitive and behavioral patterns. D is incorrect because the goal of CBT is not avoidance but rather to confront and manage anxiety-provoking situations.

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Which intervention should a healthcare professional implement to help a patient with social anxiety disorder?

  • A. Encourage participation in group therapy sessions.
  • B. Suggest practicing relaxation techniques during social interactions.
  • C. Advise the patient to avoid social situations that cause anxiety.
  • D. Teach the patient cognitive restructuring techniques.
Correct Answer: D

Rationale: Teaching cognitive restructuring techniques is an effective intervention for patients with social anxiety disorder. This approach helps individuals challenge and change their negative thought patterns, leading to improved coping mechanisms in social situations. Choice A, encouraging participation in group therapy sessions, may be overwhelming for individuals with social anxiety. Choice B, suggesting relaxation techniques, may offer short-term relief but does not address the underlying cognitive distortions. Choice C, advising avoidance of social situations, reinforces avoidance behaviors and does not promote long-term improvement in managing social anxiety.

Which symptom is most commonly associated with obsessive-compulsive disorder (OCD)?

  • A. Frequent mood swings
  • B. Intrusive, repetitive thoughts
  • C. Hallucinations
  • D. Flashbacks
Correct Answer: B

Rationale: The correct answer is B: Intrusive, repetitive thoughts. Intrusive, repetitive thoughts are the hallmark symptom of obsessive-compulsive disorder (OCD). Individuals with OCD experience persistent, unwanted thoughts or obsessions that lead to repetitive behaviors or compulsions. These thoughts are intrusive and difficult to control, causing significant distress and interfering with daily activities. While mood swings, hallucinations, and flashbacks can be present in other mental health conditions, they are not the primary symptoms associated with OCD.

After a severe automobile accident, Mr. and Mrs. Johnson were brought to the hospital. Mrs. Johnson is unable to remember anything about the accident or the two days preceding it. The nurse recognizes this as:

  • A. Generalized amnesia
  • B. Localized amnesia
  • C. Selective amnesia
  • D. Continuous amnesia
Correct Answer: B

Rationale: Localized amnesia refers to an inability to recall specific events, often traumatic, within a particular time frame. In this case, Mrs. Johnson's memory loss about the accident and the preceding two days aligns with the characteristics of localized amnesia. Generalized amnesia involves a more extensive memory loss, often encompassing a person's entire life, which is not the case here. Selective amnesia involves forgetting specific details but not a whole chunk of time like in this scenario. Continuous amnesia is not a recognized term in psychology.

During a panic attack, what is the most appropriate nursing intervention?

  • A. Encourage the patient to talk about their feelings.
  • B. Provide a quiet, non-stimulating environment.
  • C. Administer prescribed medication immediately.
  • D. Teach the patient relaxation techniques.
Correct Answer: B

Rationale: During a panic attack, a quiet, non-stimulating environment is the most appropriate nursing intervention. This helps reduce stimuli that may exacerbate the panic attack and allows the individual to focus on calming down. Encouraging the patient to talk about their feelings may not be effective during an acute panic attack as the focus should be on reducing stimuli. Administering medication should follow healthcare provider's orders and may not be the initial intervention. Teaching relaxation techniques is beneficial in managing anxiety but may not be the priority during the acute phase of a panic attack where reducing stimuli is crucial.

A patient with social anxiety disorder is prescribed a beta-blocker. Which symptom is this medication most likely intended to address?

  • A. Panic attacks
  • B. Tremors and palpitations
  • C. Recurrent, intrusive thoughts
  • D. Depression
Correct Answer: B

Rationale: Beta-blockers are commonly used to alleviate physical symptoms associated with anxiety disorders, such as tremors and palpitations. These medications help manage the autonomic symptoms of anxiety, like increased heart rate and trembling, which are often prominent in social anxiety disorder. Beta-blockers do not primarily target cognitive symptoms like recurrent, intrusive thoughts (choice C), panic attacks (choice A), or depression (choice D) in social anxiety disorder.

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