ATI Mental Health Questions

ATI Mental Health Questions Related

Review ATI Mental Health Questions related questions and content

Carolina is surprised when her patient does not show for a regularly scheduled appointment. When contacted, the patient states, "I don't need to come see you anymore. I have found a therapy app on my phone that I love." How should Carolina respond to this news?

  • A. That sounds exciting; would you be willing to visit and show me the app?
  • B. At this time, there is no real evidence that the app can replace our therapy.
  • C. I am not sure that is a good idea right now; we are so close to progress.
  • D. Why would you think that is a better option than meeting with me?
Correct Answer: A

Rationale: Carolina should respond by showing interest in the app, as it can help maintain the therapeutic relationship and provide an opportunity to evaluate the app's effectiveness together. By asking the patient to visit and show the app, Carolina demonstrates openness to exploring new tools that the patient finds helpful, while also ensuring that the patient's well-being remains a priority. This approach fosters communication, allows for a collaborative discussion on how the app fits into the patient's treatment plan, and may potentially address any concerns or misconceptions the patient has about the app replacing traditional therapy.

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Child protective services have removed 10-year-old Christopher from his parents' home due to neglect. Christopher reveals to the nurse that he considers the woman next door his "nice" mom, that he loves school, and gets above-average grades. The strongest explanation for this response is:

  • A. Temperament
  • B. Genetic factors
  • C. Resilience
  • D. Paradoxical effects of neglect
Correct Answer: C

Rationale: Resilience is the ability to adapt well despite adversity, which is demonstrated by Christopher's positive relationships and school performance. Despite the challenging situation of being removed from his parents' home, Christopher's ability to form a positive bond with the neighbor, enjoy school, and excel academically showcases his resilience in coping with the circumstances.

Ted, a former executive, is now unemployed due to manic episodes at work. He was diagnosed with bipolar I 8 years ago. Ted has a history of IV drug abuse, which resulted in hepatitis C. He is taking his lithium exactly as scheduled, a fact that both Ted's wife and his blood tests confirm. To reduce Ted's mania, the psychiatric nurse practitioner recommends:

  • A. Clonazepam (Klonopin)
  • B. Fluoxetine (Prozac)
  • C. Electroconvulsive therapy (ECT)
  • D. Lurasidone (Latuda)
Correct Answer: D

Rationale: Lurasidone (Latuda) is an atypical antipsychotic medication commonly used in the treatment of bipolar disorder. It can help manage symptoms of mania by stabilizing mood and reducing the intensity of manic episodes. Given Ted's history of bipolar I disorder and the need to address his manic symptoms, Lurasidone (Latuda) is a suitable recommendation by the psychiatric nurse practitioner to aid in managing Ted's condition effectively.

Luc's family comes home one evening to find him extremely agitated, and they suspect he is in a full manic episode. The family calls emergency medical services. While one medic is talking with Luc and his family, the other medic is counting something on his desk. What is the medic most likely counting?

  • A. Hypodermic needles
  • B. Fast food wrappers
  • C. Empty soda cans
  • D. Energy drink containers
Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

James is a 42-year-old patient with schizophrenia. He approaches you as you arrive for the day shift and anxiously reports, "Last night, demons came to my room and tried to rape me." Which response would be most therapeutic?

  • A. There are no such things as demons. What you saw were hallucinations.
  • B. It is not possible for anyone to enter your room at night. You are safe here.
  • C. You seem very upset. Please tell me more about what you experienced last night.
  • D. That must have been very frightening, but we'll check on you at night and you'll be safe.
Correct Answer: C

Rationale: The most therapeutic response acknowledges the patient's emotional state and invites further discussion about their experience. By saying, 'You seem very upset. Please tell me more about what you experienced last night,' the nurse shows empathy and openness, providing a supportive environment for the patient to express their feelings and perceptions.

What assessment findings would indicate lithium toxicity in a patient hospitalized for an acute manic episode?

  • A. Shortness of breath, gastrointestinal distress, chronic cough
  • B. Ataxia, severe hypotension, large volume of dilute urine
  • C. Gastrointestinal distress, thirst, nystagmus
  • D. Electroencephalographic changes, chest pain, dizziness
Correct Answer: B

Rationale: In a patient suspected of lithium toxicity, the presence of ataxia, severe hypotension, and a large volume of dilute urine are key assessment findings. Ataxia is a sign of central nervous system involvement, severe hypotension indicates cardiovascular effects, and a large volume of dilute urine suggests renal impairment, all of which are commonly seen in severe lithium toxicity. Options A, C, and D do not align with typical signs of lithium toxicity.

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