ATI Mental Health Questions

ATI Mental Health Questions Related

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Gilbert, age 19, is described by his parents as a 'moody child' with an onset of odd behavior at age 14, which caused Gilbert to suffer academically and socially. Gilbert has lost the ability to complete household chores, is reluctant to leave the house, and is obsessed with the locks on the windows and doors. Due to Gilbert's early and slow onset of what is now recognized as schizophrenia, his prognosis is considered:

  • A. Favorable with medication
  • B. In the relapse stage
  • C. Improvable with psychosocial interventions
  • D. To have a less positive outcome
Correct Answer: D

Rationale: Individuals with an early and slow onset of schizophrenia typically have a less positive outcome or prognosis. This is because early onset schizophrenia is often associated with a more severe form of the illness and can lead to greater functional impairment in various aspects of life, including academic and social functioning. Therefore, the prognosis for Gilbert, given his presentation and age of onset, would be considered to have a less positive outcome.

You may also like to solve these questions

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.

What assessment question will provide insight into the effects of a woman's circadian rhythms on her quality of life?

  • A. How much sleep do you usually get each night?
  • B. Does your heart ever seem to skip a beat?
  • C. When was the last time you had a fever?
  • D. Do you have problems urinating?
Correct Answer: A

Rationale: Inquiring about the amount of sleep a woman gets each night is crucial in understanding how her circadian rhythms may be affecting her quality of life. Circadian rhythms play a significant role in regulating sleep-wake cycles, and disruptions in these rhythms can impact overall well-being and quality of life.

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.

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: In the maintenance therapy stage for bipolar disorder, a lower dosage of lithium is often prescribed to prevent toxicity and maintain stability while minimizing side effects. Lower doses are typically used once the patient has achieved mood stabilization to reduce the risk of adverse effects associated with long-term lithium use.

Tomas is a 21-year-old male with a recent diagnosis of schizophrenia. Tomas's nurse recognizes that self-medicating with excessive alcohol is common in this disease and can co-occur along with:

  • A. Generally good health despite the mental illness.
  • B. An aversion to drinking fluids.
  • C. Anxiety and depression.
  • D. The ability to express his needs.
Correct Answer: C

Rationale: Individuals with schizophrenia often turn to alcohol as a form of self-medication to manage co-occurring symptoms of anxiety and depression. This coping mechanism can exacerbate the underlying mental health condition and hinder proper treatment. Recognizing and addressing these co-occurring issues are essential in providing holistic care for individuals with schizophrenia.

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