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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Which therapeutic communication technique involves restating the patient's message to ensure understanding?
- A. Clarification
- B. Reflection
- C. Summarization
- D. Paraphrasing
Correct Answer: D
Rationale: Paraphrasing is the correct therapeutic communication technique where the nurse restates the patient's message in their own words to confirm understanding. This technique helps in validating the patient's feelings and ensuring that both parties are in agreement, leading to effective communication and rapport building. Choice A, 'Clarification,' involves seeking further information to enhance understanding rather than restating the message. Choice B, 'Reflection,' involves echoing the patient's feelings to show empathy rather than restating the message. Choice C, 'Summarization,' involves condensing the main points of a conversation rather than restating a specific message.
Which statement by a patient indicates an understanding of cognitive-behavioral therapy (CBT)?
- A. CBT will help me understand and change my thought patterns.
- B. CBT focuses on resolving past trauma.
- C. CBT will help me avoid my problems.
- D. CBT involves taking medication to manage symptoms.
Correct Answer: A
Rationale: The correct answer is A. Cognitive-behavioral therapy (CBT) is a type of psychotherapy that focuses on helping patients understand and change their thought patterns to improve their mental health. This therapy aims to identify and modify negative or harmful thoughts and behaviors. Option A correctly reflects this fundamental concept of CBT, emphasizing the role of thought patterns in mental health improvement. Choices B and C are incorrect because CBT does not primarily focus on resolving past trauma or avoiding problems; instead, it concentrates on changing cognitive patterns. Choice D is also inaccurate as CBT does not involve medication management but rather focuses on cognitive and behavioral interventions.
Which of the following interventions is most effective in managing a patient with obsessive-compulsive disorder (OCD)?
- A. Encouraging the patient to engage in repetitive behaviors.
- B. Helping the patient to understand that their thoughts are irrational.
- C. Providing the patient with a structured daily routine.
- D. Allowing the patient to avoid situations that trigger their obsessions.
Correct Answer: B
Rationale: The most effective intervention in managing a patient with obsessive-compulsive disorder (OCD) is helping the patient to understand that their thoughts are irrational. This cognitive-behavioral approach can assist in reducing the frequency and intensity of obsessive thoughts and compulsive behaviors by challenging and reframing maladaptive beliefs and thought patterns associated with OCD. Encouraging the patient to engage in repetitive behaviors (choice A) reinforces the compulsive behavior rather than addressing the underlying issue. Providing a structured daily routine (choice C) may help in some cases but does not directly target the irrational thoughts and beliefs. Allowing the patient to avoid trigger situations (choice D) can provide temporary relief but does not address the core problem of irrational thoughts and behaviors.
A healthcare provider is educating a patient about the side effects of selective serotonin reuptake inhibitors (SSRIs). Which side effect should the provider emphasize?
- A. Weight gain
- B. Increased libido
- C. Nausea
- D. Insomnia
Correct Answer: C
Rationale: When educating patients about SSRIs, it is crucial to emphasize the common side effect of nausea. Nausea is a frequently reported side effect of SSRIs that can impact adherence to treatment. By highlighting this side effect, patients can be better prepared and informed about what to expect when taking these medications. Choices A, B, and D are incorrect as weight gain, increased libido, and insomnia are not typically associated with SSRIs as common side effects. Nausea is a more relevant and prevalent side effect to address with patients.
Which of the following medications is commonly used to treat attention deficit hyperactivity disorder (ADHD)?
- A. Sertraline
- B. Diazepam
- C. Methylphenidate
- D. Clozapine
Correct Answer: C
Rationale: Methylphenidate is the correct answer. It is a stimulant medication commonly used to treat ADHD. Methylphenidate works by increasing the activity of certain chemicals in the brain that are involved in attention and impulse control. Sertraline is an antidepressant used for depression, anxiety, and other conditions, not ADHD. Diazepam is a benzodiazepine mainly prescribed for anxiety, muscle spasms, and seizures, not ADHD. Clozapine is an antipsychotic medication used for schizophrenia when other medications are ineffective, not for ADHD.