ATI Mental Health Practice A

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Which therapeutic approach is considered most effective for treating posttraumatic stress disorder (PTSD)?

  • A. Cognitive processing therapy
  • B. Psychoanalysis
  • C. Medication management
  • D. Group therapy
Correct Answer: A

Rationale: Cognitive processing therapy is a specialized form of cognitive-behavioral therapy that has been shown to be highly effective in treating posttraumatic stress disorder (PTSD). This therapy focuses on helping individuals process and make sense of their traumatic experiences, leading to symptom reduction and improved coping mechanisms. Psychoanalysis, medication management, and group therapy can be beneficial in some cases, but cognitive processing therapy is specifically tailored for addressing the symptoms and underlying causes of PTSD. Psychoanalysis may not be as effective for PTSD due to its focus on unconscious conflicts rather than trauma processing. Medication management can be useful as an adjunct to therapy but does not address the core issues of PTSD. Group therapy can provide support but may not offer the individualized approach that cognitive processing therapy provides.

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A patient with posttraumatic stress disorder (PTSD) is experiencing flashbacks. The most appropriate intervention is to:

  • A. Encourage the patient to talk about the trauma.
  • B. Help the patient reorient to the present.
  • C. Leave the patient alone to process the flashback.
  • D. Remind the patient that the flashback is not real.
Correct Answer: B

Rationale: When a patient with PTSD is experiencing flashbacks, the most appropriate intervention is to help them reorient to the present. This intervention can assist in reducing the intensity of the flashback and providing a sense of safety for the patient. Choice A is incorrect because encouraging the patient to talk about the trauma during a flashback may exacerbate their distress. Choice C is incorrect as leaving the patient alone can increase their feelings of isolation and fear. Choice D is incorrect because reminding the patient that the flashback is not real may invalidate their experience and increase their sense of disconnection.

A patient diagnosed with bipolar disorder is experiencing a depressive episode. Which medication is commonly prescribed for this phase of the disorder?

  • A. Valproic acid
  • B. Risperidone
  • C. Fluoxetine
  • D. Lithium
Correct Answer: C

Rationale: The correct answer is C, Fluoxetine. Fluoxetine, a selective serotonin reuptake inhibitor (SSRI), is commonly prescribed to manage the depressive episodes in bipolar disorder. SSRIs are effective in treating the depressive phase of bipolar disorder as they help regulate serotonin levels in the brain, which can improve mood and reduce symptoms of depression. Choice A, Valproic acid, is used more commonly in the treatment of acute mania or mixed episodes in bipolar disorder. Choice B, Risperidone, is an atypical antipsychotic often used to manage psychotic symptoms in bipolar disorder. Choice D, Lithium, is primarily used for the maintenance treatment of bipolar disorder to prevent future manic and depressive episodes.

For a patient with obsessive-compulsive disorder (OCD) who spends several hours a day washing her hands, which type of therapy is most appropriate?

  • A. Exposure and response prevention
  • B. Dialectical behavior therapy
  • C. Family therapy
  • D. Interpersonal therapy
Correct Answer: A

Rationale: Exposure and response prevention (ERP) is the most appropriate therapy for managing OCD. ERP involves exposing the patient to anxiety-provoking stimuli (such as touching dirty objects) and preventing the compulsive response (hand washing), thus helping the patient learn to tolerate the anxiety without performing the ritualistic behavior. Dialectical behavior therapy (DBT) focuses more on emotional regulation and interpersonal skills, making it less suitable for directly addressing OCD symptoms. Family therapy and interpersonal therapy may be beneficial for other conditions or relationship issues but are not specifically designed to target OCD symptoms like ERP.

Which of the following is a common side effect of selective serotonin reuptake inhibitors (SSRIs)?

  • A. Hypotension
  • B. Sexual dysfunction
  • C. Increased appetite
  • D. Tachycardia
Correct Answer: B

Rationale: Corrected Rationale: Sexual dysfunction is a commonly reported side effect of selective serotonin reuptake inhibitors (SSRIs). SSRIs can affect sexual function by causing issues such as decreased libido, delayed ejaculation, erectile dysfunction, or anorgasmia. Patients should be educated about these potential side effects when starting SSRIs to facilitate informed decision-making and appropriate management strategies.

Incorrect Choices:
A) Hypotension is not a common side effect of SSRIs.
C) Increased appetite is not a common side effect of SSRIs.
D) Tachycardia is not a common side effect of SSRIs.

Which mood stabilizer is commonly prescribed for bipolar disorder?

  • A. Sertraline
  • B. Lithium
  • C. Clozapine
  • D. Haloperidol
Correct Answer: B

Rationale: Lithium is a well-established mood stabilizer commonly prescribed for the treatment of bipolar disorder. It helps to control manic episodes, stabilize mood swings, and reduce the risk of relapse in individuals with this condition. Sertraline is an antidepressant commonly used for treating depression, while Clozapine and Haloperidol are antipsychotic medications used for different psychiatric conditions. Therefore, the correct answer is B because it is specifically indicated and effective for bipolar disorder.

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