LPN LPN
ATI Mental Health Practice A 2023
1. A patient with obsessive-compulsive disorder (OCD) spends hours washing their hands. Which nursing intervention is most appropriate?
- A. Encouraging the patient to stop washing their hands
- B. Allowing the patient to wash hands at specified times
- C. Ignoring the patient's behavior
- D. Setting strict limits on the time allowed for hand washing
Correct answer: B
Rationale: In managing a patient with OCD who spends excessive time washing hands, allowing the patient to wash hands at specified times is the most appropriate nursing intervention. This approach helps establish a structured routine for hand washing, which can assist in managing OCD symptoms without reinforcing the behavior. Encouraging the patient to stop washing hands may lead to increased anxiety and resistance. Ignoring the behavior can perpetuate the cycle of OCD, and setting strict limits on hand washing time may cause distress and may not effectively address the underlying issues associated with OCD.
2. What is the primary goal of eye movement desensitization and reprocessing (EMDR) when treating a patient with posttraumatic stress disorder (PTSD)?
- A. To help the patient confront and process traumatic memories
- B. To help the patient change negative thought patterns
- C. To help the patient develop relaxation techniques
- D. To help the patient avoid triggers
Correct answer: A
Rationale: The primary goal of eye movement desensitization and reprocessing (EMDR) in treating patients with posttraumatic stress disorder (PTSD) is to help them confront and process traumatic memories. EMDR uses bilateral stimulation to facilitate the processing of distressing memories, leading to their desensitization and reprocessing, ultimately reducing PTSD symptoms.
3. A patient is experiencing a manic episode. Which intervention is most effective?
- A. Encouraging the patient to participate in group activities
- B. Providing a low-stimulation environment
- C. Allowing the patient to move freely around the unit
- D. Engaging the patient in competitive games
Correct answer: B
Rationale: During a manic episode, individuals may be overwhelmed by stimuli. Providing a low-stimulation environment can help reduce excessive sensory input and minimize exacerbation of manic behaviors. This intervention aims to create a calm and structured setting that supports the individual in managing their symptoms effectively.
4. When discharging a patient with schizophrenia on risperidone, what is an important point to include in the discharge teaching?
- A. Avoiding foods high in tyramine is essential.
- B. Getting blood levels checked regularly is necessary.
- C. Being cautious when driving due to possible drowsiness is crucial.
- D. Taking this medication on an as-needed basis is recommended.
Correct answer: B
Rationale: Regular monitoring of blood levels is crucial for patients taking risperidone to ensure the medication is at therapeutic levels and to prevent potential toxicity. This monitoring helps healthcare providers adjust the dosage as needed to optimize treatment outcomes and minimize adverse effects.
5. Which intervention is most appropriate for a patient experiencing a severe manic episode?
- A. Providing a structured and low-stimulation environment
- B. Encouraging the patient to engage in group activities
- C. Providing detailed information about the patient's condition
- D. Allowing the patient to have unsupervised time
Correct answer: A
Rationale: During a severe manic episode, it is crucial to provide a structured and low-stimulation environment to help manage the symptoms effectively. This environment aims to reduce stimuli that can exacerbate manic behavior and provide a sense of predictability and safety for the individual. Group activities, detailed information provision, or unsupervised time may not be suitable during a severe manic episode as they can potentially worsen the condition or pose safety risks.
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