LPN LPN
ATI Mental Health Practice A 2023
1. Which medication is commonly used to treat both major depressive disorder and neuropathic pain?
- A. Gabapentin
- B. Duloxetine
- C. Amitriptyline
- D. Tramadol
Correct answer: B
Rationale: Duloxetine, also known as Cymbalta, is a medication commonly used to treat both major depressive disorder and neuropathic pain. It is a serotonin-norepinephrine reuptake inhibitor (SNRI) that helps alleviate symptoms associated with these conditions. Gabapentin is primarily used for neuropathic pain, Amitriptyline is commonly used as an antidepressant, and Tramadol is an opioid analgesic often used for pain relief but not typically indicated for major depressive disorder.
2. When a patient is diagnosed with major depressive disorder, which nursing diagnosis should be the priority?
- A. Imbalanced nutrition: less than body requirements
- B. Risk for suicide
- C. Disturbed sleep pattern
- D. Ineffective coping
Correct answer: B
Rationale: The priority nursing diagnosis for a patient diagnosed with major depressive disorder is 'Risk for suicide.' This is the priority as it addresses the immediate risk of self-harm in individuals suffering from major depressive disorder. Monitoring and intervening to prevent self-harm take precedence over other nursing diagnoses in this scenario.
3. A patient with obsessive-compulsive disorder (OCD) is prescribed fluvoxamine. What is a common side effect of this medication?
- A. Increased appetite
- B. Dry mouth
- C. Weight gain
- D. Nausea
Correct answer: D
Rationale: Nausea is a common side effect of fluvoxamine, a selective serotonin reuptake inhibitor (SSRI) commonly used in the treatment of OCD. Patients should be advised to monitor and report any gastrointestinal disturbances, including nausea, to their healthcare provider.
4. What medication is frequently prescribed for patients with generalized anxiety disorder (GAD)?
- A. Fluoxetine
- B. Sertraline
- C. Buspirone
- D. Diazepam
Correct answer: C
Rationale: Buspirone is a medication commonly prescribed for generalized anxiety disorder (GAD) due to its effectiveness and lower risk of dependency compared to benzodiazepines like diazepam. While fluoxetine and sertraline are selective serotonin reuptake inhibitors (SSRIs) often used for various anxiety disorders, buspirone is specifically indicated for GAD.
5. In cognitive processing therapy for PTSD, what is the primary goal for the patient?
- A. To help the patient process the trauma and reduce avoidance behaviors.
- B. To help the patient confront and process the trauma in a safe environment.
- C. To help the patient understand the impact of the trauma on their current thoughts and behaviors.
- D. To help the patient avoid triggers that remind them of the trauma.
Correct answer: C
Rationale: The primary goal of cognitive processing therapy for PTSD is to help the patient understand the impact of the trauma on their current thoughts and behaviors. Through this therapy, individuals learn to identify and challenge maladaptive beliefs related to the traumatic event, ultimately helping them to process the trauma and develop healthier coping mechanisms. This approach aims to address the cognitive distortions and negative thoughts that have resulted from the trauma, facilitating healing and recovery.
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