a nurse is caring for a patient with major depressive disorder which intervention is most appropriate to help the patient develop better coping skills
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Nursing Elites

ATI LPN

ATI Mental Health Practice A 2023

1. A patient with major depressive disorder is struggling to cope. Which intervention is most appropriate to help the patient develop better coping skills?

Correct answer: D

Rationale: Providing a patient with major depressive disorder a structured daily routine can help them establish a sense of stability, which is crucial for coping with their condition. Routine provides predictability and helps in organizing activities, promoting a sense of accomplishment and control, which can be especially beneficial for individuals struggling with depression.

2. What is a primary goal of treatment for a patient with obsessive-compulsive disorder (OCD)?

Correct answer: B

Rationale: The primary goal of treating obsessive-compulsive disorder (OCD) is to reduce the frequency and intensity of obsessive thoughts and compulsive behaviors. While complete elimination of all obsessive thoughts and compulsive behaviors may be an ideal outcome, it is often unrealistic. Focusing on reducing the impact of these symptoms on the patient's daily life and functioning is more achievable and practical. Choices C and D are incorrect as they are not primary goals in the treatment of OCD. Increasing social interactions and improving sleep quality may be beneficial as part of a comprehensive treatment plan, but they are not the primary focus when managing OCD.

3. A patient with generalized anxiety disorder (GAD) is prescribed buspirone. Which statement by the patient indicates effective understanding of the medication?

Correct answer: D

Rationale: The correct answer is D because buspirone may take a few weeks to become effective in treating generalized anxiety disorder (GAD). Patients should be aware of this delay and not expect immediate relief from their symptoms. Choice A is incorrect because buspirone is typically taken regularly, not just when feeling anxious. Choice B is incorrect because the onset of action for buspirone is gradual, and patients should not expect immediate relief within a few days. Choice C is incorrect because buspirone is not considered addictive, unlike some other medications used for anxiety disorders.

4. A patient with obsessive-compulsive disorder (OCD) spends hours washing their hands. Which nursing intervention is most appropriate?

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.

5. A patient with bipolar disorder is being educated by a nurse on the importance of medication adherence. Which statement by the patient indicates understanding?

Correct answer: B

Rationale: The correct answer is B. Taking medication regularly, even when feeling well, is crucial in managing bipolar disorder. Choice A is incorrect because medication adherence should not be based on symptoms alone. Choice C is incorrect as stopping medication due to side effects should be discussed with a healthcare provider. Choice D is incorrect because relying on memory may lead to missed doses, impacting treatment effectiveness.

Similar Questions

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What principle should guide a nurse's fear about 'saying the wrong thing' to a patient in nurse-patient communication?
A patient with major depressive disorder has been prescribed sertraline (Zoloft). Which statement by the patient indicates a need for further teaching?
A client has a new prescription for disulfiram for the treatment of alcohol use disorder. The nurse informs the client that this medication can cause nausea and vomiting when alcohol is consumed. Which of the following types of treatment is this method an example of?
When orienting a new client to a mental health unit, which of the following statements should the nurse make about the unit’s community meetings?

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