a nurse is planning care for a client who has a mental health disorder which of the following actions should the nurse include as a psychobiological i
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ATI Mental Health Practice B

1. A healthcare professional is planning care for a client who has a mental health disorder. Which of the following actions should the professional include as a psychobiological intervention?

Correct answer: D

Rationale: Monitoring the client for adverse effects of medications is considered a psychobiological intervention because it involves the physiological aspect of mental health treatment. It focuses on the biological impact of medications on the client's mental health condition, emphasizing the interplay between biological and psychological factors in managing mental health disorders. Choices A, B, and C are not psychobiological interventions. Choice A, systematic desensitization therapy, is a psychological intervention aimed at reducing anxiety by gradually exposing the client to feared stimuli. Choice B, teaching appropriate coping mechanisms, is a psychosocial intervention focusing on behavioral strategies to manage stress. Choice C, assessing for comorbid health conditions, pertains to identifying other medical issues that may coexist with the mental health disorder but does not directly address the biological effects of medications on mental health.

2. When developing a care plan for a patient with generalized anxiety disorder (GAD), which long-term goal is most appropriate?

Correct answer: B

Rationale: The most appropriate long-term goal for managing generalized anxiety disorder is for the patient to recognize and modify anxiety-provoking thoughts. By addressing and modifying these thoughts, the patient can develop coping mechanisms and strategies to manage their anxiety more effectively in the long term. Choices A and C are not ideal long-term goals as complete elimination of anxiety episodes or avoidance of anxiety-provoking situations may not be realistic or sustainable. Choice D focuses solely on medication adherence, which is important but does not address the core cognitive-behavioral aspects of managing anxiety in GAD.

3. Carolina is surprised when her patient does not show for a regularly scheduled appointment. When contacted, the patient states, “I don’t need to come see you anymore. I have found a therapy app on my phone that I love.” How should Carolina respond to this news?

Correct answer: A

Rationale: Carolina should respond by showing interest in the app, as it can help maintain the therapeutic relationship and provide an opportunity to evaluate the app's effectiveness together. By asking the patient to visit and show the app, Carolina demonstrates openness to exploring new tools that the patient finds helpful, while also ensuring that the patient's well-being remains a priority. This approach fosters communication, allows for a collaborative discussion on how the app fits into the patient's treatment plan, and may potentially address any concerns or misconceptions the patient has about the app replacing traditional therapy.

4. When discharging a patient with schizophrenia on risperidone, what is an important point to include in the discharge teaching?

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. April, a 10-year-old admitted to inpatient pediatric care, has been becoming increasingly agitated and losing control in the day room. Time-out has proven to be ineffective for April to engage in self-reflection. April’s mother mentions using time-out up to 20 times a day. The nurse acknowledges that:

Correct answer: B

Rationale: The scenario describes how April's behavior is not improving with the frequent use of time-out, indicating that it is no longer an effective intervention. When a strategy such as time-out loses its effectiveness due to overuse, it is crucial to explore alternative therapeutic measures to address the underlying issues effectively.

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