a nurse is providing care for a patient with bipolar disorder which mood stabilizer is commonly prescribed for this condition

ATI RN

ATI Mental Health Practice A

1. 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.

2. A client is diagnosed with obsessive-compulsive disorder (OCD). Which of the following interventions should the nurse include in the care plan? Select one that does not apply.

A. Allow the client to perform rituals initially
B. Set limits on the time allowed for rituals
C. Encourage the client to verbalize feelings
D. Provide a structured schedule of activities

Correct answer: A

Rationale: Interventions for a client with OCD should include allowing the client to perform rituals initially, setting limits on the time allowed for rituals, encouraging the client to verbalize feelings, and providing a structured schedule of activities. Allowing the client to perform rituals is an essential part of managing OCD and should not be restricted in the initial stages of care. Setting limits on the time for rituals helps prevent excessive engagement in them. Encouraging the client to verbalize feelings promotes emotional expression and processing. Providing a structured schedule of activities helps establish routine and predictability, which can be beneficial for individuals with OCD.

3. Which of the following statements about the DSM-5 is inaccurate?

A. It includes specific criteria for diagnosing mental disorders.
B. It is used by mental health professionals to guide diagnosis.
C. It provides a classification system for mental disorders.
D. It includes guidelines for the treatment of mental disorders.

Correct answer: D

Rationale: The DSM-5 is a diagnostic tool that provides specific criteria for diagnosing mental disorders, is utilized by mental health professionals to guide diagnosis, and offers a systematic classification of mental disorders. The statement that the DSM-5 includes guidelines for the treatment of mental disorders is inaccurate. The primary focus of the DSM-5 is on diagnosis and classification, not treatment. Therefore, choice D is the correct answer. Choices A, B, and C accurately describe the purpose and functions of the DSM-5.

4. Which medication is typically prescribed for the treatment of attention-deficit/hyperactivity disorder (ADHD)?

A. Haloperidol
B. Sertraline
C. Methylphenidate
D. Clozapine

Correct answer: C

Rationale: Methylphenidate is a central nervous system stimulant often prescribed to manage symptoms of ADHD. It works by increasing the activity of certain neurotransmitters in the brain, helping to improve focus, attention, and impulse control in individuals with ADHD. Haloperidol, Sertraline, and Clozapine are not typically used as first-line treatments for ADHD. Haloperidol is an antipsychotic used in conditions like schizophrenia, Sertraline is an antidepressant primarily for mood disorders, and Clozapine is an atypical antipsychotic for treatment-resistant schizophrenia.

5. A client with schizophrenia is prescribed an antipsychotic medication. Which of the following side effects should the nurse monitor for? Select one that does not apply.

A. Tardive dyskinesia
B. Neuroleptic malignant syndrome
C. Mindfulness meditation
D. Hyperglycemia

Correct answer: C

Rationale: The correct answer is C, 'Mindfulness meditation.' Side effects of antipsychotic medications include tardive dyskinesia, neuroleptic malignant syndrome, orthostatic hypotension, and hyperglycemia. Mindfulness meditation is not a side effect of antipsychotic medications. Choices A, B, and D are all potential side effects of antipsychotic medications. Tardive dyskinesia is a movement disorder characterized by repetitive, involuntary movements. Neuroleptic malignant syndrome is a rare but life-threatening reaction to antipsychotic medication. Hyperglycemia can occur as a side effect of some antipsychotic medications, particularly the second-generation ones.