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ATI Mental Health Practice A 2023
1. A patient with schizophrenia is being educated about the significance of medication adherence. Which statement by the patient indicates understanding?
- A. I will take my medication only when I feel symptoms returning.
- B. I understand that taking my medication regularly is important to manage my symptoms.
- C. I can stop taking my medication once I feel better.
- D. I should take my medication on an as-needed basis.
Correct answer: B
Rationale: The correct answer is B because acknowledging the importance of consistently taking medication is crucial for effectively managing symptoms of schizophrenia. It is essential for patients with schizophrenia to adhere to their medication regimen to stabilize their condition and prevent symptom exacerbation. Waiting for symptoms to return before taking medication, stopping medication once feeling better, or taking medications on an as-needed basis are not recommended practices for managing schizophrenia effectively.
2. James is a 42-year-old patient with schizophrenia. He approaches you as you arrive for the day shift and anxiously reports, ‘Last night, demons came to my room and tried to rape me.’ Which response would be most therapeutic?
- A. There are no such things as demons. What you saw were hallucinations.
- B. It is not possible for anyone to enter your room at night. You are safe here.
- C. You seem very upset. Please tell me more about what you experienced last night.
- D. That must have been very frightening, but we’ll check on you at night and you’ll be safe.
Correct answer: C
Rationale: Choice C is the most therapeutic response as it acknowledges the patient’s feelings, shows empathy, and encourages further expression of his experiences. By actively listening and inviting the patient to share more details, the healthcare provider provides a supportive environment that can help the patient feel understood and validated. Option A dismisses the patient's experience and can make him feel unheard. Option B denies the patient's reality and can increase his distress. Option D, while offering reassurance, does not address the patient's emotional state or encourage further communication.
3. A patient diagnosed with panic disorder asks the nurse about the purpose of deep breathing exercises. Which explanation by the nurse is most accurate?
- A. Deep breathing helps distract you from your anxiety.
- B. Deep breathing can prevent future panic attacks.
- C. Deep breathing helps reduce physical symptoms of anxiety.
- D. Deep breathing increases your overall lung capacity.
Correct answer: C
Rationale: Deep breathing helps reduce the physical symptoms of anxiety, such as rapid heartbeat and shortness of breath.
4. 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:
- A. Time-out is a crucial aspect of April’s baseline discipline.
- B. Time-out is no longer an effective intervention.
- C. April finds enjoyment in time-out and misbehaves to seek solitude.
- D. Time-out will have to be replaced with seclusion and restraint.
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.
5. What is the primary goal of exposure therapy for a patient with specific phobia?
- A. To eliminate the phobic response completely
- B. To increase the patient's exposure to the feared object
- C. To help the patient confront and reduce their fear gradually
- D. To provide immediate relief from anxiety symptoms
Correct answer: C
Rationale: The primary goal of exposure therapy for a patient with a specific phobia is to help them confront their fear gradually, leading to a reduction in their fear response over time. This gradual exposure helps the individual learn to manage and cope with their phobia, ultimately reducing the intensity of their fear reactions. Choice A is incorrect because while the goal is to reduce the fear response, complete elimination may not always be feasible. Choice B is incorrect as the focus is not solely on increasing exposure but on gradual confrontation. Choice D is incorrect as the therapy aims for long-term reduction rather than immediate relief.
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