a patient with anorexia nervosa is being treated in an inpatient facility which intervention should be included in the care plan
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Nursing Elites

ATI LPN

ATI Mental Health Practice A 2023

1. A patient with anorexia nervosa is being treated in an inpatient facility. Which intervention should be included in the care plan?

Correct answer: B

Rationale: Monitoring the patient's weight weekly is crucial in the care of individuals with anorexia nervosa as it allows healthcare providers to track changes in weight, which is a key indicator of nutritional status. Regular weight monitoring helps in identifying any significant weight loss or gain, enabling prompt intervention and adjustment of the treatment plan to address the patient's nutritional needs effectively.

2. A 32-year-old female patient is diagnosed with generalized anxiety disorder (GAD). Which behavior would the nurse expect to observe?

Correct answer: A

Rationale: In generalized anxiety disorder (GAD), individuals often experience persistent and excessive worry about various aspects of their life. This worry is difficult to control and is disproportionate to the actual source of concern. The other options describe behaviors more commonly associated with other anxiety disorders like social anxiety disorder (frequent fidgeting and difficulty sitting still), obsessive-compulsive disorder (ritualistic behaviors), and depersonalization/derealization disorder (periods of derealization). Therefore, the correct behavior to expect in a patient with GAD is persistent and excessive worry.

3. A patient with social anxiety disorder is prescribed a beta-blocker. Which symptom is this medication most likely intended to address?

Correct answer: B

Rationale: Beta-blockers are commonly used to alleviate physical symptoms associated with anxiety disorders, such as tremors and palpitations. These medications help manage the autonomic symptoms of anxiety, like increased heart rate and trembling, which are often prominent in social anxiety disorder. Beta-blockers do not primarily target cognitive symptoms like recurrent, intrusive thoughts (choice C), panic attacks (choice A), or depression (choice D) in social anxiety disorder.

4. A patient with major depressive disorder is started on fluoxetine. What is a common side effect the nurse should monitor for?

Correct answer: C

Rationale: Nausea is a common side effect of fluoxetine and should be monitored.

5. Which patient statement suggests the presence of dissociative amnesia?

Correct answer: B

Rationale: The correct answer is B because the statement reflects a significant gap in memory related to a traumatic event, which is characteristic of dissociative amnesia. Choice A is more indicative of normal forgetfulness and absentmindedness. Choice C suggests depersonalization or dissociative identity disorder rather than dissociative amnesia. Choice D describes a common experience related to concentration while reading, not memory loss as seen in dissociative amnesia.

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