pablo is a homeless adult who has no family connection pablo passed out on the street and emergency medical services took him to the hospital where he

ATI RN

ATI Mental Health Proctored Exam 2023

1. Pablo is a homeless adult who has no family connection. Pablo passed out on the street, and emergency medical services took him to the hospital where he expresses a wish to die. The physician recognizes evidence of substance use problems and mental health issues and recommends inpatient treatment for Pablo. What is the rationale for this treatment choice? Select one that doesn't apply.

A. Intermittent supervision is available in inpatient settings.
B. He requires stabilization of multiple symptoms.
C. How do you feel about talking to a mental health counselor?
D. Medication adherence will be mandated.

Correct answer: D

Rationale: The correct answer is D because medication adherence being mandated is not a primary rationale for inpatient treatment. The main reasons for recommending inpatient treatment in this scenario include the need for stabilization of multiple symptoms, addressing nutritional and self-care needs, and ensuring safety due to the imminent danger of self-harm. Inpatient settings provide a more intensive level of care and supervision to address these complex issues effectively.

2. Which statement by the patient indicates a need for further teaching regarding the treatment of major depressive disorder?

A. I have been on this antidepressant for 3 days. I understand that the full effect may take weeks to occur.
B. I am going to ask my nurse practitioner to discontinue my Prozac today and let me start taking a monoamine oxidase inhibitor tomorrow.
C. I may ask to have my medication changed to Wellbutrin due to the problems I am having being romantic with my wife.
D. I realize that there are many antidepressants and it might take a while until we find the one that works best for me.

Correct answer: B

Rationale: Choice B indicates a need for further teaching because the patient is planning to switch directly from Prozac, an SSRI, to a monoamine oxidase inhibitor (MAOI) without allowing for a washout period. This abrupt switch poses a risk of serotonin syndrome, which can be life-threatening. It is essential to educate the patient about the importance of consulting healthcare providers before changing medications to prevent potential adverse effects.

3. A healthcare provider is providing care for a patient with attention-deficit/hyperactivity disorder (ADHD). Which therapeutic intervention is most effective for this condition?

A. Group therapy
B. Cognitive-behavioral therapy
C. Psychoanalysis
D. Family therapy

Correct answer: B

Rationale: Cognitive-behavioral therapy (CBT) is the most effective therapeutic intervention for managing ADHD symptoms. CBT helps individuals with ADHD develop coping strategies, improve focus, organization, and time management skills, and address behavioral challenges effectively. Group therapy might not provide the specific skills training needed for ADHD management. Psychoanalysis focuses on exploring deeper unconscious processes and may not be as practical for addressing ADHD symptoms. Family therapy can be beneficial for family dynamics but may not directly target individual ADHD symptoms as effectively as CBT.

4. Which of the following statements should a healthcare professional recognize as true about defense mechanisms? Select the one that doesn't apply.

A. They are employed when there is a threat to biological or psychological integrity.
B. They are controlled by the id and deal with primal urges.
C. They are used in an effort to relieve mild to moderate anxiety.
D. They are protective devices for the superego.

Correct answer: B

Rationale: Defense mechanisms are employed by the ego in the face of threats to biological and psychological integrity to relieve mild to moderate anxiety. They act as protective devices for the ego, not the id or superego. The id represents primal instincts, while the superego is associated with moral standards. Defense mechanisms help individuals cope with stressors by redirecting focus and are often unconscious and self-deceptive.

5. How does emotional trauma typically affect individuals physically?

A. Emotional trauma is a distinct category and unrelated to physical symptoms.
B. Physical manifestations of emotional trauma are usually temporary.
C. Emotional trauma is often manifested as physical symptoms.
D. Patients are more aware of physical problems caused by trauma.

Correct answer: C

Rationale: Emotional trauma can often manifest as physical symptoms, such as headaches, stomachaches, and other somatic complaints. These physical manifestations can be long-lasting and impact the individual's overall well-being.