which chronic medical condition is a common trigger for major depressive disorder

ATI RN

ATI Mental Health Proctored Exam 2023

1. Which chronic medical condition commonly triggers major depressive disorder?

A. Pain
B. Hypertension
C. Hypothyroidism
D. Crohn's disease

Correct answer: A

Rationale: Chronic pain is a common trigger for major depressive disorder. The persistent and distressing nature of chronic pain can lead to feelings of hopelessness, helplessness, and contribute to the development of major depressive disorder in individuals experiencing it.

2. A nurse is providing discharge instructions to a client who has been prescribed fluoxetine (Prozac). Which information should the nurse include?

A. Take the medication with food to avoid stomach upset.
B. Avoid drinking alcohol while taking this medication.
C. Report any unusual side effects to the healthcare provider.
D. It may take several weeks for this medication to take effect.

Correct answer: B

Rationale: Clients taking fluoxetine (Prozac) should avoid alcohol to prevent adverse interactions.

3. A healthcare professional is assessing a client diagnosed with anorexia nervosa. Which of the following findings shouldn't the professional expect?

A. Amenorrhea
B. Lanugo
C. Hypotension
D. Hyperkalemia

Correct answer: D

Rationale: When assessing a client diagnosed with anorexia nervosa, healthcare professionals should expect findings such as amenorrhea, lanugo, hypotension, and bradycardia. Hyperkalemia is not typically associated with anorexia nervosa; instead, hypokalemia, which is low potassium levels, is more commonly seen in these individuals due to malnutrition and other factors.

4. Which should the healthcare provider recognize as a DSM-5 disorder?

A. Obesity
B. Generalized anxiety disorder
C. Hypertension
D. Grief

Correct answer: B

Rationale: The DSM-5 categorizes mental health disorders for diagnostic purposes. Generalized anxiety disorder is one of the disorders listed in the DSM-5, characterized by persistent and excessive worry about various events or activities. This disorder falls under the category of anxiety disorders, which also include panic disorder, phobias, and others. Choices A, C, and D are not DSM-5 disorders. Obesity and hypertension are medical conditions, while grief, though a significant emotional response, is not classified as a mental health disorder in the DSM-5.

5. Which of the following is a common side effect of selective serotonin reuptake inhibitors (SSRIs)?

A. Hypotension
B. Sexual dysfunction
C. Increased appetite
D. Tachycardia

Correct answer: B

Rationale: Corrected Rationale: Sexual dysfunction is a commonly reported side effect of selective serotonin reuptake inhibitors (SSRIs). SSRIs can affect sexual function by causing issues such as decreased libido, delayed ejaculation, erectile dysfunction, or anorgasmia. Patients should be educated about these potential side effects when starting SSRIs to facilitate informed decision-making and appropriate management strategies. Incorrect Choices: A) Hypotension is not a common side effect of SSRIs. C) Increased appetite is not a common side effect of SSRIs. D) Tachycardia is not a common side effect of SSRIs.