ATI RN
Classes of Psychotropic Medications Questions
Question 1 of 5
A 13-year-old boy is undergoing a mental health assessment. The nurse practitioner assures him that his medical records are protected and private. The nurse recognizes that this promise cannot be kept when the youth divulges:
Correct Answer: D
Rationale: The correct answer is D because it involves potential harm to others (hitting grandpa) and may require intervention to ensure safety. This information cannot be kept confidential due to the duty to report potential abuse. Choices A, B, and C do not pose immediate harm or risk to others and are within the realm of normal adolescent development. They can be addressed confidentially to maintain trust and encourage open communication.
Question 2 of 5
James is a 42-year-old patient with schizophrenia. He approaches you as you arrive for day shift and anxiously reports, 'Last night, demons came to my room and tried to rape me.' Which response would be most therapeutic?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates empathy, validation, and encourages further exploration of the patient's experiences. By acknowledging the patient's feelings and inviting them to share more, it fosters trust and a therapeutic relationship. Options A and B dismiss the patient's experience and may lead to further distress or lack of trust. Option D offers reassurance but lacks the depth of understanding and exploration needed in this situation.
Question 3 of 5
Which nursing assessments are directed at monitoring a patient's fight-or-flight response? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A (Blood pressure) because monitoring blood pressure is essential in assessing the fight-or-flight response. During this response, the body releases stress hormones that can increase blood pressure. Heart rate (B) and respiratory rate (C) are also affected by the fight-or-flight response but are not as specific indicators as blood pressure. Abdominal pain (D) is not directly related to monitoring the fight-or-flight response.
Question 4 of 5
Your 39-year-old patient, Samantha, who was admitted with anxiety, asks you what the stress-relieving technique of mindfulness is. The best response is:
Correct Answer: C
Rationale: The correct answer is C because mindfulness involves focusing on the present moment without judgment. This helps individuals become aware of their thoughts, emotions, and surroundings. It encourages them to be fully engaged in each moment, leading to reduced stress and anxiety. Choice A involves meditation techniques, not mindfulness. Choice B describes progressive muscle relaxation, a different stress-relief technique. Choice D is unrelated to mindfulness, focusing on memory rather than present awareness. Overall, Choice C best aligns with the concept and practice of mindfulness.
Question 5 of 5
A pregnant woman is in a relationship with a male who routinely abuses her. Her unborn child may engage in high-risk behavior as a teen as a result of:
Correct Answer: A
Rationale: The correct answer is A: Maternal stress. Maternal stress during pregnancy can affect the unborn child's development, potentially leading to high-risk behavior in the future. Research shows that exposure to abuse and stress during pregnancy can impact the child's neurological and hormonal development, increasing the likelihood of engaging in risky behaviors as a teenager. This is because stress hormones can cross the placenta, affecting the baby's brain development. Summary: - Choice B (Parental nurturing) is incorrect because the question specifically mentions abuse, which is not nurturing behavior. - Choice C (Appropriate stress responses in the brain) is incorrect as it does not address the negative impact of maternal stress during pregnancy on the child's behavior. - Choice D (Memories of the abuse) is incorrect as the unborn child does not have memories of the abuse, but rather experiences the effects of maternal stress during pregnancy.