ATI RN
Psychotropic Medication Quiz Quizlet Questions
Question 1 of 5
A Gulf War veteran has been homeless since being discharged from military service. He is now diagnosed with schizophrenia. The nurse practitioner recognizes that assertive community treatment (ACT) is a good option for this patient since ACT provides:
Correct Answer: B
Rationale: The correct answer is B: Care for hard-to-engage, seriously ill patients. ACT is an evidence-based, multidisciplinary approach designed for individuals with severe mental illnesses who have difficulty engaging with traditional mental health services. It offers intensive, team-based support to address the complex needs of this population, including housing, medication management, and social support. This approach is particularly beneficial for homeless individuals with schizophrenia, as it provides ongoing, personalized care to help them stabilize and reintegrate into the community. Incorrect choices: A: Psychiatric home care - ACT is not limited to home care but involves a comprehensive, community-based approach. C: Outpatient community mental health center care - While ACT involves community-based care, it is more intensive and individualized than standard outpatient services. D: A comprehensive emergency service model - ACT is focused on providing ongoing, long-term support rather than emergency services.
Question 2 of 5
Which term on an assessment form is broader?
Correct Answer: A
Rationale: The correct answer is A: Spirituality. Spirituality encompasses a wider range of beliefs, practices, and experiences, including personal connections, meaning in life, and inner peace. Religion is more structured and associated with specific organized practices and beliefs. Choice C is too specific, focusing on physical places of worship. Choice D is incorrect as spirituality is broader than religion.
Question 3 of 5
What principle about nurse-patient communication should guide a nurse's fear about 'saying the wrong thing' to a patient?
Correct Answer: A
Rationale: The correct answer is A because effective nurse-patient communication is based on conveying genuine acceptance, respect, and concern for the patient's situation. This principle helps build trust and rapport, leading to better outcomes. Choice B is incorrect because patients value both talking and listening in communication. Choice C is incorrect as any comment, regardless of patient history, can impact them emotionally. Choice D is incorrect as it makes a generalization about people with mental illness and forgiveness tolerance, which is not relevant to nurse-patient communication.
Question 4 of 5
Noah has made it clear he doesn't want to talk about his dad. But the truth is, as the interview proceeds, he becomes anxious and tries to evade all questions about why he is here. Which type of communication might be most appropriate right now?
Correct Answer: D
Rationale: The correct answer is D: Ask a miracle question. This type of communication technique is appropriate because it allows Noah to envision a positive future without directly probing into his personal issues, which might make him uncomfortable. By asking a miracle question, such as "If you woke up tomorrow and everything was better, what would be different?" it can help Noah open up about his concerns in a more indirect and non-confrontational way. This can build trust and rapport with Noah, as it shows that you are empathetic and focused on helping him envision a solution to his problems. Choices A, B, and C are incorrect because they are more direct approaches that may increase Noah's anxiety and resistance. Giving advice without understanding the full context of his situation (Choice A), expressing disapproval (Choice B), or asking a blunt question (Choice C) may lead to further avoidance and hinder the communication process.
Question 5 of 5
Hugo is 21 and diagnosed with schizophrenia. His history includes significant turmoil as child and adolescent. Hugo reports his father was abusive and routinely beat him, all of his siblings, and his mother. Hugo's early exposure to stress most likely:
Correct Answer: B
Rationale: The correct answer is B because Hugo's early exposure to stress, particularly abuse, is a known risk factor for developing psychiatric disorders like schizophrenia. Research shows that adverse childhood experiences can increase the likelihood of mental health issues later in life. This is due to the impact of chronic stress on brain development and functioning, leading to vulnerability to psychiatric disorders. Choices A, C, and D are incorrect because resilience, survival skills, and nurturing nature are not typically outcomes of experiencing severe abuse and trauma in childhood.