ATI RN
Psychotropic Medications Medcomm Quiz Questions
Question 1 of 5
A male patient reports to the nurse, 'I’m told I have memories of childhood abuse stored in my unconscious mind. I want to work on this.' Based on this statement, what information should the nurse provide the patient?
Correct Answer: A
Rationale: Correct Answer: A Rationale: Seeking the help of a trained therapist is crucial for handling childhood abuse memories stored in the unconscious mind. A therapist can provide a safe space, guidance, and support to explore and process these traumatic memories. Working with a therapist trained in trauma therapy techniques can help the patient navigate the emotional challenges and develop coping strategies. Therapeutic intervention is essential for addressing the impact of childhood abuse on mental health and well-being. Summary of Incorrect Choices: B: Using defense mechanisms like suppression can lead to avoidance and may not address the root cause of the trauma. C: Psychodynamic therapy takes time and multiple sessions to explore unconscious memories effectively, not just a few sessions. D: Group sessions may not provide the individualized support and focus needed to address specific childhood abuse memories and their associated trauma effectively.
Question 2 of 5
Which intervention demonstrates an attempt by nursing staff to meet the goals identified by the Joint Commission as National Patient Safety Goals? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A because verifying patient identity using both name and date of birth before drawing blood aligns with the Joint Commission's National Patient Safety Goals to accurately identify patients. This intervention helps prevent errors such as mislabeling samples and administering treatments to the wrong patient. Sitting with a patient diagnosed with an eating disorder during meals (B) may support patient care but does not directly address patient safety goals. Administering the Beck Scale (C) and performing a medication history assessment (D) are important assessments but do not specifically address patient identification, which is a key safety concern.
Question 3 of 5
Which most accurately describes a patient-centered medical home?
Correct Answer: A
Rationale: The correct answer is A because a patient-centered medical home involves a team that coordinates all aspects of a patient's care, including mental and physical health, within the broader health system. This approach focuses on comprehensive, coordinated, and accessible care to improve patient outcomes. Option B is incorrect because it focuses on the variety of services provided rather than the coordination aspect. Option C is incorrect because it specifies psychiatric services only, which is not inclusive of all aspects of care. Option D is incorrect because it mentions intensive care in various settings but does not emphasize coordination within the broader health system.
Question 4 of 5
During an interview with a non-English-speaking middle-aged woman recently diagnosed with major depression, the patient's husband states, 'She is happy now and doing very well.' The patient, however, sits motionless, looking at the floor, and wringing her hands. A professional interpreter would provide better information due to the fact that a family member in the interpreter role may: Select all that apply.
Correct Answer: B
Rationale: The correct answer is B: Censor the patient's thoughts or words. This is because a family member in the interpreter role may unintentionally filter or alter the patient's words or emotions to protect the family or maintain harmony. This could lead to crucial information being missed or misinterpreted by the healthcare provider. In a sensitive situation like a mental health assessment, it is important for the interpreter to accurately convey the patient's true thoughts and feelings without bias or censorship. A: Be too close to accurately capture the meaning of the patient's mood - While this could be a potential concern, the main issue with a family member as an interpreter lies in the risk of censorship. C: Avoid interpretation - This would defeat the purpose of having an interpreter present in the first place. D: Leave out unsavory details - While this could also be a risk, the primary concern is the potential censorship of the patient's thoughts or words.
Question 5 of 5
Which statement made by the nurse demonstrates the best understanding of nonverbal communication?
Correct Answer: B
Rationale: The correct answer is B because it highlights the importance of checking for congruence between verbal and nonverbal communication to validate responses. This demonstrates an understanding of the complexity of communication and the need to consider both verbal and nonverbal cues. Choice A is incorrect because it only recognizes the difference between verbal and nonverbal communication without discussing the importance of congruence. Choice C is incorrect as it assumes a direct correlation between a specific nonverbal cue (slumping in the chair) and a patient's emotional state. Choice D is incorrect as it oversimplifies the understanding of communication by stating that verbal communication is easier to understand than nonverbal communication.