ATI RN
Classes of Psychotropic Medications Questions
Question 1 of 5
A nurse is caring for a patient who has schizophrenia. Which of the following is a common symptom of schizophrenia?
Correct Answer: A
Rationale: The correct answer is A: Disorganized thinking and speech. This is a common symptom of schizophrenia known as formal thought disorder. Patients with schizophrenia often have difficulty organizing their thoughts and expressing themselves coherently. This symptom is characteristic of the cognitive deficits associated with the disorder. Incorrect choices: B: Extreme sadness and hopelessness - This describes symptoms of depression, not schizophrenia. C: Excessive worry and fear - This describes symptoms of anxiety disorders, not schizophrenia. D: Hyperactivity and impulsiveness - This describes symptoms of ADHD, not schizophrenia.
Question 2 of 5
As Becky is preparing for discharge, she presents you with a handmade card of appreciation for the care you provided. Should you accept the card?
Correct Answer: A
Rationale: Accepting the handmade card of appreciation from Becky is appropriate as it is a gesture of gratitude for the care provided. It helps foster a positive therapeutic relationship and validates the impact of your care. Rejecting it could potentially hurt Becky's feelings and undermine the trust and rapport built during her care. State laws or her illness are not relevant factors in this scenario. Accepting the card aligns with ethical principles of compassion and human connection.
Question 3 of 5
A nurse was the case manager for a client with serious mental illness for 6 years. The client died by suicide 1 week ago. Today, the client’s spouse asks, “I always wondered if my spouse was a victim of sexual abuse in childhood. What can you tell me about that?”Can the nurse disclose information to the surviving spouse?
Correct Answer: B
Rationale: The correct answer is B: No. The nurse cannot disclose information to the surviving spouse. As a healthcare professional, the nurse is bound by patient confidentiality even after the patient's death. The information regarding sexual abuse is considered confidential and cannot be shared without the patient's consent. Revealing such sensitive information without the patient's permission would violate the client's privacy rights and ethical principles of confidentiality. It is crucial to uphold confidentiality to maintain trust and protect the client's dignity, even after their passing. Choices A and C are incorrect because they suggest disclosing information without considering the legal and ethical implications. Choice D is incorrect as the decision should not be based on subjective feelings but on established principles of confidentiality and ethical guidelines.
Question 4 of 5
Nurse-initiated interventions are:
Correct Answer: A
Rationale: Step 1: Nurse-initiated interventions are actions that nurses can initiate independently based on their scope of practice. Step 2: State Nurse Practice Acts define the scope of practice for nurses, including what interventions they can independently initiate. Step 3: Therefore, nurse-initiated interventions are determined by state Nurse Practice Acts (Choice A). Summary: Choices B, C, and D are incorrect because nurse-initiated interventions are not necessarily supervised by the entire health care team, made in concert with physician-initiated plans, or developed after evaluating medical diagnoses. The correct answer is A because it aligns with the principle of nurses working within their scope of practice.
Question 5 of 5
When considering stigmatization, which statement made by the nurse demonstrates a need for immediate intervention by the nurse manager?
Correct Answer: B
Rationale: The correct answer is B because it perpetuates a harmful stereotype about a specific group, which can lead to stigmatization. The statement implies that all Irish people have a problem with alcohol use, which is a generalization and can contribute to discrimination and bias. The other choices focus on discussing broader issues without singling out any specific group for negative stereotypes. Addressing stigmatization is crucial in healthcare to ensure all individuals receive fair and unbiased care.