ATI RN
Use of Psychotropic Medications Questions
Question 1 of 5
A nurse is caring for a patient with bipolar disorder who is currently in a manic episode. Which of the following interventions is most appropriate?
Correct Answer: B
Rationale: The correct answer is B: Setting limits on excessive talking or inappropriate behavior. During a manic episode, individuals with bipolar disorder may engage in impulsive behaviors and have difficulty controlling their speech. Setting limits helps maintain safety and prevent harm. Allowing uninterrupted expression (choice A) can fuel manic behavior. Encouraging decision-making (choice C) can be challenging due to impaired judgment. Involving in group therapy (choice D) may not be effective during a manic episode due to distractibility and agitation. Setting limits provides structure and promotes safety.
Question 2 of 5
A nurse is working with a patient who is recovering from substance abuse. Which of the following is most important in helping the patient maintain long-term recovery?
Correct Answer: C
Rationale: The correct answer is C because providing a structured support system and encouraging ongoing therapy are essential for long-term recovery. This approach helps the patient address underlying issues, learn coping mechanisms, and build a strong support network. Medication may be helpful, but it is not the most important factor. Avoiding socializing is not sustainable and may lead to isolation. Reassuring the patient without addressing the root causes of addiction is not effective in promoting long-term recovery.
Question 3 of 5
A nurse is working with a patient who has bipolar disorder. The patient is currently in a manic episode. Which of the following interventions is most appropriate?
Correct Answer: B
Rationale: The correct answer is B: Providing a calm and structured environment. During a manic episode, individuals with bipolar disorder may exhibit high energy levels, impulsivity, and decreased need for sleep. A calm and structured environment can help reduce stimuli that may exacerbate manic symptoms and promote stability. It can also help prevent impulsive behaviors and maintain a sense of safety. Choice A (Encouraging the patient to engage in social activities) may not be appropriate during a manic episode as social interactions can be overwhelming and may lead to increased impulsivity. Choice C (Reassuring the patient that their symptoms will improve with medication) may not be effective during an acute manic episode as immediate symptom relief may not be achieved solely through medication. Choice D (Allowing the patient to express their feelings without limits) may not provide the necessary structure and boundaries needed to manage manic symptoms effectively.
Question 4 of 5
A nurse is assessing a patient who has been diagnosed with major depressive disorder. Which of the following is a common symptom of depression?
Correct Answer: A
Rationale: The correct answer is A: Decreased energy and motivation. In major depressive disorder, individuals commonly experience a persistent feeling of sadness or loss of interest in activities they once enjoyed, leading to decreased energy levels and motivation. This symptom is known as anhedonia. Options B, C, and D are incorrect because increased energy and impulsivity (B) are more characteristic of manic episodes in bipolar disorder, elevated mood and grandiosity (C) are symptoms of bipolar disorder's manic phase, and increased appetite and weight gain (D) are seen in atypical depression, not major depressive disorder.
Question 5 of 5
A nurse spends extra time with a client who has personality features similar to the nurse’s estranged spouse. Which aspect of countertransference is most likely to result?
Correct Answer: A
Rationale: The correct answer is A: Over-involvement. This is because the nurse's strong emotional response to the client, based on their similarities to the nurse's estranged spouse, may lead to over-involvement in the client's care. The nurse may project unresolved feelings or issues onto the client, impacting their ability to maintain appropriate professional boundaries. Summary: B: Misuse of honesty - Not directly related to the emotional response of the nurse towards the client. C: Indifference - Opposite of over-involvement, unlikely to result from the described scenario. D: Rescue - While the nurse may feel compelled to rescue the client due to their emotional response, over-involvement is a more direct result.