ATI RN
Classes of Psychotropic Medications Questions
Question 1 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 2 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.
Question 3 of 5
Which of these mental health problems has the highest annual prevalence in the United States?
Correct Answer: C
Rationale: The correct answer is C: Major depressive disorder. Major depressive disorder has the highest annual prevalence in the United States, affecting approximately 7% of the adult population. This prevalence is higher compared to schizophrenia, panic disorder, and generalized anxiety disorder. Major depressive disorder is characterized by persistent feelings of sadness, hopelessness, and loss of interest in activities. It is a common mental health condition that can significantly impact daily functioning. Schizophrenia, panic disorder, and generalized anxiety disorder also have significant impacts, but their annual prevalence rates are lower compared to major depressive disorder in the US.
Question 4 of 5
In an outpatient psychiatric clinic, a nurse notices that a newly admitted young male patient smiles when he sees her. One day the young man tells the nurse, 'You are pretty like my mother.' The nurse recognizes that the male is exhibiting:
Correct Answer: A
Rationale: The correct answer is A: Transference. This is because the patient is projecting feelings and emotions onto the nurse that are actually related to someone from his past, in this case, his mother. This is a common phenomenon in therapy where the patient's feelings towards significant figures in their life are transferred onto the therapist or nurse. This can provide valuable insights into the patient's past experiences and relationships. Other choices are incorrect because: B: Id expression refers to impulsive and instinctual behaviors, which is not demonstrated in this scenario. C: Countertransference is the therapist or nurse's own emotional response to the patient, which is not evident in the scenario. D: Cognitive distortion involves irrational and inaccurate thinking patterns, which do not apply to the patient's behavior towards the nurse.
Question 5 of 5
A patient has been voluntarily admitted to a mental health facility after an unsuccessful attempt to harm himself. Which statement demonstrates a need to better educate the patient on his patient's rights?
Correct Answer: D
Rationale: The correct answer is D because it indicates a lack of understanding about the patient's rights and safety. By stating "I can hurt myself if I want to. It's none of your business," the patient is dismissing the facility's duty to ensure their safety and well-being. This statement demonstrates a need for education on the restriction of self-harm behaviors in a mental health facility. A: This statement shows the patient understanding the reason for being restrained, which indicates awareness of the consequences of their actions. B: This statement acknowledges the patient's right to confidentiality regarding their medical information. C: This statement indicates the patient's right to be informed about their treatment plan and decisions involving their care.