ATI RN
Psychotropic Medications Medcomm Quiz Questions
Question 1 of 5
A nursing student new to psychiatric-mental health nursing asks a peer what resources he can use to figure out which symptoms are present in a specific psychiatric disorder. The best answer would be:
Correct Answer: D
Rationale: The correct answer is D: DSM-5. The DSM-5 (Diagnostic and Statistical Manual of Mental Disorders) is the standard classification of mental disorders used by mental health professionals. It provides criteria for diagnosing specific psychiatric disorders based on symptoms observed in patients. By referring to the DSM-5, the nursing student can accurately identify the symptoms present in a specific psychiatric disorder and make an appropriate diagnosis. A: Nursing Interventions Classification (NIC) and B: Nursing Outcomes Classification (NOC) are not specific resources for determining symptoms in psychiatric disorders. NIC is for interventions, while NOC is for outcomes evaluation. C: NANDA-I nursing diagnoses focuses on identifying nursing problems, not specific symptoms of psychiatric disorders.
Question 2 of 5
Linda is terrified of spiders and cannot explain why. Because she lives in a wooded area, she would like to overcome this overwhelming fear. Her nurse practitioner suggests which therapy?
Correct Answer: D
Rationale: The correct answer is D: Systematic desensitization. This therapy gradually exposes Linda to spiders in a controlled setting while teaching her relaxation techniques to reduce anxiety. It helps her re-associate spiders with relaxation instead of fear. A: Behavioral therapy focuses on changing behavior through reinforcement. B: Biofeedback involves monitoring physiological responses. C: Aversion therapy pairs an unpleasant stimulus with the fear, which may worsen Linda's fear of spiders.
Question 3 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 4 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 5 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.