ATI RN
Psychotropic Medication Quiz Questions
Question 1 of 5
A patient begins therapy with a phenothiazine medication. What teaching should a nurse provide related to the drug’s strong dopaminergic effect?
Correct Answer: D
Rationale: The correct answer is D. Phenothiazine medications have a strong dopaminergic effect, which can lead to extrapyramidal side effects like muscle stiffness. This is due to the dopamine blockade by the drug. Therefore, the nurse should instruct the patient to report any muscle stiffness promptly to monitor for potential adverse effects. Choices A, B, and C are incorrect because they do not directly address the specific side effect related to the drug's dopaminergic effect. Chew sugarless gum and increase dietary fiber are more related to gastrointestinal side effects, while arising slowly from bed is typically advised for orthostatic hypotension, not muscle stiffness from dopaminergic effects.
Question 2 of 5
A patient says, “I have taken mega doses of vitamins for 3 months to improve my circulation, but I think I feel worse.” Which action should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B. First, assess for symptoms and signs of toxicity from excess vitamin exposure because the patient mentioned feeling worse after taking mega doses of vitamins. This step is crucial to ensure patient safety. Option A is incorrect as simply advising caution without assessing for toxicity may delay necessary interventions. Option C is incorrect as assessing for circulatory integrity is not the immediate priority. Option D is also incorrect as educating the patient about research findings is important but not the immediate action needed in this situation.
Question 3 of 5
For which patient would it be most important for the nurse to urge immediate discontinuation of kava? A patient with a comorbid diagnosis of
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
Which patient would most likely benefit from taking St. John’s wort? A patient with
Correct Answer: C
Rationale: Rationale for correct answer (C): St. John’s wort is commonly used to treat mild depressive symptoms due to its potential antidepressant effects. It may help improve mood and alleviate symptoms in individuals with mild depression. Summary of incorrect choices: A (mood swings): St. John’s wort is not typically recommended for mood swings as it is more targeted towards depressive symptoms. B (hypomanic symptoms): St. John’s wort can potentially worsen symptoms of mania or hypomania in individuals with bipolar disorder. D (panic disorder with agoraphobia): St. John’s wort is not indicated for treating panic disorder or agoraphobia as it may not effectively target the underlying causes of these conditions.
Question 5 of 5
Using Dell'Osso et al.'s sequential framework of priorities to promote medication adherence, determine which step is being defined
Correct Answer: B
Rationale: The correct step in Dell'Osso et al.'s framework is Medication education (B). This step involves providing patients with comprehensive information about their medications, including purpose, dosage, side effects, and importance of adherence. It is crucial in promoting understanding and acceptance of the prescribed treatment. Diagnosis (A) is not a step in the adherence framework but rather identifies the patient's condition. Monitoring plan (C) involves tracking adherence but is not the step being defined. Adherence reinforcement (D) comes after education and refers to strategies to maintain adherence, making it incorrect in this context.