ATI RN
Classes of Psychotropic Medications Questions
Question 1 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.
Question 2 of 5
A 13-year-old boy is undergoing a mental health assessment. The nurse practitioner assures him that his medical records are protected and private. The nurse recognizes that this promise cannot be kept when the youth divulges:
Correct Answer: D
Rationale: The correct answer is D because it involves potential harm to others (hitting grandpa) and may require intervention to ensure safety. This information cannot be kept confidential due to the duty to report potential abuse. Choices A, B, and C do not pose immediate harm or risk to others and are within the realm of normal adolescent development. They can be addressed confidentially to maintain trust and encourage open communication.
Question 3 of 5
You teach Mr. R’s sister about important precautions associated with a new prescription. Afterward, she accurately summarizes major self-management strategies associated with this drug. Which step of the nursing process applies to her summarization?
Correct Answer: D
Rationale: The correct answer is D: Evaluation. Evaluation is the step in the nursing process where the nurse assesses the client's response to interventions and determines if the goals and outcomes have been met. In this scenario, the sister's accurate summarization of major self-management strategies shows that she understood the information provided by the nurse, which indicates successful teaching. This aligns with the evaluation step as it involves determining the effectiveness of the teaching intervention. Choice A: Assessment is incorrect because assessment involves collecting data about the client's health status, which is not demonstrated by the sister's summarization. Choice B: Analysis is incorrect as it involves interpreting and synthesizing data, which is not the focus of the sister's summarization. Choice C: Planning/outcomes identification is incorrect as it involves setting goals and outcomes, which have already been done prior to the sister's summarization.
Question 4 of 5
James is a 42-year-old patient with schizophrenia. He approaches you as you arrive for day shift and anxiously reports, 'Last night, demons came to my room and tried to rape me.' Which response would be most therapeutic?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates empathy, validation, and encourages further exploration of the patient's experiences. By acknowledging the patient's feelings and inviting them to share more, it fosters trust and a therapeutic relationship. Options A and B dismiss the patient's experience and may lead to further distress or lack of trust. Option D offers reassurance but lacks the depth of understanding and exploration needed in this situation.
Question 5 of 5
Which nursing assessments are directed at monitoring a patient's fight-or-flight response? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A (Blood pressure) because monitoring blood pressure is essential in assessing the fight-or-flight response. During this response, the body releases stress hormones that can increase blood pressure. Heart rate (B) and respiratory rate (C) are also affected by the fight-or-flight response but are not as specific indicators as blood pressure. Abdominal pain (D) is not directly related to monitoring the fight-or-flight response.