ATI RN
Psychotropic Medication Questions
Question 1 of 5
A patient has taken many conventional antipsychotic drugs over years. The health care provider, who is concerned about early signs of tardive dyskinesia, prescribes risperidone (Risperdal). A nurse planning care for this patient understands that atypical antipsychotics:
Correct Answer: D
Rationale: The correct answer is D: produce fewer motor side effects. Atypical antipsychotics like risperidone have a lower risk of causing tardive dyskinesia compared to conventional antipsychotics. This is because atypical antipsychotics target both dopamine and serotonin receptors, leading to a reduced risk of motor side effects. Choices A, B, and C are incorrect because the cost, potency, and availability of atypical antipsychotics do not directly relate to the reduced risk of motor side effects associated with tardive dyskinesia.
Question 2 of 5
A patient has tried a variety of CAM approaches to manage health concerns. The nurse asks, "How is going to CAM practitioners different from seeing your medical doctors?” The patient is most likely to respond, "The CAM practitioners
Correct Answer: B
Rationale: Step 1: CAM practitioners typically focus on holistic care and spend more time with patients compared to medical doctors. Step 2: By spending more time talking, CAM practitioners can gather detailed information about the patient's health concerns and lifestyle. Step 3: This allows for a more personalized approach to treatment, addressing not just symptoms but also underlying causes. Step 4: In contrast, medical doctors may have limited time for each patient due to the volume of patients they see. Step 5: Therefore, the patient is likely to respond that CAM practitioners spend more time talking with them, as it aligns with the holistic and personalized approach of CAM.
Question 3 of 5
A patient had a venous thrombosis 3 weeks ago and is now taking warfarin. When visiting the laboratory to have a prothrombin time drawn, the patient reports drinking ginseng tea to stimulate the immune system. Which nursing diagnosis applies?
Correct Answer: B
Rationale: The correct answer is B: Deficient knowledge related to potentially harmful drug interactions. The patient's use of ginseng tea can interact with warfarin, leading to decreased effectiveness and increased risk of bleeding. This nursing diagnosis is appropriate as the patient lacks knowledge about the potential harmful drug interactions. Impaired memory (choice A) is not relevant in this scenario. Ineffective denial (choice C) suggests the patient is not acknowledging the consequences, which is not evident. Effective management (choice D) does not apply as the patient is unknowingly engaging in a behavior that can affect the therapeutic regime. Therefore, choice B is the best option given the patient's situation.
Question 4 of 5
A patient reports frequent sleep disturbances. Which interventions could be considered to help improve the patient’s sleep pattern? (Select all that apply.)
Correct Answer: A
Rationale: Correct Answer: A (Melatonin) Rationale: 1. Melatonin is a hormone that regulates sleep-wake cycle. 2. Supplementing melatonin can help improve sleep quality and reduce sleep disturbances. 3. It is commonly used to treat insomnia and jet lag. Summary: B: Chamomile - While chamomile tea may promote relaxation, it is not as effective as melatonin for treating sleep disturbances. C: Vitamin C - Vitamin C does not have direct effects on sleep patterns. D: Valerian - Valerian is a herbal remedy for sleep, but melatonin is more specific and effective for regulating sleep-wake cycles.
Question 5 of 5
Which of the following is associated with motor coordination?
Correct Answer: C
Rationale: The correct answer is C: Frontal Cortex. Motor coordination is primarily controlled by the frontal cortex, which is responsible for planning and executing movements. The frontal cortex plays a key role in coordinating muscle actions required for smooth and precise movements. Broca's Area (A) is involved in speech production, Olfactory Nerves (B) are responsible for the sense of smell, and the Thalamus (D) is a relay center for sensory information but not directly involved in motor coordination.