ATI RN
Psychotropic Medication Questions
Question 1 of 5
A patient hospitalized with a mood disorder has aggression, agitation, talkativeness, and irritability. A nurse begins the care plan based on the expectation that the health care provider is most likely to prescribe a medication classified as a(n):
Correct Answer: B
Rationale: The correct answer is B: mood stabilizer. This patient is exhibiting symptoms of mania, a hallmark of bipolar disorder. Mood stabilizers, like lithium or anticonvulsants, are the first-line treatment for managing manic episodes. Anticholinergics (A) are used for symptoms like tremors or EPS. Psychostimulants (C) can exacerbate mania. Antidepressants (D) can trigger manic episodes in bipolar patients. Thus, a mood stabilizer is the most appropriate choice for this patient.
Question 2 of 5
A patient wants to learn more about integrative therapies. Which resource should the nurse suggest for the most reliable information?
Correct Answer: D
Rationale: The correct answer is D: National Center for Complementary and Integrative Health (NCCIH). The NCCIH is a reputable organization that conducts research on integrative therapies, providing evidence-based information. They ensure the reliability and credibility of the information. The ANA (choice B) focuses more on nursing standards and policies, not specifically on integrative therapies. The FDA (choice C) regulates drugs and medical devices, not integrative therapies. The internet (choice A) is a vast source of information, but reliability can vary widely, making it less trustworthy compared to the NCCIH.
Question 3 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 4 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 5 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.