ATI RN
Psychotropic Medication Questions
Question 1 of 5
A patient is telling a tearful story. The nurse listens empathically and responds therapeutically with:
Correct Answer: B
Rationale: The correct answer is B because it demonstrates active listening and empathy by acknowledging the patient's emotions and offering support. Offering tea shows care and willingness to comfort. A: Does not address the current emotional state and shifts focus to future situations. C: Jumps to problem-solving without addressing the patient's emotions first. D: Makes assumptions about the situation and provides advice without understanding the patient's feelings.
Question 2 of 5
After a suicide attempt, Edgar tells the nurse, 'I need my belt to keep my pants up. They keep falling down.' Which response should the nurse provide?
Correct Answer: C
Rationale: The correct response (C) is to offer Edgar pants with an elastic waistband instead of his belt. This is to ensure his safety as belts can be used for self-harm. By providing pants with an elastic waistband, the nurse addresses Edgar's immediate need while also preventing any potential harm. Choice A is incorrect because locking his belt in the business office may not address Edgar's immediate need and can be perceived as punitive. Choice B is incorrect as it is too general and does not offer a specific solution for Edgar's situation. Choice D is incorrect as it involves unnecessary steps and delays in addressing Edgar's request.
Question 3 of 5
A nurse identified a nursing diagnosis of self-mutilation for a female diagnosed with borderline personality disorder. The patient has multiple self-inflicted cuts on her forearms and inner thighs. What is the most important patient outcome for this nursing diagnosis?
Correct Answer: B
Rationale: The correct answer is B: Demonstrate a decrease in frequency and intensity of cutting. This outcome is the most important because it directly addresses the behavior of self-mutilation, which is the primary concern in this case. By demonstrating a decrease in cutting, the patient shows progress in managing their impulses and emotions. The other choices are not as critical for addressing the immediate safety and well-being of the patient. Choice A focuses on identifying triggers, which is important but not as urgent as reducing the actual self-harm behavior. Choice C regarding socialization and Choice D regarding self-care are important aspects of treatment but do not directly address the self-mutilation behavior.
Question 4 of 5
Which nursing statement is an example of reflection?
Correct Answer: B
Rationale: The correct answer is B because it demonstrates reflective listening by paraphrasing the patient's statement to show understanding and encourage further exploration of their feelings. Choice A is a statement of reassurance, not reflection. Choice C shows uncertainty rather than reflection. Choice D is an observation, not a reflection of the patient's feelings or thoughts. Reflection involves actively listening, summarizing, and responding to the patient's emotions or thoughts.
Question 5 of 5
Carolina is surprised when her patient does not show for a regularly scheduled appointment. When contacted, the patient states, 'I don't need to come see you anymore. I have found a therapy app on my phone that I love.' How should Carolina respond to this news?
Correct Answer: A
Rationale: The correct answer is A because it shows a supportive and open-minded approach. By expressing interest in the patient's choice and requesting to see the app, Carolina demonstrates respect for the patient's autonomy and willingness to explore new methods. This response can help maintain a positive therapeutic relationship and potentially integrate the app into the treatment plan if appropriate. Choice B is incorrect because it comes off as dismissive and may make the patient feel invalidated. Choice C is incorrect as it guilt-trips the patient and may damage the therapeutic relationship. Choice D is incorrect as it comes off as confrontational and may make the patient defensive.