ATI RN
Psychotropic Medications Medcomm Quiz Questions
Question 1 of 5
During an interview with a non-English-speaking middle-aged woman recently diagnosed with major depression, the patient's husband states, 'She is happy now and doing very well.' The patient, however, sits motionless, looking at the floor, and wringing her hands. A professional interpreter would provide better information due to the fact that a family member in the interpreter role may: Select all that apply.
Correct Answer: B
Rationale: The correct answer is B: Censor the patient's thoughts or words. This is because a family member in the interpreter role may unintentionally filter or alter the patient's words or emotions to protect the family or maintain harmony. This could lead to crucial information being missed or misinterpreted by the healthcare provider. In a sensitive situation like a mental health assessment, it is important for the interpreter to accurately convey the patient's true thoughts and feelings without bias or censorship. A: Be too close to accurately capture the meaning of the patient's mood - While this could be a potential concern, the main issue with a family member as an interpreter lies in the risk of censorship. C: Avoid interpretation - This would defeat the purpose of having an interpreter present in the first place. D: Leave out unsavory details - While this could also be a risk, the primary concern is the potential censorship of the patient's thoughts or words.
Question 2 of 5
Therapeutic communication is the foundation of a patient-centered interview. Which of the following techniques is not considered therapeutic?
Correct Answer: D
Rationale: The correct answer is D: Asking 'why' questions. This is not considered therapeutic as it can come across as confrontational or judgmental, potentially making the patient defensive. Restating, encouraging description of perception, and summarizing are all therapeutic techniques that demonstrate active listening, empathy, and understanding without putting the patient on the spot or making them feel interrogated. Asking 'why' questions can make the patient feel pressured to justify their feelings or actions, which can hinder open communication and trust in the patient-provider relationship.
Question 3 of 5
The patient you are assigned unexpectedly suffers a cardiac arrest. During this emergency situation, your body will produce a large amount of:
Correct Answer: C
Rationale: Rationale: During a cardiac arrest, the body will produce a large amount of epinephrine. Epinephrine is released by the adrenal glands in response to stress and helps to increase heart rate and blood flow to vital organs, aiding in the body's fight-or-flight response to the emergency. This hormone plays a crucial role in maintaining blood pressure and oxygen delivery during a cardiac arrest. Summary of Incorrect Choices: A: Carbon dioxide is not produced in large amounts during a cardiac arrest. B: Growth hormone is not directly involved in the body's immediate response to a cardiac arrest. D: Aldosterone is a hormone that primarily regulates electrolyte balance and blood pressure, but it is not the main hormone released during a cardiac arrest emergency.
Question 4 of 5
Which reaction to stress is healthy?
Correct Answer: B
Rationale: The correct answer is B: Eustress. Eustress is a positive form of stress that motivates individuals to succeed and achieve their goals. It is a healthy response to stress that can enhance performance and productivity. Unlike distress (choice A), which is negative and harmful, eustress can lead to personal growth and development. Stressors (choice C) are the external factors that cause stress and are not a reaction to stress itself. Choosing "None of the above" (choice D) is incorrect as eustress is a recognized and beneficial response to stress.
Question 5 of 5
Maggie, a child in protective custody, is found to have an imaginary friend, Holly. Her foster family shares this information with the nurse. The nurse teaches the family members about children who have suffered trauma and knows her teaching was effective when the foster mother states:
Correct Answer: C
Rationale: Step 1: Children in protective custody, like Maggie, often experience trauma. Step 2: Imaginary friends can be a coping mechanism for children dealing with trauma. Step 3: The nurse teaches the foster family about the role of imaginary friends in trauma. Step 4: The foster mother understanding that imaginary friends are a coping mechanism shows comprehension. Step 5: Choice C is correct because it aligns with the therapeutic role of imaginary friends for traumatized children. Summary: - Choice A is incorrect because imaginary friends are not necessarily abnormal. - Choice B is incorrect as imaginary friends can be adaptive for coping. - Choice D is incorrect as telling the child that imaginary friends are unacceptable can be harmful.