ATI RN
Psychotropic Medication Quiz Quizlet Questions
Question 1 of 5
Hugo is 21 and diagnosed with schizophrenia. His history includes significant turmoil as child and adolescent. Hugo reports his father was abusive and routinely beat him, all of his siblings, and his mother. Hugo's early exposure to stress most likely:
Correct Answer: B
Rationale: The correct answer is B because Hugo's early exposure to stress, particularly abuse, is a known risk factor for developing psychiatric disorders like schizophrenia. Research shows that adverse childhood experiences can increase the likelihood of mental health issues later in life. This is due to the impact of chronic stress on brain development and functioning, leading to vulnerability to psychiatric disorders. Choices A, C, and D are incorrect because resilience, survival skills, and nurturing nature are not typically outcomes of experiencing severe abuse and trauma in childhood.
Question 2 of 5
Which statement made by either the nurse or the patient demonstrates an ineffective patient-nurse relationship?
Correct Answer: B
Rationale: The correct answer is B because it demonstrates a confrontational and accusatory approach that can hinder trust and communication in the patient-nurse relationship. This statement lacks empathy and understanding, focusing on blaming the patient rather than fostering a supportive and collaborative environment. In contrast, choices A, C, and D show openness, empathy, and collaboration, which are essential for building a positive patient-nurse relationship. Option A demonstrates self-awareness and introspection, option C involves the patient's family in care planning, and option D acknowledges the patient's experience and feedback on the medication's effectiveness.
Question 3 of 5
Morgan is a third-year nursing student in her psychiatric clinical rotation. She is assigned to an 80-year-old widow admitted for major depressive disorder. The patient describes many losses and sadness. Morgan becomes teary and says meaningfully, 'I am so sorry for you.' Morgan's instructor overhears the conversation and says, 'I understand that getting tearful is a human response. Yet, sympathy isn't helpful in this field.' The instructor urges Morgan to focus on:
Correct Answer: C
Rationale: The correct answer is C: Using empathy to demonstrate respect and validation of the patient's feelings. Empathy involves understanding and sharing the feelings of another. In this scenario, the instructor is guiding Morgan to acknowledge the patient's emotions without taking them on as her own (eliminating choice A). Maintaining pure objectivity (choice B) is important in healthcare, but showing empathy does not contradict objectivity; it enhances the therapeutic relationship. Using touch (choice D) may not be appropriate without consent and may not address the patient's emotional needs. Empathy, on the other hand, allows Morgan to connect with the patient's emotions while maintaining appropriate professional boundaries.
Question 4 of 5
A nurse practitioner is interviewing a female patient from Southeast Asia. She complains of stomach pain and chest discomfort. Knowing that the patient's adult son died in a car accident last month, the nurse suspects:
Correct Answer: C
Rationale: The correct answer is C: Somatization. The patient's physical symptoms may be a manifestation of emotional distress related to the recent loss of her son. This is a common phenomenon where psychological stress is expressed through physical symptoms. The nurse should consider this possibility and explore the patient's emotions and mental health further. A: Vulnerability is a broad term and doesn't directly link the patient's symptoms to her recent loss. B: Acid reflux may cause stomach pain and chest discomfort, but in this case, the nurse should consider the emotional aspect first. D: Transference involves projecting feelings onto the nurse, which is not evident in the scenario provided.
Question 5 of 5
Which situations demonstrate liable behavior on the part of the staff? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A because forgetting to obtain consent for a medical procedure, especially for a cognitively impaired patient, is a clear case of liable behavior as it violates the patient's rights and can lead to serious consequences. Choice B is incorrect because leaving a patient with suicidal thoughts alone in the bathroom is a negligent behavior, not liable. Choice C is incorrect because promising to restrain a patient without proper authorization or assessment is not appropriate and can lead to liability issues. Choice D is incorrect because reassuring a paranoid patient about medication safety is not necessarily liable behavior unless there are specific concerns about tampering that were not addressed appropriately.