ATI RN
Classes of Psychotropic Medications Questions
Question 1 of 5
In an outpatient psychiatric clinic, a nurse notices that a newly admitted young male patient smiles when he sees her. One day the young man tells the nurse, 'You are pretty like my mother.' The nurse recognizes that the male is exhibiting:
Correct Answer: A
Rationale: The correct answer is A: Transference. This is because the patient is projecting feelings and emotions onto the nurse that are actually related to someone from his past, in this case, his mother. This is a common phenomenon in therapy where the patient's feelings towards significant figures in their life are transferred onto the therapist or nurse. This can provide valuable insights into the patient's past experiences and relationships. Other choices are incorrect because: B: Id expression refers to impulsive and instinctual behaviors, which is not demonstrated in this scenario. C: Countertransference is the therapist or nurse's own emotional response to the patient, which is not evident in the scenario. D: Cognitive distortion involves irrational and inaccurate thinking patterns, which do not apply to the patient's behavior towards the nurse.
Question 2 of 5
Pablo is a homeless adult who has no family connection. Pablo passed out on the street and emergency medical services took him to the hospital where he expresses a wish to die. The physician recognizes evidence of substance use problems and mental health issues and recommends inpatient treatment for Pablo. What is the rationale for this treatment choice? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B: He requires stabilization of multiple symptoms. Inpatient treatment is necessary for Pablo because he is experiencing multiple symptoms related to substance use problems and mental health issues. Stabilization in a controlled environment is crucial to address his complex needs effectively. Other choices are incorrect: A is not directly related to the need for inpatient treatment; C and D do not address the primary reason for inpatient treatment, which is the stabilization of multiple symptoms.
Question 3 of 5
A 13-year-old boy is undergoing a mental health assessment. The nurse practitioner assures him that his medical records are protected and private. The nurse recognizes that this promise cannot be kept when the youth divulges:
Correct Answer: D
Rationale: The correct answer is D because it involves potential harm to others (hitting grandpa) and may require intervention to ensure safety. This information cannot be kept confidential due to the duty to report potential abuse. Choices A, B, and C do not pose immediate harm or risk to others and are within the realm of normal adolescent development. They can be addressed confidentially to maintain trust and encourage open communication.
Question 4 of 5
You teach Mr. R’s sister about important precautions associated with a new prescription. Afterward, she accurately summarizes major self-management strategies associated with this drug. Which step of the nursing process applies to her summarization?
Correct Answer: D
Rationale: The correct answer is D: Evaluation. Evaluation is the step in the nursing process where the nurse assesses the client's response to interventions and determines if the goals and outcomes have been met. In this scenario, the sister's accurate summarization of major self-management strategies shows that she understood the information provided by the nurse, which indicates successful teaching. This aligns with the evaluation step as it involves determining the effectiveness of the teaching intervention. Choice A: Assessment is incorrect because assessment involves collecting data about the client's health status, which is not demonstrated by the sister's summarization. Choice B: Analysis is incorrect as it involves interpreting and synthesizing data, which is not the focus of the sister's summarization. Choice C: Planning/outcomes identification is incorrect as it involves setting goals and outcomes, which have already been done prior to the sister's summarization.
Question 5 of 5
James is a 42-year-old patient with schizophrenia. He approaches you as you arrive for day shift and anxiously reports, 'Last night, demons came to my room and tried to rape me.' Which response would be most therapeutic?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates empathy, validation, and encourages further exploration of the patient's experiences. By acknowledging the patient's feelings and inviting them to share more, it fosters trust and a therapeutic relationship. Options A and B dismiss the patient's experience and may lead to further distress or lack of trust. Option D offers reassurance but lacks the depth of understanding and exploration needed in this situation.