ATI RN
Use of Psychotropic Medications Questions
Question 1 of 5
In providing care for patients of a mental health unit, Li recognizes the importance of standards of care. When Li notices that some policies fall short of the state licensing laws, which of the following statements represents the most appropriate standard of care pathway?
Correct Answer: B
Rationale: The correct answer is B because it follows a logical sequence from a higher authority to a lower authority in terms of healthcare regulations. The state board of nursing is the highest authority as it sets the licensing laws, followed by professional associations which provide guidelines and standards of care, and finally, facility policy which should align with the higher authorities. This pathway ensures that patient care meets legal requirements and professional standards. Choice A is incorrect because it places professional association before state licensing laws, which should be the primary consideration. Choice C is incorrect as it places facility policy as the first step, which should be guided by higher authorities. Choice D is incorrect because it places facility policy before professional association, which should provide the standards of care.
Question 2 of 5
A patient is complaining of pain in his joints that is worse in the morning, better after he moves around for a while, and then gets worse again if he sits for long periods. The nurse should assess for other signs of what problem?
Correct Answer: C
Rationale: The correct answer is C, Rheumatoid arthritis. The patient's symptoms of joint pain being worse in the morning, improving with movement, and worsening with prolonged sitting are classic signs of rheumatoid arthritis. This autoimmune condition typically presents with morning stiffness that improves with activity. Tendinitis (A) primarily involves inflammation of tendons, not joints. Osteoarthritis (B) usually presents with joint pain that worsens with activity. Intermittent claudication (D) refers to pain or cramping in the legs due to decreased blood flow, not joint pain.
Question 3 of 5
The nurse is examining a 3-month-old infant. While the nurse holds his or her thumbs on the infant's inner mid thighs and the fingers on the outside of the infant's hips, touching the greater trochanter, the nurse adducts the legs until his or her thumbs touch and then abducts the legs until the infant's knees touch the table. The nurse does not notice any 'clunking' sounds and is confident to record a:
Correct Answer: D
Rationale: The correct answer is D: Negative Ortolani sign. The Ortolani test is performed to assess for hip dislocation in infants. In a negative Ortolani sign, there is no 'clunking' sound heard when the hip is reduced back into place. The test involves adducting the legs until thumbs touch and then abducting the legs until knees touch the table. If there is no 'clunking' sound, it indicates that the hip joint is stable. Choices A and C are incorrect because a positive Allis test and positive Ortolani sign would indicate hip dysplasia or dislocation, which is not the case in this scenario. Choice B is incorrect because a negative Allis test is not a recognized assessment for hip dislocation in infants.
Question 4 of 5
A patient's annual physical examination reveals a lateral curvature of the thoracic and lumbar segments of his spine; however, this curvature disappears with forward bending. The nurse knows that this abnormality of the spine is called:
Correct Answer: B
Rationale: The correct answer is B: Functional scoliosis. This type of scoliosis is characterized by a lateral curvature of the spine that disappears with forward bending. The key characteristic here is the reversibility of the curve upon bending, indicating that the curvature is not fixed but rather due to factors such as muscle imbalance or leg length discrepancy. Structural scoliosis (A) involves fixed curvature that does not correct with bending. Herniated nucleus pulposus (C) refers to a spinal disc issue, not a curvature of the spine. Dislocated hip (D) is a separate condition involving the hip joint, not related to spinal curvature.
Question 5 of 5
A man who has had gout for several years comes to the clinic with a problem with his toe. On examination, the nurse notices the presence of hard, painless nodules over the great toe; one has burst open with a chalky discharge. This finding is known as:
Correct Answer: D
Rationale: The correct answer is D: Tophi. Tophi are deposits of uric acid crystals that accumulate in the joints of individuals with chronic gout. The presence of hard, painless nodules over the great toe that burst open with a chalky discharge is a classic presentation of tophi in a patient with gout. Tophi are not painful but can cause joint deformities and damage if left untreated. A: Callus is a thickened and hardened area of skin that forms in response to repeated pressure or friction. Calluses are not associated with gout or chalky discharge. B: Plantar wart is a benign growth on the sole of the foot caused by a viral infection. Plantar warts do not typically present with chalky discharge or nodules. C: Bunion is a bony bump that forms on the joint at the base of the big toe. Bunions are not associated with gout or chalky discharge. In summary, the presence of