ATI RN
Psychotropic Medications 101 Quiz Questions
Question 1 of 5
Increased levels of acetycholine result in
Correct Answer: A
Rationale: Increased levels of acetylcholine can lead to hallucinations due to its role in regulating cognitive functions and neural communication. Excess acetylcholine can disrupt this balance, causing abnormal brain activity and perception. Alzheimer's, depression, and Parkinson's are not directly associated with increased acetylcholine levels. Alzheimer's is linked to acetylcholine deficiency, depression involves serotonin and norepinephrine imbalance, and Parkinson's is related to dopamine deficiency.
Question 2 of 5
Which of the following second generation antipsychotics is available sublingually or as transdermal patch?
Correct Answer: C
Rationale: The correct answer is C: Asenapine. Asenapine is the only second-generation antipsychotic available in sublingual form or as a transdermal patch. Sublingual administration allows for rapid absorption into the bloodstream, bypassing first-pass metabolism. This route is useful for patients who have difficulty swallowing pills. A transdermal patch provides a convenient and consistent delivery of the medication over an extended period. Clazapine (A) is not a common antipsychotic medication. Quetiapine (B) and Olanzapine (D) are not available in sublingual or transdermal forms.
Question 3 of 5
A patient has been admitted to the psychiatric unit for acute psychosis. Which action by the nurse best demonstrates effective therapeutic communication?
Correct Answer: B
Rationale: The correct answer is B because using silence and body language allows the patient to feel supported and encourages self-reflection. Silence gives the patient space to process thoughts and feelings without feeling rushed. It also demonstrates active listening and empathy. Choice A is incorrect because asking direct, probing questions may feel intrusive and overwhelming for a patient experiencing acute psychosis. Choice C is incorrect because telling the patient to stop being paranoid and to focus on reality is dismissive and can worsen the patient's symptoms. Choice D is incorrect because giving advice on how the patient should feel disregards the patient's emotions and autonomy in the therapeutic process.
Question 4 of 5
A nurse is caring for a patient with post-traumatic stress disorder (PTSD). Which symptom is most commonly associated with PTSD?
Correct Answer: B
Rationale: The correct answer is B: Intrusive memories and flashbacks. This symptom is most commonly associated with PTSD as individuals with PTSD often experience recurrent, distressing memories of the traumatic event and may have flashbacks where they feel as if they are re-experiencing the event. This is a hallmark symptom of PTSD and is crucial in diagnosing the disorder. A: Excessive crying and sadness is a common symptom of depression but not specific to PTSD. C: Chronic feelings of euphoria are not typically associated with PTSD; in fact, individuals with PTSD often experience negative emotions. D: A need for constant validation is not a core symptom of PTSD; individuals with PTSD may seek support but not necessarily validation.
Question 5 of 5
A nurse is providing discharge teaching for a patient who is newly diagnosed with diabetes. Which of the following statements by the patient indicates that the teaching was effective?
Correct Answer: B
Rationale: The correct answer is B: "I need to monitor my blood glucose levels regularly." This statement indicates effective teaching because monitoring blood glucose levels is essential for managing diabetes. Regular monitoring helps the patient understand how their body responds to food, exercise, and medications. It allows for adjustments in the treatment plan to maintain blood sugar levels within target range. A: Taking insulin injections daily may be necessary for some patients with diabetes, but this alone does not indicate effective teaching as monitoring blood glucose levels is also critical. C: Stopping diabetes medications without healthcare provider's guidance can be dangerous and indicates a lack of understanding about the chronic nature of diabetes. D: Neglecting diet and relying solely on medications is not an effective approach to managing diabetes. Diet plays a crucial role in controlling blood sugar levels.