ATI RN
Psychotropic Medications Medcomm Quiz Questions
Question 1 of 5
Linda is terrified of spiders and cannot explain why. Because she lives in a wooded area, she would like to overcome this overwhelming fear. Her nurse practitioner suggests which therapy?
Correct Answer: D
Rationale: The correct answer is D: Systematic desensitization. This therapy gradually exposes Linda to spiders in a controlled setting while teaching her relaxation techniques to reduce anxiety. It helps her re-associate spiders with relaxation instead of fear. A: Behavioral therapy focuses on changing behavior through reinforcement. B: Biofeedback involves monitoring physiological responses. C: Aversion therapy pairs an unpleasant stimulus with the fear, which may worsen Linda's fear of spiders.
Question 2 of 5
Which most accurately describes a patient-centered medical home?
Correct Answer: A
Rationale: The correct answer is A because a patient-centered medical home involves a team that coordinates all aspects of a patient's care, including mental and physical health, within the broader health system. This approach focuses on comprehensive, coordinated, and accessible care to improve patient outcomes. Option B is incorrect because it focuses on the variety of services provided rather than the coordination aspect. Option C is incorrect because it specifies psychiatric services only, which is not inclusive of all aspects of care. Option D is incorrect because it mentions intensive care in various settings but does not emphasize coordination within the broader health system.
Question 3 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 4 of 5
Which statement made by the nurse demonstrates the best understanding of nonverbal communication?
Correct Answer: B
Rationale: The correct answer is B because it highlights the importance of checking for congruence between verbal and nonverbal communication to validate responses. This demonstrates an understanding of the complexity of communication and the need to consider both verbal and nonverbal cues. Choice A is incorrect because it only recognizes the difference between verbal and nonverbal communication without discussing the importance of congruence. Choice C is incorrect as it assumes a direct correlation between a specific nonverbal cue (slumping in the chair) and a patient's emotional state. Choice D is incorrect as it oversimplifies the understanding of communication by stating that verbal communication is easier to understand than nonverbal communication.
Question 5 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.