ATI RN
Psychotropic Medications Medcomm Quiz Questions
Question 1 of 5
Maggie, a child in protective custody, is found to have an imaginary friend, Holly. Her foster family shares this information with the nurse. The nurse teaches the family members about children who have suffered trauma and knows her teaching was effective when the foster mother states:
Correct Answer: C
Rationale: Step 1: Children in protective custody, like Maggie, often experience trauma. Step 2: Imaginary friends can be a coping mechanism for children dealing with trauma. Step 3: The nurse teaches the foster family about the role of imaginary friends in trauma. Step 4: The foster mother understanding that imaginary friends are a coping mechanism shows comprehension. Step 5: Choice C is correct because it aligns with the therapeutic role of imaginary friends for traumatized children. Summary: - Choice A is incorrect because imaginary friends are not necessarily abnormal. - Choice B is incorrect as imaginary friends can be adaptive for coping. - Choice D is incorrect as telling the child that imaginary friends are unacceptable can be harmful.
Question 2 of 5
Which assessment questions will support effective communication with a patient who recently emigrated from an Asian country? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: "What do you call this kind of pain?" This question is open-ended and allows the patient to express their understanding and cultural perspective on pain, facilitating effective communication. It shows respect for the patient's cultural beliefs. Choice B is incorrect because it assumes the patient's understanding of the cause of pain, which may not align with Western medical perspectives. Choice C is incorrect as it assumes the patient's knowledge of pain treatment strategies, which may differ culturally. Choice D is incorrect as it may not be culturally sensitive and may not elicit relevant information about the patient's perception of pain.
Question 3 of 5
Which statement made by the nurse concerning ethics demonstrates the best understanding of the concept?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates the nurse's understanding of the ethical principle of beneficence, which emphasizes the obligation to do good and provide care regardless of a patient's ability to pay. Choice B violates patient confidentiality. Choice C prioritizes hospital resources over patient care. Choice D goes against the ethical principle of justice by implying that some patients may not receive proper attention. Therefore, choice A is the best understanding of ethics in this context.
Question 4 of 5
Implied consent occurs when no verbal or written agreement takes place prior to a caregiver delivering treatment. Which of the following examples represents implied consent?
Correct Answer: B
Rationale: Implied consent is when a patient's actions or circumstances indicate consent for treatment. In the case of a heroin overdose victim, providing care is necessary for saving their life, and their inability to refuse treatment implies consent. This is known as implied consent in emergency situations. The other choices do not demonstrate implied consent: A involves verbal consent from an unconscious patient's family member, C involves going against the patient's refusal, and D involves signing specific paperwork, not indicating consent for immediate treatment.
Question 5 of 5
A 28-year-old U.S. Marine recruit has a history of Tourette syndrome, for which he has been taking haloperidol for the past six months. He complains that he has become very restless and that his tongue is in constant motion as if he were constantly chewing gum. Since the emergence of these symptoms, he stopped taking the drug, but the symptoms persist. Which one of the following is the correct statement with respect to the symptoms he describes?
Correct Answer: B
Rationale: The correct answer is option B: "The symptoms are consistent with haloperidol-induced akathisia and tardive dyskinesia and are due to supersensitive dopamine receptors." In this case, the individual's symptoms of restlessness and constant tongue movement are indicative of akathisia and tardive dyskinesia, both of which can be caused by the use of haloperidol, an antipsychotic medication. Akathisia is characterized by a feeling of inner restlessness and the urge to move constantly, while tardive dyskinesia involves involuntary movements, such as tongue protrusion or chewing motions. The rationale for why the other options are incorrect is as follows: - Option A is incorrect because akathisia and tardive dyskinesia are not due to blocked dopamine receptors but rather to an increased sensitivity or supersensitivity of dopamine receptors. - Option C is incorrect because haloperidol primarily acts by blocking dopamine D2 receptors, not 5-HT2C receptors. - Option D is incorrect because it mentions supersensitive D2 and 5-HT2C receptors, which is not the mechanism underlying the development of akathisia and tardive dyskinesia. From an educational perspective, understanding the side effects and mechanisms of action of psychotropic medications is crucial for healthcare professionals to effectively manage and anticipate potential adverse effects in patients. Recognizing the symptoms of akathisia and tardive dyskinesia, as well as their underlying mechanisms, is essential for providing appropriate care and ensuring patient safety.