ATI RN
Psychotropic Medication Quiz Quizlet Questions
Question 1 of 5
Noah has made it clear he doesn't want to talk about his dad. But the truth is, as the interview proceeds, he becomes anxious and tries to evade all questions about why he is here. Which type of communication might be most appropriate right now?
Correct Answer: D
Rationale: The correct answer is D: Ask a miracle question. This type of communication technique is appropriate because it allows Noah to envision a positive future without directly probing into his personal issues, which might make him uncomfortable. By asking a miracle question, such as "If you woke up tomorrow and everything was better, what would be different?" it can help Noah open up about his concerns in a more indirect and non-confrontational way. This can build trust and rapport with Noah, as it shows that you are empathetic and focused on helping him envision a solution to his problems. Choices A, B, and C are incorrect because they are more direct approaches that may increase Noah's anxiety and resistance. Giving advice without understanding the full context of his situation (Choice A), expressing disapproval (Choice B), or asking a blunt question (Choice C) may lead to further avoidance and hinder the communication process.
Question 2 of 5
The care plan of a male patient diagnosed with a dissociative disorder includes the nursing diagnosis ineffective coping. Which behavior demonstrated by the patient supports this nursing diagnosis?
Correct Answer: B
Rationale: The correct answer is B because using alcohol and marijuana indicates maladaptive coping mechanisms, aligning with ineffective coping nursing diagnosis. Alcohol and drugs are commonly used to escape reality or numb emotional pain, indicating poor coping skills. Choice A suggests memory loss, not necessarily coping. Choice C indicates dissociative symptoms, not necessarily coping. Choice D reflects depersonalization, which is a symptom of dissociative disorders but doesn't directly relate to coping strategies.
Question 3 of 5
Which statement made by either the nurse or the patient demonstrates an ineffective patient-nurse relationship?
Correct Answer: B
Rationale: The correct answer is B because it demonstrates a confrontational and accusatory approach that can hinder trust and communication in the patient-nurse relationship. This statement lacks empathy and understanding, focusing on blaming the patient rather than fostering a supportive and collaborative environment. In contrast, choices A, C, and D show openness, empathy, and collaboration, which are essential for building a positive patient-nurse relationship. Option A demonstrates self-awareness and introspection, option C involves the patient's family in care planning, and option D acknowledges the patient's experience and feedback on the medication's effectiveness.
Question 4 of 5
Morgan is a third-year nursing student in her psychiatric clinical rotation. She is assigned to an 80-year-old widow admitted for major depressive disorder. The patient describes many losses and sadness. Morgan becomes teary and says meaningfully, 'I am so sorry for you.' Morgan's instructor overhears the conversation and says, 'I understand that getting tearful is a human response. Yet, sympathy isn't helpful in this field.' The instructor urges Morgan to focus on:
Correct Answer: C
Rationale: The correct answer is C: Using empathy to demonstrate respect and validation of the patient's feelings. Empathy involves understanding and sharing the feelings of another. In this scenario, the instructor is guiding Morgan to acknowledge the patient's emotions without taking them on as her own (eliminating choice A). Maintaining pure objectivity (choice B) is important in healthcare, but showing empathy does not contradict objectivity; it enhances the therapeutic relationship. Using touch (choice D) may not be appropriate without consent and may not address the patient's emotional needs. Empathy, on the other hand, allows Morgan to connect with the patient's emotions while maintaining appropriate professional boundaries.
Question 5 of 5
A nurse practitioner is interviewing a female patient from Southeast Asia. She complains of stomach pain and chest discomfort. Knowing that the patient's adult son died in a car accident last month, the nurse suspects:
Correct Answer: C
Rationale: The correct answer is C: Somatization. The patient's physical symptoms may be a manifestation of emotional distress related to the recent loss of her son. This is a common phenomenon where psychological stress is expressed through physical symptoms. The nurse should consider this possibility and explore the patient's emotions and mental health further. A: Vulnerability is a broad term and doesn't directly link the patient's symptoms to her recent loss. B: Acid reflux may cause stomach pain and chest discomfort, but in this case, the nurse should consider the emotional aspect first. D: Transference involves projecting feelings onto the nurse, which is not evident in the scenario provided.