ATI RN
Classes of Psychotropic Medications Questions
Question 1 of 5
Nurse-initiated interventions are:
Correct Answer: A
Rationale: Step 1: Nurse-initiated interventions are actions that nurses can initiate independently based on their scope of practice. Step 2: State Nurse Practice Acts define the scope of practice for nurses, including what interventions they can independently initiate. Step 3: Therefore, nurse-initiated interventions are determined by state Nurse Practice Acts (Choice A). Summary: Choices B, C, and D are incorrect because nurse-initiated interventions are not necessarily supervised by the entire health care team, made in concert with physician-initiated plans, or developed after evaluating medical diagnoses. The correct answer is A because it aligns with the principle of nurses working within their scope of practice.
Question 2 of 5
Which of these mental health problems has the highest annual prevalence in the United States?
Correct Answer: C
Rationale: The correct answer is C: Major depressive disorder. Major depressive disorder has the highest annual prevalence in the United States, affecting approximately 7% of the adult population. This prevalence is higher compared to schizophrenia, panic disorder, and generalized anxiety disorder. Major depressive disorder is characterized by persistent feelings of sadness, hopelessness, and loss of interest in activities. It is a common mental health condition that can significantly impact daily functioning. Schizophrenia, panic disorder, and generalized anxiety disorder also have significant impacts, but their annual prevalence rates are lower compared to major depressive disorder in the US.
Question 3 of 5
In an outpatient psychiatric clinic, a nurse notices that a newly admitted young male patient smiles when he sees her. One day the young man tells the nurse, 'You are pretty like my mother.' The nurse recognizes that the male is exhibiting:
Correct Answer: A
Rationale: The correct answer is A: Transference. This is because the patient is projecting feelings and emotions onto the nurse that are actually related to someone from his past, in this case, his mother. This is a common phenomenon in therapy where the patient's feelings towards significant figures in their life are transferred onto the therapist or nurse. This can provide valuable insights into the patient's past experiences and relationships. Other choices are incorrect because: B: Id expression refers to impulsive and instinctual behaviors, which is not demonstrated in this scenario. C: Countertransference is the therapist or nurse's own emotional response to the patient, which is not evident in the scenario. D: Cognitive distortion involves irrational and inaccurate thinking patterns, which do not apply to the patient's behavior towards the nurse.
Question 4 of 5
A patient has been voluntarily admitted to a mental health facility after an unsuccessful attempt to harm himself. Which statement demonstrates a need to better educate the patient on his patient's rights?
Correct Answer: D
Rationale: The correct answer is D because it indicates a lack of understanding about the patient's rights and safety. By stating "I can hurt myself if I want to. It's none of your business," the patient is dismissing the facility's duty to ensure their safety and well-being. This statement demonstrates a need for education on the restriction of self-harm behaviors in a mental health facility. A: This statement shows the patient understanding the reason for being restrained, which indicates awareness of the consequences of their actions. B: This statement acknowledges the patient's right to confidentiality regarding their medical information. C: This statement indicates the patient's right to be informed about their treatment plan and decisions involving their care.
Question 5 of 5
Pablo is a homeless adult who has no family connection. Pablo passed out on the street and emergency medical services took him to the hospital where he expresses a wish to die. The physician recognizes evidence of substance use problems and mental health issues and recommends inpatient treatment for Pablo. What is the rationale for this treatment choice? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B: He requires stabilization of multiple symptoms. Inpatient treatment is necessary for Pablo because he is experiencing multiple symptoms related to substance use problems and mental health issues. Stabilization in a controlled environment is crucial to address his complex needs effectively. Other choices are incorrect: A is not directly related to the need for inpatient treatment; C and D do not address the primary reason for inpatient treatment, which is the stabilization of multiple symptoms.