ATI RN
Psychotropic Medication Questions
Question 1 of 5
Obtaining consent from from a the guardian of a patient who has limited cognitive capabilities or are incompetent to make decisions represents which ethical principle?
Correct Answer: A
Rationale: The correct answer is A: Informed consent. When obtaining consent from the guardian of a patient with limited cognitive capabilities, it is essential to uphold the ethical principle of informed consent. This involves ensuring that the guardian understands the treatment options, risks, benefits, and alternatives before making a decision on behalf of the patient. It respects the autonomy and rights of the patient even when they are unable to make decisions themselves. Compliance (B) refers to following rules and regulations, not specific to consent. Off-label prescribing (C) relates to using medications for unapproved purposes. Confidentiality (D) pertains to protecting patient information, but it is not directly related to obtaining consent in this context.
Question 2 of 5
Psychotropic drug metabolism may be impacted by many factors except for
Correct Answer: B
Rationale: The correct answer is B: profession. Psychotropic drug metabolism can be influenced by age, caffeine intake, and smoking due to their effects on liver enzymes. Age can alter enzyme activity, caffeine can induce certain enzymes, and smoking can affect drug metabolism through enzyme induction. However, profession does not directly impact drug metabolism through physiological mechanisms, making it the exception among the choices provided.
Question 3 of 5
The PHMNP recognizes which of the following medication as an atypical antipsychotic?
Correct Answer: B
Rationale: Rationale: Aripiprazole is recognized as an atypical antipsychotic by the PHMNP due to its unique mechanism of action as a partial dopamine D2 receptor agonist. This provides both dopamine modulation and stabilization, making it effective for treating a range of psychiatric disorders. In contrast, chlorpromazine (A) is a typical antipsychotic, haloperidol (C) is a first-generation antipsychotic, and mesoridazine (D) is a withdrawn antipsychotic due to safety concerns. Therefore, aripiprazole (B) stands out as the correct choice for being an atypical antipsychotic with a distinct mechanism of action.
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, without adopting them as your own. In this situation, Morgan should acknowledge the patient's emotions without becoming emotionally overwhelmed herself. Empathy helps build a therapeutic relationship, showing the patient that their feelings are valid and respected. A: Adopting the patient's sorrow as your own is not recommended as it can lead to burnout and boundary issues. B: Maintaining pure objectivity is important in healthcare, but complete detachment may hinder the therapeutic relationship. D: Using touch may not be appropriate without understanding the patient's comfort level and boundaries. Touch should be used cautiously in psychiatric settings.
Question 5 of 5
A nurse is assessing a patient who reports feelings of worthlessness and difficulty concentrating. The nurse recognizes that these symptoms are commonly associated with:
Correct Answer: B
Rationale: The correct answer is B (Major depressive disorder). Symptoms of worthlessness and difficulty concentrating are hallmark features of major depressive disorder. Worthlessness is a common symptom of low self-esteem and negative self-perception associated with depression. Difficulty concentrating is a cognitive symptom often seen in depression due to impaired focus and attention. Schizophrenia (A) is characterized by hallucinations and delusions. Bipolar disorder (C) involves mood swings between mania and depression. Obsessive-compulsive disorder (D) is characterized by intrusive thoughts and repetitive behaviors. Therefore, the symptoms described align most closely with major depressive disorder.