ATI RN
Psychotropic Medications 101 Quiz Questions
Question 1 of 5
Priority teaching for a patient taking clozapine (Clozaril) should include which instruction?
Correct Answer: A
Rationale: The correct answer is A because clozapine can cause agranulocytosis, a serious condition where the body's white blood cell count drops significantly, leading to infections like sore throat and fever. Reporting these symptoms promptly is crucial for timely medical intervention. Choices B, C, and D are incorrect because they are not directly related to potential side effects or complications of clozapine therapy.
Question 2 of 5
A patient reports good results from taking an herb to manage migraine headache pain. The nurse confirms there are no hazardous interactions between the herb and the patient’s current prescription drugs. Select the nurse’s best comment to the patient.
Correct Answer: B
Rationale: The correct answer is B: "You are experiencing a placebo effect. When we believe something will help, it usually does.” Rationale: 1. The nurse acknowledges the patient’s positive experience with the herb, validating the patient's perspective. 2. By mentioning the placebo effect, the nurse educates the patient about the potential psychological benefits of belief in a treatment. 3. The nurse's comment is non-judgmental and encourages open communication with the patient. 4. This response promotes patient empowerment in managing their health. Summary: A: Merely noting in the medical record does not address the patient’s experience or provide valuable information. C: This response is accusatory and may discourage the patient from sharing important information in the future. D: This statement is incorrect and may cause unnecessary fear or confusion for the patient.
Question 3 of 5
An immigrant from China needs a colonic resection but is anxious and reluctant about surgery. This patient usually follows traditional Chinese health practices. Which comment by the nurse would most likely reduce the patient’s anxiety and reluctance?
Correct Answer: A
Rationale: The correct answer is A because it appeals to the patient's traditional Chinese beliefs by mentioning yin and yang forces and harmony, which are important concepts in traditional Chinese medicine. This can help the patient feel more comfortable and reassured about the surgery. Choice B is incorrect because it uses vague language about "final transformation" which may not resonate with the patient's cultural beliefs. Choice C is incorrect because while it offers reassurance, it does not address the patient's specific cultural background or concerns about the surgery. Choice D is incorrect because while acupuncture may be a valid option, it does not directly address the patient's anxiety and reluctance towards surgery based on their traditional health practices.
Question 4 of 5
Which complementary and alternative therapy may be safely combined with traditional Western medicine in the treatment of anxiety disorder?
Correct Answer: C
Rationale: Step 1: Meditative practices, such as mindfulness and deep breathing, are evidence-based therapies that have been shown to effectively reduce anxiety symptoms. Step 2: Meditative practices can be safely integrated with traditional Western medicine without adverse interactions. Step 3: These practices promote relaxation, stress reduction, and overall well-being, complementing the treatment of anxiety disorders. Step 4: Electroconvulsive therapy (A) is a medical procedure used for severe depression, not anxiety. Mega doses of vitamins (B) lack sufficient evidence for treating anxiety. Herbal therapy (D) can have interactions with medications.
Question 5 of 5
Which of the following poses a potential ethical concern when prescribing psychiatric medications?
Correct Answer: C
Rationale: Correct Answer: C - The patient's family voices a stigma against psychiatric medications Rationale: This choice poses an ethical concern as the patient's family's stigma against psychiatric medications may influence the patient's decision-making process and access to necessary treatment. It raises issues of autonomy, informed consent, and potential harm caused by familial beliefs. The other choices, while important considerations, do not directly relate to ethical concerns in prescribing psychiatric medications. The patient being homeless and uninsured (A) may affect access to medication but does not inherently pose an ethical concern. The patient's self-reported hallucinations (B) and concerns about side effects (D) are typical clinical considerations but do not directly relate to ethical concerns in this context.