ATI RN
Psychotropic Medication Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A nurse is working with a patient who has a history of substance abuse. Which goal would be most appropriate for the nurse to focus on during the initial phase of care?
Correct Answer: A
Rationale: The correct answer is A because assisting the patient in developing healthy coping mechanisms is essential in the initial phase of care for a patient with a history of substance abuse. This goal focuses on providing the patient with alternative ways to manage stress and triggers, which can help prevent relapse. It also empowers the patient to address underlying issues contributing to substance abuse. Choice B is incorrect because focusing solely on understanding long-term effects may not address the immediate needs of the patient. Choice C is incorrect as complete abstinence is a long-term goal and may not be realistic in the initial phase. Choice D is incorrect as promoting self-care is important but may not address the specific needs related to substance abuse.
Question 5 of 5
A nurse is assessing a patient with depression. Which of the following statements would indicate that the patient is experiencing suicidal ideation?
Correct Answer: C
Rationale: The correct answer is C because the statement indicates the patient is having thoughts about how others would be better off without them, which is a significant red flag for suicidal ideation. This statement reflects feelings of worthlessness and hopelessness. Incorrect choices: A: This statement reflects a sense of loss of identity but does not directly indicate suicidal ideation. B: This statement reflects anhedonia, or the inability to experience pleasure, which is a symptom of depression but not necessarily indicative of suicidal thoughts. D: Excessive crying can be a symptom of depression but does not specifically point towards suicidal ideation.