ATI RN
Psychotropic Medication Quiz Quizlet Questions
Question 1 of 5
The parent of an adolescent with schizophrenia asks a nurse, 'My child’s doctor ordered a positron-emission tomography (PET) scan. What is that?' Select the nurse’s best reply.
Correct Answer: D
Rationale: The correct answer is D: PET is a special scan that shows blood flow and activity in the brain. Rationale: 1. PET scans use a radioactive substance injected into the bloodstream to highlight areas of high metabolic activity in the brain. 2. This helps in assessing brain function by showing how well different areas of the brain are working. 3. It is commonly used in diagnosing conditions like schizophrenia to observe brain activity patterns that may indicate the presence of the disorder. Summary: A: Incorrect - PET does not use a magnetic field or gamma waves and does not rely on metal implants. B: Incorrect - PET is not an x-ray image and does not specifically show structures or past brain injuries. C: Incorrect - PET does not pass an electrical current or measure brain wave activity; it focuses on blood flow and metabolic activity.
Question 2 of 5
A nurse can anticipate anticholinergic side effects will be likely when a patient is taking:
Correct Answer: D
Rationale: The correct answer is D: fluphenazine (Prolixin). Fluphenazine is a typical antipsychotic medication that exerts its effects by blocking dopamine receptors in the brain. This action leads to an increase in dopamine levels, which can cause anticholinergic side effects such as dry mouth, constipation, blurred vision, and urinary retention. The other choices, lithium (A), buspirone (B), and risperidone (C), do not typically exhibit significant anticholinergic side effects. Lithium is used to treat bipolar disorder, buspirone is an anxiolytic medication, and risperidone is an atypical antipsychotic that has a lower risk of causing anticholinergic effects compared to typical antipsychotics like fluphenazine.
Question 3 of 5
A nurse prepares to administer an antipsychotic medication to a patient with schizophrenia. Additional monitoring of the medication’s effects and side effects will be most important if the patient is also diagnosed with which health problem? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Parkinson disease. Patients with Parkinson's disease are at increased risk of developing extrapyramidal side effects when taking antipsychotic medications. The nurse should closely monitor the patient for symptoms such as tremors, muscle rigidity, and bradykinesia. This is crucial to prevent worsening of Parkinson's symptoms. Incorrect options: B: Graves disease - Antipsychotic medications do not directly interact with Graves disease, so additional monitoring is not necessary. C: Osteoarthritis - Antipsychotic medications do not have a significant impact on osteoarthritis, so additional monitoring is not required. D: Epilepsy - While some antipsychotic medications can lower the seizure threshold, epilepsy is not directly related to the need for additional monitoring in this context.
Question 4 of 5
Acupuncture is a traditional Chinese medical treatment based on the belief that
Correct Answer: C
Rationale: The correct answer is C because acupuncture involves the insertion of needles to modulate the flow of energy along body meridians. This is based on the traditional Chinese medicine belief that the body has channels or meridians through which energy flows. By inserting needles at specific points, practitioners aim to correct imbalances in energy flow. Choice A is incorrect as acupuncture does not drain toxic energies. Choice B is incorrect as it mentions pressure on meridian points rather than needle insertion. Choice D is incorrect as it refers to a different concept, which is the principle of homeopathy, not acupuncture.
Question 5 of 5
A patient tells the nurse, "I prefer to treat my physical problems with herbs and vitamins.
Correct Answer: C
Rationale: The correct answer is C because it acknowledges the patient's preference for natural remedies and emphasizes the empowerment and control aspect of using such treatments. This response validates the patient's choice and promotes a patient-centered approach to care. Choice A is incorrect because it makes a generalization about the safety of natural substances without addressing the patient's specific preference. Choice B is incorrect as it focuses solely on the safety aspect without considering the patient's desire for control. Choice D is incorrect as it discusses the marketing aspect of natural products, which is not relevant to addressing the patient's preference for herbs and vitamins.