ATI RN
Psychotropic Medication Quiz Quizlet Questions
Question 1 of 5
What principle about nurse-patient communication should guide a nurse's fear about 'saying the wrong thing' to a patient?
Correct Answer: A
Rationale: The correct answer is A because effective nurse-patient communication is based on conveying genuine acceptance, respect, and concern for the patient's situation. This principle helps build trust and rapport, leading to better outcomes. Choice B is incorrect because patients value both talking and listening in communication. Choice C is incorrect as any comment, regardless of patient history, can impact them emotionally. Choice D is incorrect as it makes a generalization about people with mental illness and forgiveness tolerance, which is not relevant to nurse-patient communication.
Question 2 of 5
Hugo is 21 and diagnosed with schizophrenia. His history includes significant turmoil as child and adolescent. Hugo reports his father was abusive and routinely beat him, all of his siblings, and his mother. Hugo's early exposure to stress most likely:
Correct Answer: B
Rationale: The correct answer is B because Hugo's early exposure to stress, particularly abuse, is a known risk factor for developing psychiatric disorders like schizophrenia. Research shows that adverse childhood experiences can increase the likelihood of mental health issues later in life. This is due to the impact of chronic stress on brain development and functioning, leading to vulnerability to psychiatric disorders. Choices A, C, and D are incorrect because resilience, survival skills, and nurturing nature are not typically outcomes of experiencing severe abuse and trauma in childhood.
Question 3 of 5
The care plan of a male patient diagnosed with a dissociative disorder includes the nursing diagnosis ineffective coping. Which behavior demonstrated by the patient supports this nursing diagnosis?
Correct Answer: B
Rationale: The correct answer is B because using alcohol and marijuana indicates maladaptive coping mechanisms, aligning with ineffective coping nursing diagnosis. Alcohol and drugs are commonly used to escape reality or numb emotional pain, indicating poor coping skills. Choice A suggests memory loss, not necessarily coping. Choice C indicates dissociative symptoms, not necessarily coping. Choice D reflects depersonalization, which is a symptom of dissociative disorders but doesn't directly relate to coping strategies.
Question 4 of 5
Which statement made by either the nurse or the patient demonstrates an ineffective patient-nurse relationship?
Correct Answer: B
Rationale: The correct answer is B because it demonstrates a confrontational and accusatory approach that can hinder trust and communication in the patient-nurse relationship. This statement lacks empathy and understanding, focusing on blaming the patient rather than fostering a supportive and collaborative environment. In contrast, choices A, C, and D show openness, empathy, and collaboration, which are essential for building a positive patient-nurse relationship. Option A demonstrates self-awareness and introspection, option C involves the patient's family in care planning, and option D acknowledges the patient's experience and feedback on the medication's effectiveness.
Question 5 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. In this scenario, the instructor is guiding Morgan to acknowledge the patient's emotions without taking them on as her own (eliminating choice A). Maintaining pure objectivity (choice B) is important in healthcare, but showing empathy does not contradict objectivity; it enhances the therapeutic relationship. Using touch (choice D) may not be appropriate without consent and may not address the patient's emotional needs. Empathy, on the other hand, allows Morgan to connect with the patient's emotions while maintaining appropriate professional boundaries.