ATI RN
Psychotropic Medication Side Effects Questions
Question 1 of 5
When discussing therapy options, the nurse should provide information about interpersonal therapy to which patient? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B because interpersonal therapy focuses on improving relationships and communication skills, which can be beneficial for the older woman who has just lost her life partner to cancer. This patient may be experiencing grief and struggling with emotional distress related to the loss, making interpersonal therapy a suitable option. Choice A is incorrect because the focus of bullying at school may benefit more from cognitive-behavioral therapy to address coping strategies and self-esteem issues. Choice C is incorrect as hoarding tendencies may require cognitive-behavioral therapy or exposure therapy for symptom management. Choice D is incorrect because aggressive tendencies may be better addressed with anger management techniques or cognitive-behavioral therapy focusing on impulse control.
Question 2 of 5
The nurse frequently includes daily sessions involving relaxation techniques. Which assessment data would most indicate a need for this intervention to be included in the initial plan of care for a patient?
Correct Answer: A
Rationale: The correct answer is A because a family history of anxiety and symptoms of anxiety indicate a predisposition to anxiety disorders, making the patient more likely to benefit from relaxation techniques. This assessment data suggests a need for proactive intervention to address potential anxiety issues. Option B is incorrect as it pertains to the significant other's health, not the patient's. Option C is unrelated to anxiety or stress management. Option D, while indicating increased stress due to adopting twins, does not directly suggest a need for relaxation techniques based on anxiety predisposition.
Question 3 of 5
What is the purpose of the Health Insurance Portability and Accountability Act (HIPAA)? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Ensuring that an individual's health information is protected. HIPAA aims to safeguard individuals' health information by setting standards for its privacy and security. It restricts unauthorized access and disclosure of this sensitive data. B: Providing third-party players with access to patient's medical records - This is incorrect because HIPAA is designed to limit access to patient information to authorized individuals only. C: Facilitating the movement of a patient's medical information to the interested parties - This is incorrect as HIPAA focuses on protecting the privacy of medical information, not necessarily facilitating its movement. D: Guaranteeing that all those in need of healthcare coverage have options to obtain it - This is incorrect as HIPAA's primary focus is on privacy and security of health information, not on ensuring healthcare coverage options.
Question 4 of 5
Medical records are considered legal documents. Proper documentation needs to reflect patient condition along with changes. It should also be based on professional standards designated by the state board of nursing, regulatory agencies, and reimbursement requirements. Proper documentation can be enhanced by:
Correct Answer: B
Rationale: The correct answer is B: Using the nursing process as a guide. Proper documentation in medical records requires following a systematic approach like the nursing process, which includes assessment, diagnosis, planning, implementation, and evaluation. This ensures a comprehensive and organized documentation of the patient's condition and any changes. Using the nursing process helps healthcare providers to accurately document the patient's status and care provided. Choice A: Only using objective data is incorrect because proper documentation should include both objective (observable) and subjective (patient-reported) data for a holistic view of the patient's condition. Choice C: Using language the specific patient can understand is important for effective communication but not directly related to enhancing proper documentation. Choice D: Avoiding legal jargon is important to ensure clarity and understanding but does not directly enhance the documentation process.
Question 5 of 5
When should a nurse be most alert to the possibility of communication errors resulting in harm to the patient?
Correct Answer: A
Rationale: The correct answer is A, change of shift report, because it is a critical time when patient information is being transferred between nurses, and any miscommunication can lead to errors in patient care. During this time, details about medications, treatments, and patient conditions are being exchanged, making it crucial for the nurse to be alert to prevent any potential harm to the patient. Choice B, admission interviews, may also be important for gathering accurate patient information, but the level of detail and criticality of communication errors during shift change is higher. Choices C and D, one-to-one conversations with patients and conversations with patient families, are important communication opportunities, but they may not carry the same level of risk for errors resulting in harm as the change of shift report does.