ATI RN
Psychotropic Medications Medcomm Quiz Questions
Question 1 of 5
Which of the following is the best medication class for the PMHNP to prescribe to address elevated norepinephrine levels?
Correct Answer: C
Rationale: The correct answer is C: SNRI. SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors) are the best medication class for elevated norepinephrine levels as they inhibit the reuptake of both serotonin and norepinephrine, thus increasing their levels in the brain. This helps regulate the neurotransmitter imbalance associated with elevated norepinephrine. A: SSRIs only target serotonin, not norepinephrine. B: MAOIs inhibit the breakdown of norepinephrine but are less commonly used due to dietary restrictions and potential side effects. D: Benzodiazepines are not effective in directly targeting norepinephrine levels.
Question 2 of 5
Mary is a 39-year-old attending a psychiatric outpatient clinic. Mary believes that her husband, sister, and son cause her problems. Listening to Mary describe the problems, the nurse displays therapeutic communication in which response?
Correct Answer: A
Rationale: Rationale for Correct Answer (A): A is the correct response because it demonstrates empathy and understanding towards Mary's difficult situation without making assumptions or judgments. It acknowledges Mary's feelings and shows support without imposing personal opinions. Explanation for Incorrect Choices: B: This choice invalidates Mary's feelings by implying she should not dwell on being wronged. It may come across as dismissive and does not validate Mary's emotions. C: This response focuses on the nurse's feelings rather than Mary's, which is not therapeutic communication. It does not address Mary's concerns directly. D: This response assumes Mary's family members are uncaring, which could lead to conflict or defensiveness. It does not reflect active listening or empathy towards Mary's perspective.
Question 3 of 5
Which patient behavior suggests that they may be at risk for suicide?
Correct Answer: A
Rationale: The correct answer is A because verbalizing a desire to end their life and giving away possessions are clear indicators of suicidal ideation and planning. This behavior demonstrates a serious intent to harm oneself. Expressing frustration (choice B) is a common emotion and does not necessarily indicate suicidal risk. Appearing sad and withdrawn (choice C) without any statements about harm may suggest depression but not necessarily suicide risk. Not wanting to participate in group activities (choice D) without a specific reason could be due to various factors and does not directly correlate with suicidal behavior.
Question 4 of 5
A nurse is caring for a patient with schizophrenia. Which of the following is a priority nursing intervention?
Correct Answer: D
Rationale: Correct Answer: D (Administering prescribed antipsychotic medications) Rationale: 1. Priority is to address the patient's symptoms effectively. 2. Antipsychotic medications are essential in managing schizophrenia. 3. Medication adherence is crucial to prevent symptom exacerbation. 4. Stabilizing the patient's condition is necessary for overall care. Summary: - Choice A: Emotional support is important but not the priority. - Choice B: Socialization can be beneficial, but symptom management is crucial. - Choice C: ADLs are important but not as critical as medication administration.
Question 5 of 5
Which of the following interventions is most appropriate for a patient in the manic phase of bipolar disorder?
Correct Answer: A
Rationale: The most appropriate intervention for a patient in the manic phase of bipolar disorder is providing a calm, structured environment (Choice A). This is because individuals in the manic phase may exhibit high energy levels, impulsivity, and agitation. A calm environment can help reduce stimulation and promote a sense of stability. Structured routines can also help manage erratic behavior and provide a sense of predictability. Choice B is incorrect because group settings may exacerbate the patient's symptoms due to increased stimulation. Choice C is inappropriate as excessive stimulation can worsen agitation and may lead to further escalation of manic symptoms. Choice D is not ideal as encouraging a nap may not address the underlying issues of mania and may not be effective in managing the symptoms associated with the manic phase.