ATI RN
Psychotropic Medication Quiz Quizlet Questions
Question 1 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 2 of 5
A nurse practitioner is interviewing a female patient from Southeast Asia. She complains of stomach pain and chest discomfort. Knowing that the patient's adult son died in a car accident last month, the nurse suspects:
Correct Answer: C
Rationale: The correct answer is C: Somatization. The patient's physical symptoms may be a manifestation of emotional distress related to the recent loss of her son. This is a common phenomenon where psychological stress is expressed through physical symptoms. The nurse should consider this possibility and explore the patient's emotions and mental health further. A: Vulnerability is a broad term and doesn't directly link the patient's symptoms to her recent loss. B: Acid reflux may cause stomach pain and chest discomfort, but in this case, the nurse should consider the emotional aspect first. D: Transference involves projecting feelings onto the nurse, which is not evident in the scenario provided.
Question 3 of 5
Which situations demonstrate liable behavior on the part of the staff? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A because forgetting to obtain consent for a medical procedure, especially for a cognitively impaired patient, is a clear case of liable behavior as it violates the patient's rights and can lead to serious consequences. Choice B is incorrect because leaving a patient with suicidal thoughts alone in the bathroom is a negligent behavior, not liable. Choice C is incorrect because promising to restrain a patient without proper authorization or assessment is not appropriate and can lead to liability issues. Choice D is incorrect because reassuring a paranoid patient about medication safety is not necessarily liable behavior unless there are specific concerns about tampering that were not addressed appropriately.
Question 4 of 5
A 35-year-old man with abnormal behavior has been diagnosed with schizophrenia. In schizophrenia, Clozapine is more effective than haloperidol against:
Correct Answer: D
Rationale: In the context of treating schizophrenia, Clozapine is more effective than haloperidol against social withdrawal because Clozapine is an atypical antipsychotic medication that acts on multiple neurotransmitter systems, including serotonin and dopamine, leading to a broader spectrum of efficacy. Social withdrawal is a common symptom in schizophrenia, and Clozapine's mechanism of action helps improve social functioning and interpersonal relationships more effectively than haloperidol. Option A: Hallucinations - While both medications can help with hallucinations, Clozapine is not specifically more effective than haloperidol in treating this symptom. Both medications can target positive symptoms like hallucinations. Option B: Bizarre delusions - Haloperidol is known to be effective in treating delusions, including bizarre ones. While Clozapine is effective in managing a broader range of symptoms, including negative symptoms, it is not specifically superior in addressing bizarre delusions. Option C: Delusions - Both Clozapine and haloperidol are effective in treating delusions, so neither one is significantly more effective than the other for this symptom. Educationally, understanding the nuances of different psychotropic medications and their efficacy in treating specific symptoms of psychiatric disorders is crucial for healthcare professionals working with individuals with mental health conditions. This question highlights the importance of tailoring medication choices to target specific symptoms effectively, enhancing patient outcomes and quality of life.
Question 5 of 5
A patient's history shows drinking 4 to 6 liters of fluid and eating more than 6,000 calories per day. Which part of the central nervous system is most likely dysfunctional for this patient?
Correct Answer: D
Rationale: The correct answer is D) Hypothalamus. The hypothalamus plays a crucial role in regulating various bodily functions, including hunger, thirst, and energy balance. In the scenario described, the patient's excessive fluid intake and calorie consumption suggest dysregulation in these areas, pointing to dysfunction in the hypothalamus. Option A) Amygdala is responsible for processing emotions and emotional responses, not for regulating hunger or thirst, making it an incorrect choice in this context. Option B) Parietal lobe is primarily involved in sensory processing, spatial awareness, and perception, not in the regulation of appetite or thirst, so it is not the most likely dysfunctional part in this scenario. Option C) Hippocampus is essential for memory formation and spatial navigation, but it is not directly involved in controlling hunger, thirst, or energy balance, making it an unlikely candidate for dysfunction in this case. Understanding the functions of different brain regions is crucial in the field of psychology and psychiatry, especially when considering the effects of psychotropic medications on these areas. Recognizing the role of the hypothalamus in regulating basic physiological processes can aid in understanding and addressing issues related to appetite, thirst, and energy balance in patients.