ATI RN
Core Concepts of Family Centered Care Questions
Question 1 of 5
Why are beta blockers given to patients experiencing anxiety?
Correct Answer: A
Rationale: Beta blockers are given for anxiety as they help slow heart rate and decrease blood pressure, reducing physical symptoms of anxiety like palpitations and sweating. This is achieved by blocking the effects of adrenaline on the heart and blood vessels. Ataxia, sexual dysfunction, and urinary retention are not typical side effects of beta blockers and are not relevant to their use in treating anxiety.
Question 2 of 5
What common side effects would the nurse inform a patient of who has just been prescribed Celexa?
Correct Answer: A
Rationale: The correct answer is A: Gastrointestinal disturbances. Celexa (citalopram) is known to commonly cause gastrointestinal side effects such as nausea, diarrhea, and indigestion. This is important for the nurse to inform the patient about to manage expectations and potential discomfort. Choices B, C, and D are incorrect because sexual dysfunction, thyroid function, and tachycardia are not common side effects associated with Celexa. Overall, it is crucial for the nurse to educate the patient on the most common side effects to ensure proper monitoring and management.
Question 3 of 5
What type of antidepressant medication is not frequently used due to its lethality in overdose?
Correct Answer: A
Rationale: The correct answer is A: Tricyclic antidepressants (TCAs). TCAs are not frequently used due to their high lethality in overdose. They have a narrow therapeutic index, leading to severe toxicity even at slightly higher doses. In overdose, TCAs can cause life-threatening cardiovascular and central nervous system effects. SSRIs (B) are safer in overdose compared to TCAs. GI upset (C) is a common side effect of many medications, not specifically antidepressants. Divalproex (D) is not an antidepressant medication, but rather a mood stabilizer primarily used in bipolar disorder.
Question 4 of 5
What is important to consider when evaluating the dose of lithium to be administered?
Correct Answer: A
Rationale: The correct answer is A because lithium has a narrow therapeutic index, meaning the difference between a therapeutic dose and a toxic dose is small. Therefore, it is crucial to carefully consider the dose to avoid subtherapeutic effects or toxicity. Option B is incorrect because it only focuses on the toxicity aspect of lithium, ignoring the importance of therapeutic effects. Option C, Divalproex, is irrelevant to the dosing of lithium. Option D, Tachycardia, is also irrelevant to lithium dosing considerations. It is essential to prioritize the therapeutic index when evaluating the dose of lithium for safe and effective treatment.
Question 5 of 5
Mrs Wang is a retired teacher and used to take trips on cruise ships with her friends to gamble at the casino. She now goes to the local casino every other day by herself and is preoccupied with gambling. Her problem surfaced when she was caught on the closed circuit camera for trying to steal casino chips. Her husband was at a loss and reports that she keeps talking about gambling and boasts to her friends about the large amounts she places per bet. Her luck has turned for the worse, but she insists on going back to 'recoup' her losses. She has pawned most of her jewelry, stopped seeing her friends, and lies to her family about the amounts she has lost. Mrs Wang has features of a
Correct Answer: D
Rationale: The correct answer is D) Pathological gambler. Mrs. Wang's behavior exhibits classic signs of pathological gambling, also known as a gambling disorder. Pathological gambling is characterized by a persistent and recurrent maladaptive gambling behavior that leads to significant distress or impairment. Mrs. Wang's preoccupation with gambling, chasing losses, lying about her gambling activities, pawning valuables, and neglecting social relationships are all indicative of a severe gambling problem. Option A) Social gambler refers to individuals who gamble for socialization or entertainment purposes without negative consequences. Mrs. Wang's behavior goes beyond social gambling. Option B) At-risk gambler typically indicates individuals who are on the verge of developing a gambling problem but have not yet met the criteria for a gambling disorder. Mrs. Wang's behavior already meets the criteria for a severe gambling disorder. Option C) Problem gambler refers to individuals with some negative consequences due to gambling but not as severe as those seen in pathological gambling. Mrs. Wang's behavior and its impact on her life are more aligned with a diagnosis of pathological gambling. Educationally, understanding the spectrum of gambling behaviors is crucial for healthcare providers, social workers, and caregivers to identify and intervene early in cases like Mrs. Wang's. Recognizing the severity of the gambling problem can help guide appropriate interventions and support strategies to address the underlying issues contributing to the behavior. It also highlights the importance of a holistic approach to care that considers the psychosocial aspects of individuals facing gambling disorders.