ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 67 : Interaction of Body and Mind Questions
Question 1 of 5
The nurse is caring for a client diagnosed with Parkinson disease. The nurse is most correct to correlate the client's uncontrolled tremors as a physical characteristic of a lack of which neurotransmitter?
Correct Answer: C
Rationale: Parkinson disease is a neurodegenerative disorder and the most common movement disorder. It is characterized by progressive loss of muscle control, which leads to trembling of the limbs and head while at rest, stiffness, slowness, and imbalance. Low levels of the neurotransmitter dopamine have been linked to the uncontrollable tremors. The other neurotransmitters are not related to Parkinson disease.
Question 2 of 5
The nurse is caring for a client on a behavioral health unit. What would support the theory that mental illness is a psychobiologic disorder?
Correct Answer: C
Rationale: The nurse is correct to confirm the biologic disorder of an alteration in neurotransmitter levels. The neurotransmitters dopamine, norepinephrine, epinephrine, serotonin, and acetylcholine often are implicated in the psychobiology of mental illness. Evaluating the client's need for personal assistance, behavior improvement with group therapy, and inappropriate interpersonal skills addresses behavior aspects alone.
Question 3 of 5
The nurse is using a theory which includes positive reinforcement with rewarding client behavior in group participation activities. From which theorist is the nurse deriving these strategies?
Correct Answer: D
Rationale: B.F. Skinner proposed the theory that adaptive and maladaptive behavior are learned and repeated because of rewarding reinforcement. The other theorists listed did not propose such a theory.
Question 4 of 5
The nurse is caring for a client who consistently presents to the emergency department with symptoms of varied illnesses. Family members correlate the symptoms to illnesses seen on television or in other family members. When viewing past documentation of client history, which would the nurse anticipate?
Correct Answer: B
Rationale: Hypochondriasis is an abnormal fixation about the status of one's health. Some would propose that the disorder occurs when a person receives excessive attention and concern from others during childhood illnesses, which were unconsciously perceived as rewarding. The other disorders are not related.
Question 5 of 5
The nurse is caring for a client and family member who are distressed about not having a concrete medical diagnosis. The client states, 'I have been through a lot of tests, and I still know nothing.' When confirming a psychobiologic diagnosis, the nurse is most accurate to state which of the following?
Correct Answer: C
Rationale: Unfortunately, it has time to obtain a definitive diagnosis for a psychobiologic disorder. Diagnosis is frequently achieved by ruling out other diseases which manifest similar signs and symptoms. Stating the circumstances in the delay in diagnosis is the best and most accurate explanation. Simply saying that the tests will conclude soon and that it takes time to receive reports from specialists is general and does not assist the client in understanding why waiting for the reports is necessary. Psychotherapy provides a component of assessment data but not the best data.