ATI RN
Psychobiological Disorder Questions
Question 1 of 5
A 15-year-old ran away from home six times and was arrested for shoplifting. The parents told the Court, 'We can't manage our teenager.' The adolescent is physically abusive to the mother and defiant with the father. Which diagnosis is supported by this adolescent's behavior?
Correct Answer: D
Rationale: The correct answer is D: Conduct Disorder (CD). The given scenario describes a pattern of persistent behavior that violates the rights of others and societal norms, such as running away, shoplifting, and being physically abusive. CD is characterized by aggression, rule-breaking, and disregard for others' feelings and rights. This diagnosis aligns with the adolescent's behavior of being defiant and physically abusive towards the parents. ADHD (A) primarily involves symptoms of inattention, hyperactivity, and impulsivity, which are not the primary features displayed in this case. PTSD (B) results from exposure to traumatic events, which are not explicitly mentioned in the scenario. Intermittent Explosive Disorder (C) involves recurrent behavioral outbursts, often involving aggression, that are out of proportion to the situation, which does not fully capture the range of behaviors exhibited by the adolescent in this case.
Question 2 of 5
Shortly after the parents announced that they were divorcing, a 15-year-old became truant from school and assaulted a friend. The adolescent told the school nurse, 'I'd rather stay in my room and listen to music. It's easier than thinking about what is happening in my family.' Which nursing diagnosis is most applicable?
Correct Answer: C
Rationale: The correct answer is C: Defensive coping related to adjustment to changes in family relationships. The adolescent's behavior of truancy and aggression towards a friend indicates they are using defensive coping mechanisms to avoid dealing with the stress of their parents' divorce. This diagnosis focuses on the maladaptive coping strategies being used by the individual. A: Chronic low self-esteem is not the most applicable diagnosis in this case as the behavior described is more indicative of avoidance and coping mechanisms rather than self-esteem issues. B: Decisional conflict related to compliance with school requirements does not address the underlying emotional distress the adolescent is experiencing due to the family situation. D: Disturbed personal identity related to self-perceptions of changing family dynamics is not the most appropriate diagnosis as it does not directly address the defensive coping mechanisms being used by the adolescent in response to the family changes.
Question 3 of 5
An adolescent diagnosed with an impulse control disorder says, 'I want to die. I spend my time getting even with people who hurt me.' When asked about a suicide plan, the adolescent replies, 'I'll jump from a bridge near my home. My father threw kittens off that bridge and they died.' Rate the suicide risk.
Correct Answer: D
Rationale: The correct answer is D (High). The adolescent's statement indicates a clear intent to die by suicide and a specific plan, which significantly increases the risk. The reference to past trauma and the method chosen suggest a high level of risk. The vendetta against those who hurt them may indicate unresolved issues contributing to suicidal ideation. Options A and B are incorrect as the adolescent has expressed suicidal intent and a specific plan, ruling out an absent or low risk. Option C is also incorrect as the level of risk is high due to the detailed plan and clear intent expressed by the adolescent.
Question 4 of 5
Which assessment findings support a diagnosis of ODD?
Correct Answer: A
Rationale: The correct answer is A because Oppositional Defiant Disorder (ODD) is characterized by negative, hostile behavior towards authority figures like parents. Blaming others for misbehavior is a common trait in individuals with ODD. Choice B describes symptoms of Tourette syndrome, not ODD. Choice C describes conduct disorder behaviors, not specific to ODD. Choice D is more indicative of anxiety or trauma-related disorders, not ODD. Therefore, negative, hostile behavior towards parents and blaming others for misbehavior are key assessment findings that support a diagnosis of ODD.
Question 5 of 5
A client diagnosed with bipolar disorder: depressive episode intentionally overdoses on sertraline (Zoloft). Family reports that the client has experienced anorexia, insomnia, and recent job loss. Which should be the priority nursing diagnosis for this client?
Correct Answer: A
Rationale: The priority nursing diagnosis for a client diagnosed with bipolar disorder who intentionally overdoses on sertraline is "A: Risk for suicide R/T hopelessness." This is because the client's actions indicate a high risk for self-harm, which takes precedence over other diagnoses. The client's depressive episode, anorexia, insomnia, and recent job loss all contribute to feelings of hopelessness and can increase the risk of suicide. Choice B, anxiety related to hyperactivity, is not the priority because the client's intentional overdose is a more immediate concern than anxiety symptoms. Choice C, imbalanced nutrition due to refusal to eat, is not the priority because the risk of suicide is a more urgent and life-threatening issue. Choice D, dysfunctional grieving related to job loss, is not the priority as the client's immediate safety from self-harm takes precedence over grieving.