ATI RN
Biological Basis of Behavior Questions
Question 1 of 5
A 16-year-old girl has returned home following hospitalization for treatment of anorexia nervosa. The parents tell the family nurse performing a home visit that their child has always done everything to please them and they cannot understand her current stubbornness about eating. The nurse analyzes the family situation and determines it is characteristic of which relationship style?
Correct Answer: C
Rationale: The correct answer is C: Enmeshment. Enmeshment is a relationship style where boundaries between family members are blurred, leading to a lack of individual autonomy. In this scenario, the parents' inability to understand their daughter's behavior despite her hospitalization for anorexia nervosa suggests a lack of recognition of her autonomy and individual needs. The parents' expectation for her to always please them reflects enmeshment, as they may prioritize their own desires over her well-being. Choice A: Differentiation refers to the ability to maintain a sense of self within a relationship, which is not evident in the parents' behavior. Choice B: Disengagement involves emotional distance between family members, which is not the case here as the parents are actively involved in their daughter's life. Choice D: Scapegoating involves unfairly blaming one family member for issues, which is not apparent in the scenario.
Question 2 of 5
A black patient, originally from Haiti, has a diagnosis of major depressive disorder. A colleague tells the nurse, "This patient often looks down and is reluctant to share feelings. However, I've observed the patient spontaneously interacting with other black patients." Select the nurse's best response.
Correct Answer: D
Rationale: Step-by-step rationale for why Answer D is correct: 1. Cultural differences: Being from Haiti, the patient may have cultural nuances affecting communication. 2. Language barrier: The patient may have difficulty communicating in English, impacting sharing feelings. 3. Cultural broker: A cultural broker can facilitate communication and understanding between the patient and healthcare providers. 4. Enhancing care: Utilizing a cultural broker can improve patient-nurse communication, trust, and overall care. Summary: - Option A: Assumes church dependency without evidence. Not relevant to the communication issue. - Option B: Group setting may not address the specific communication barriers related to culture and language. - Option C: Makes unfounded generalizations and could perpetuate biases. Doesn't address the communication issue.
Question 3 of 5
Which intervention best demonstrates that a nurse correctly understands the cultural needs of a hospitalized Asian American patient diagnosed with a mental illness?
Correct Answer: B
Rationale: The correct answer is B because involving the patient's family to assist with activities of daily living demonstrates understanding of the cultural needs of Asian American patients. In many Asian cultures, family involvement in caregiving is crucial for mental health treatment. This intervention promotes holistic care and respects the cultural values of the patient. A: Encouraging the family to attend community support groups may not directly address the patient's immediate needs and may not align with their cultural preferences. C: Providing educational pamphlets is informative but may not actively involve the family in the patient's care. D: Restricting homemade herbal remedies without discussion or alternative solutions may disregard the family's beliefs and practices.
Question 4 of 5
A white patient of German descent rocks back and forth, grimaces, and rubs both temples. What is the nurse's best action?
Correct Answer: D
Rationale: The correct answer is D: Assess the patient for pain. The patient's behavior of rocking back and forth, grimacing, and rubbing temples could indicate pain rather than extrapyramidal symptoms or a need for prayer. Pain assessment is crucial to address the patient's needs effectively. It is essential to rule out pain as a possible cause before considering other interventions. Sitting and rocking with the patient (B) may not address the underlying issue of pain. Offering to pray with the patient (C) may not be appropriate if the patient's primary concern is physical discomfort. Assessing for extrapyramidal symptoms (A) is not the priority in this situation.
Question 5 of 5
A client diagnosed with paranoid personality disorder becomes violent on a unit. Which nursing intervention is most appropriate?
Correct Answer: C
Rationale: The correct answer is C because using clear, calm statements and a confident physical stance is the most appropriate intervention to de-escalate a client with paranoid personality disorder who becomes violent. This approach helps establish boundaries, maintain safety, and communicate assertively. Providing objective evidence (choice A) may not be effective due to the client's distorted perceptions. Initially restraining the client (choice B) can escalate the situation and lead to further distress. Empathizing with the client's paranoid perceptions (choice D) may validate their behavior and not address the immediate safety concerns.