ATI RN
Biological Basis of Behavior Questions
Question 1 of 5
A 75-year-old client has dementia of the Alzheimer's type and confabulates. The nurse understands that this client:
Correct Answer: D
Rationale: The correct answer is D because confabulation is a symptom of dementia where the individual unknowingly fills memory gaps with fabricated information or fantasy to compensate for memory loss. In this case, the 75-year-old client with Alzheimer's type dementia is likely confabulating due to cognitive impairment. Choice A is incorrect because being jovial does not directly relate to confabulation. Choice B is incorrect as confabulation is not intentional deception. Choice C is incorrect as rationalizing behaviors is different from confabulation, which involves filling in memory gaps with fantasy.
Question 2 of 5
Which nursing response is an example of the nontherapeutic communication block of requesting an explanation?
Correct Answer: A
Rationale: The correct answer is A because it directly asks the client to provide an explanation, which can come off as confrontational and may make the client feel defensive or judged. This blocks effective communication by putting the client on the spot and may hinder trust-building in the therapeutic relationship. Explanation for other choices: B: This response offers reassurance and support, which can be therapeutic in nature. C: This response acknowledges the complexity of human behavior but does not necessarily block communication. D: This response seeks clarification and understanding, which can be beneficial for effective communication.
Question 3 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 4 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 5 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.