ATI RN
Biological Basis of Behavior Questions
Question 1 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 2 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 3 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.
Question 4 of 5
Which nursing diagnosis should the nurse identify as appropriate when working with a client diagnosed with schizoid personality disorder?
Correct Answer: D
Rationale: The correct answer is D: Social isolation R/T inability to relate to others. This is because individuals with schizoid personality disorder often have difficulty forming and maintaining relationships, leading to social isolation. This nursing diagnosis directly addresses the primary issue of the disorder. A: Altered thought processes related to (R/T) increased stress is incorrect because schizoid personality disorder is not typically associated with altered thought processes in the same way as other psychotic disorders. B: Risk for suicide R/T loneliness is incorrect because while individuals with schizoid personality disorder may experience loneliness, it is not necessarily linked to an increased risk for suicide. C: Risk for violence: directed toward others R/T paranoid thinking is incorrect as schizoid personality disorder is not typically characterized by violent behavior or paranoid thinking towards others.
Question 5 of 5
Which client is the nurse most likely to admit to an inpatient facility for self-destructive behaviors?
Correct Answer: B
Rationale: The correct answer is B because clients diagnosed with Borderline Personality Disorder (BPD) are more likely to engage in self-destructive behaviors such as self-harm or suicidal ideation, requiring inpatient admission for safety. Clients with antisocial personality disorder (A) typically exhibit behaviors that violate the rights of others, not self-destructive behaviors. Clients with schizoid personality disorder (C) avoid social interactions and are unlikely to engage in self-destructive behaviors. Clients with paranoid personality disorder (D) exhibit distrust and suspiciousness but are not typically associated with self-destructive behaviors.