ATI RN
Psychobiological Disorders Questions
Question 1 of 5
A child reports to the school nurse of being verbally bullied by an aggressive classmate. What is the nurses best first action?
Correct Answer: B
Rationale: The behaviors by the bullying child create emotional pain and present the risk for physical pain. The nurse should first listen to the childs complaints and validate the child for reporting the events. Later, school authorities should be notified. School administrators are the most appropriate personnel to deal with the bullying child. The behavior should not be ignored; it will only get worse.
Question 2 of 5
A nurse prepares to lead a discussion at a community health center regarding childrens health problems. The nurse wants to use current terminology when discussing these issues. Which terms are appropriate for the nurse to use? Select one that does not apply.
Correct Answer: A
Rationale: Some dated terminology contributes to the stigma of mental illness and misconceptions about mental illness. Its important for the nurse to use current terminology. 'Bullying,' 'Autism spectrum disorder,' and 'Intellectual development disorder' are current and appropriate, while 'Mental retardation' is outdated and 'Autism' is less specific than 'Autism spectrum disorder.'
Question 3 of 5
A newly admitted patient diagnosed with schizophrenia is hypervigilant and constantly scans the environment. The patient states, I saw two doctors talking in the hall. They were plotting to kill me. The nurse may correctly assess this behavior as:
Correct Answer: B
Rationale: In this scenario, the nurse should correctly assess the patient's behavior as an idea of reference, which is option B. An idea of reference is a false belief that neutral or unrelated events are somehow related to oneself. In this case, the patient's belief that the two doctors talking in the hall are plotting to kill them is an example of an idea of reference commonly seen in schizophrenia. Option A, echolalia, is the involuntary repetition of another person's words or phrases and is not applicable to the patient's situation. Option C, a delusion of infidelity, involves a false belief that one's romantic partner is unfaithful, which is not present in this case. Option D, an auditory hallucination, refers to hearing voices or sounds that are not actually there, which is also not demonstrated in the patient's behavior. Educationally, understanding the different types of psychotic symptoms seen in psychobiological disorders like schizophrenia is crucial for healthcare professionals to provide appropriate care and support for patients. Recognizing and accurately interpreting these symptoms can lead to better treatment outcomes and improved patient care.
Question 4 of 5
A patients care plan includes monitoring for auditory hallucinations. Which assessment findings suggest the patient may be hallucinating?
Correct Answer: B
Rationale: In the context of psychobiological disorders, auditory hallucinations are a common symptom seen in conditions like schizophrenia. Option B, which includes "darting eyes, tilted head, mumbling to self," suggests the patient may be experiencing auditory hallucinations. Darting eyes and tilted head could indicate that the patient is hearing things that are not present in their environment, leading to a distracted and disoriented state where they may be responding to the hallucinations by mumbling to themselves. Option A, detachment and overconfidence, does not directly correlate with auditory hallucinations. Detachment could be a symptom of dissociative disorders, while overconfidence might be seen in conditions like bipolar disorder or narcissistic personality disorder. Option C, euphoric mood, hyperactivity, and distractibility, are more indicative of conditions like bipolar disorder or ADHD rather than auditory hallucinations. Option D, foot tapping and repeatedly writing the same phrase, may suggest symptoms related to anxiety or obsessive-compulsive disorder, but do not specifically point towards auditory hallucinations. Educationally, understanding the specific manifestations of symptoms in psychobiological disorders is crucial for accurate assessment and intervention. Recognizing the unique signs of auditory hallucinations can help healthcare professionals provide appropriate care and support for patients experiencing these symptoms.
Question 5 of 5
A patient diagnosed with schizophrenia demonstrates little spontaneous movement and has waxy flexibility. The patients activities of daily living are severely compromised. An appropriate outcome would be that the patient will:
Correct Answer: B
Rationale: Outcomes related to self-care deficit nursing diagnoses should deal with increasing ability to perform self-care tasks independently, such as feeding, bathing, dressing, and toileting. Performing the tasks with coaching by nursing staff denotes improvement over the complete inability to perform the tasks. The incorrect options are not directly related to self-care activities, difficult to measure, and unrelated to maintenance of nutrition.