ATI RN
Psychobiological Disorder Questions
Question 1 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.
Question 2 of 5
A nursing instructor is discussing various challenges in the treatment of clients diagnosed with bipolar disorder. Which student statement demonstrates an understanding of the most critical challenge in the care of these clients?
Correct Answer: D
Rationale: The correct answer is D because medication non-adherence is a critical challenge in treating bipolar disorder. Clients may experience relapses, worsened symptoms, and increased risk of hospitalization without proper medication management. Clients may have various reasons for not taking their medications, such as side effects or denial of illness. On the other hand, choices A, B, and C, while important factors, do not directly impact treatment outcomes as significantly as medication non-adherence. Difficulty sleeping, irritability, and lack of insight can be addressed through therapeutic interventions and support.
Question 3 of 5
A client is diagnosed with cyclothymic disorder. Which client behaviors should the nurse expect to find on assessment?
Correct Answer: B
Rationale: The correct answer is B because cyclothymic disorder is characterized by periods of hypomanic symptoms and periods of depressive symptoms lasting for at least 2 years in adults. Choice A is incorrect because 'feeling blue most of the time' suggests a more consistent depressive mood, not the fluctuating mood states seen in cyclothymic disorder. Choice C is incorrect because fixating on hopelessness and suicidal thoughts are more indicative of major depressive disorder rather than cyclothymic disorder. Choice D is incorrect because labile moods with periods of acute mania are more characteristic of bipolar I disorder, not cyclothymic disorder.
Question 4 of 5
A child known as the neighborhood bully says, 'Nobody can tell me what to do.' After receiving a poor grade on a science project, this child secretly loaded a virus on the teacher's computer. These behaviors support a diagnosis of
Correct Answer: B
Rationale: The correct answer is B: Oppositional Defiant Disorder (ODD). ODD is characterized by a pattern of hostile and defiant behavior towards authority figures. In this scenario, the child's refusal to follow rules and defiance of authority by saying 'Nobody can tell me what to do' aligns with ODD. Additionally, the act of secretly loading a virus on the teacher's computer as a form of revenge is a manifestation of the vindictive and spiteful nature often seen in individuals with ODD. Incorrect choices: A: CD (Conduct Disorder) typically involves more serious and persistent antisocial behavior, such as aggression towards people or animals, destruction of property, and violation of rules. C: Intermittent Explosive Disorder is characterized by recurrent outbursts of aggression that are disproportionate to the situation. This child's behavior is more planned and targeted. D: ADHD (Attention-Deficit/Hyperactivity Disorder) does not account for the deliberate and calculated nature of the
Question 5 of 5
An adolescent diagnosed with CD has aggression, impulsivity, hyperactivity, and mood symptoms. The treatment team believes this adolescent may benefit from medication. The nurse anticipates the health care provider will prescribe which type of medication?
Correct Answer: A
Rationale: The correct answer is A: Second-generation antipsychotic. In the case of an adolescent with CD presenting with aggression, impulsivity, hyperactivity, and mood symptoms, second-generation antipsychotics are often prescribed. These medications help manage symptoms such as aggression and mood instability. Antianxiety medications (B) may not address the core symptoms of CD. Calcium channel blockers (C) are not typically used for CD symptoms. Beta-blockers (D) are more commonly used for anxiety and performance-related symptoms rather than the core symptoms of CD. Therefore, the most appropriate choice for this adolescent would be a second-generation antipsychotic.