ATI RN
Psychobiological Disorder Questions
Question 1 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 2 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.
Question 3 of 5
What is the MOST appropriate classification of patient impairments that are the result of inactivity and expanding multisystem dysfunction following a stroke?
Correct Answer: B
Rationale: The correct answer is B: Indirect impairments. Inactivity post-stroke can lead to a cascade of systemic issues impacting various body systems indirectly. This classification acknowledges the interconnected nature of impairments arising from inactivity. Direct impairments (Choice A) typically refer to immediate consequences of the stroke itself. Composite impairments (Choice C) imply a mix of various impairments without specifying the indirect relationship to inactivity. Comprehensive impairments (Choice D) suggest a thorough assessment but do not specifically address the indirect effects of inactivity as the primary cause of impairments post-stroke.
Question 4 of 5
Which one of the following disability standardized instruments is MOST specific for a patient recovering from a stroke?
Correct Answer: B
Rationale: The correct answer is B: Fugl-Meyer Assessment of Physical Performance. This instrument is specific for stroke recovery as it assesses motor function, balance, sensation, and joint functioning - all crucial areas for stroke patients. It provides detailed information on impairments and changes in motor recovery post-stroke, guiding treatment planning and monitoring progress. A: Functional Independence Measure focuses on activities of daily living, not specific to stroke recovery. C: Short Form-36 is a general health-related quality of life measure, not specific to stroke recovery. D: Berg Balance Scale assesses balance but does not cover other important aspects of motor recovery post-stroke.
Question 5 of 5
Which one of the following population groups should be consistently tested for underlying hypertension because of its higher incidence?
Correct Answer: B
Rationale: The correct answer is B: African Americans. African Americans have a higher incidence of hypertension compared to other population groups. This is due to genetic factors and lifestyle differences. Consistent testing is crucial to detect hypertension early and prevent complications. Caucasians, Asians, and males over the age of 64 may also have a risk of hypertension, but it is not as consistently high as in African Americans. Regular testing in this group is essential for early detection and management.