ATI RN
Biological Basis of Behavior Quizlet Questions
Question 1 of 5
A client is seen in the clinic with clinical manifestations of an inability to sit still and a rigid posture. These side effects would be correctly identified as which of the following?
Correct Answer: D
Rationale: The correct answer is D) Akathisia. Akathisia is a side effect of antipsychotic medications characterized by an inability to sit still and a sensation of inner restlessness. This is often mistaken for anxiety or agitation. It is important to differentiate akathisia from other movement disorders that can arise from antipsychotic use. Option A) Tardive dyskinesia is a different side effect characterized by repetitive, involuntary movements of the face and body. Option B) Neuroleptic malignant syndrome is a rare but serious reaction to antipsychotic medications, presenting with fever, altered mental status, and muscle rigidity. Option C) Dystonia is another movement disorder characterized by sustained muscle contractions, leading to abnormal postures or repetitive movements. In an educational context, understanding the side effects of antipsychotic medications is crucial for healthcare professionals working with clients receiving these treatments. Recognizing and differentiating between these side effects can inform appropriate interventions and prevent misdiagnosis or inadequate treatment. Being able to identify akathisia specifically can lead to timely management and improved client outcomes.
Question 2 of 5
When teaching a client about restrictions for tranylcypromine (Parnate), the nurse will tell the client to avoid which of the following foods?
Correct Answer: A
Rationale: The correct answer is A) Broad beans. Tranylcypromine is a monoamine oxidase inhibitor (MAOI) used to treat depression. MAOIs can interact with foods rich in tyramine, potentially leading to a hypertensive crisis. Broad beans contain high levels of tyramine and should be avoided when taking tranylcypromine to prevent this dangerous interaction. Option B) Citrus fruit is not contraindicated with tranylcypromine. While citrus fruits can interact with some medications, they do not pose a significant risk when taken with MAOIs. Option C) Egg products do not contain high levels of tyramine and are generally considered safe to consume while taking tranylcypromine. There is no specific restriction on egg products for clients on MAOIs. Option D) Fried chicken does not inherently contain high levels of tyramine. The issue with fried foods in general is the potential for interactions with certain medications due to the high-fat content, but it is not a specific concern related to tranylcypromine. Educationally, this question highlights the importance of understanding dietary restrictions when taking certain medications like MAOIs. It emphasizes the need for healthcare providers to educate clients on potential food-drug interactions to ensure safe and effective treatment. Understanding these interactions can prevent adverse effects and improve patient outcomes in psychiatric pharmacotherapy.
Question 3 of 5
Which neurotransmitters would a nurse expect to be elevated in a client with a diagnosis of catatonic schizophrenia?
Correct Answer: B
Rationale: The correct answer is B: Dopamine. In catatonic schizophrenia, there is an excess of dopamine activity in the brain, leading to symptoms such as motor disturbances and disorganized behavior. Dopamine is a neurotransmitter associated with movement, pleasure, and motivation. Elevated serotonin (choice A) is more commonly linked to mood disorders like depression. GABA (choice C) is an inhibitory neurotransmitter and is not typically elevated in catatonic schizophrenia. Histamine (choice D) is not directly related to the symptoms of catatonic schizophrenia.
Question 4 of 5
At which point would the nurse determine that a client is at risk for developing a mental illness?
Correct Answer: B
Rationale: Step 1: Identify the key indicators for risk of mental illness - maladaptive responses to stress and interference in daily functioning. Step 2: Understand that maladaptive responses and interference in daily functioning are strong indicators of potential mental illness. Step 3: Recognize that these factors signify a disruption in the client's ability to cope effectively. Step 4: Differentiate from other choices - A focuses on DSM-5 criteria, C on distress communication, and D on defense mechanisms. Step 5: Summary: Choice B is correct because it directly addresses the core indicators of risk for mental illness, while the other choices do not directly relate to this specific risk factor.
Question 5 of 5
Devastated by a divorce from an abusive husband, a wife completes grief counseling. Which statement by the wife would indicate to a nurse that the client is in the acceptance stage of grief?
Correct Answer: C
Rationale: The correct answer is C: "Yes, it was a difficult relationship, but I think I have learned from the experience." This statement indicates acceptance because the wife acknowledges the difficulty of the relationship but also expresses personal growth and learning from it. Acceptance stage involves coming to terms with the reality of the situation and finding meaning or lessons in the experience. A: "If only we could have tried again, things might have worked out." - This statement suggests bargaining, which is a stage before acceptance where the individual is trying to negotiate or change the outcome. B: "I am so mad that the children and I had to put up with him as long as we did." - This statement reflects anger, another stage of grief where the individual may feel resentful or frustrated about the situation. D: "I have a difficult time getting out of bed most days." - This statement indicates symptoms of depression or denial, which are common in earlier stages of grief, not acceptance.