ATI RN
Biological Basis of Behavior Questions
Question 1 of 5
A client taking the MAOI phenelzine (Nardil) tells the nurse that he routinely takes all of the medications listed below. Which medication would cause the nurse to express concern and therefore initiate further teaching?
Correct Answer: B
Rationale: The correct answer is B: Diphenhydramine (Benadryl). Phenelzine is an MAOI, which interacts with many medications, including diphenhydramine, leading to potential hypertensive crisis. Acetaminophen (A) is safe with MAOIs. Furosemide (C) can cause low blood pressure but not a significant interaction. Isosorbide dinitrate (D) is a vasodilator and should be used cautiously with MAOIs, but it is not the most concerning interaction compared to diphenhydramine.
Question 2 of 5
A 16-year-old girl has returned home following hospitalization for treatment of anorexia nervosa. The parents tell the family nurse performing a home visit that their child has always done everything to please them and they cannot understand her current stubbornness about eating. The nurse analyzes the family situation and determines it is characteristic of which relationship style?
Correct Answer: C
Rationale: The correct answer is C: Enmeshment. Enmeshment is a relationship style where boundaries between family members are blurred, leading to a lack of individual autonomy. In this scenario, the parents' inability to understand their daughter's behavior despite her hospitalization for anorexia nervosa suggests a lack of recognition of her autonomy and individual needs. The parents' expectation for her to always please them reflects enmeshment, as they may prioritize their own desires over her well-being. Choice A: Differentiation refers to the ability to maintain a sense of self within a relationship, which is not evident in the parents' behavior. Choice B: Disengagement involves emotional distance between family members, which is not the case here as the parents are actively involved in their daughter's life. Choice D: Scapegoating involves unfairly blaming one family member for issues, which is not apparent in the scenario.
Question 3 of 5
Which nursing response is an example of the nontherapeutic communication block of requesting an explanation?
Correct Answer: A
Rationale: The correct answer is A because it directly asks the client to provide an explanation, which can come off as confrontational and may make the client feel defensive or judged. This blocks effective communication by putting the client on the spot and may hinder trust-building in the therapeutic relationship. Explanation for other choices: B: This response offers reassurance and support, which can be therapeutic in nature. C: This response acknowledges the complexity of human behavior but does not necessarily block communication. D: This response seeks clarification and understanding, which can be beneficial for effective communication.
Question 4 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 5 of 5
Which intervention best demonstrates that a nurse correctly understands the cultural needs of a hospitalized Asian American patient diagnosed with a mental illness?
Correct Answer: B
Rationale: The correct answer is B because involving the patient's family to assist with activities of daily living demonstrates understanding of the cultural needs of Asian American patients. In many Asian cultures, family involvement in caregiving is crucial for mental health treatment. This intervention promotes holistic care and respects the cultural values of the patient. A: Encouraging the family to attend community support groups may not directly address the patient's immediate needs and may not align with their cultural preferences. C: Providing educational pamphlets is informative but may not actively involve the family in the patient's care. D: Restricting homemade herbal remedies without discussion or alternative solutions may disregard the family's beliefs and practices.