ATI RN
Behavioral Nursing Questions
Question 1 of 5
A medical-surgical nurse works with a patient diagnosed with a somatic symptom disorder. Care planning is facilitated by understanding that the patient will probably
Correct Answer: B
Rationale: In the context of caring for a patient diagnosed with somatic symptom disorder, it is crucial for a medical-surgical nurse to understand the possible patient responses to psychiatric help. The correct answer, B) be resistant to accepting psychiatric help, is based on the typical behavior of individuals with somatic symptom disorder. These patients often struggle to accept or acknowledge the psychological aspects of their symptoms, leading to resistance when offered psychiatric interventions. Option A) readily seek psychiatric counseling is incorrect because individuals with somatic symptom disorder often have difficulty accepting the psychological nature of their symptoms and may be hesitant to seek psychiatric help voluntarily. Option C) attend psychotherapy sessions without encouragement is also incorrect as individuals with this disorder typically resist psychiatric interventions, making it unlikely for them to attend psychotherapy sessions without significant resistance. Option D) be eager to discover the true reasons for physical symptoms is incorrect because individuals with somatic symptom disorder often have a strong belief in the physical nature of their symptoms and may not be eager to explore underlying psychological factors. Educationally, understanding the typical responses of patients with somatic symptom disorder is essential for nurses to provide effective care and support. By recognizing the potential resistance to psychiatric interventions, nurses can tailor their approach to build trust and rapport with the patient, ultimately improving outcomes and promoting holistic care.
Question 2 of 5
A nurse assesses a patient suspected of having somatic symptom disorder. Which assessment findings regarding this patient support the suspected diagnosis? (Select all that apply.)
Correct Answer: A
Rationale: There is no chronic disease to explain the symptoms for patients with somatic symptom disorder. Patients report multiple symptoms; gastrointestinal and pseudoneurological symptoms are common. This disorder is more common in women than in men. Patients with conversion disorder would have a tendency to underrate pain.
Question 3 of 5
An adolescent diagnosed with a CD stole and wrecked a neighbor's motorcycle. Afterward, the adolescent was confronted about the behavior but expressed no remorse. Which variation in the central nervous system best explains the adolescent's reaction?
Correct Answer: C
Rationale: Adolescents with CD have been found to have significantly reduced gray matter bilaterally in the anterior insulate cortex and the amygdala. This reduction may be related to aggressive behavior and deficits of empathy. The less gray matter in these regions of the brain, the less likely adolescents are to feel remorse for their actions or victims. People with intermittent explosive disorder may have differences in serotonin regulation in the brain and higher levels of testosterone. Neuron destruction in the hippocampus is associated with memory deficits. The occipital lobe is involved with visual stimuli but not the processing of emotions.
Question 4 of 5
Six months ago, a woman had a prophylactic double mastectomy because of a family history of breast cancer. One week ago, this woman learned her husband was involved in an extramarital affair. The woman tearfully says to the nurse, "What else can happen?" What type of crisis is this person experiencing?
Correct Answer: C
Rationale: Severe physical or mental illness is a potential cause of a situational crisis. The potential loss of a loved one also serves as a potential cause of a situational crisis. Maturational crisis occurs as an individual arrives at a new stage of development, when old coping styles may be ineffective. No classification of recurring crisis exists. Mitigation refers to attempts to limit a disaster's impact on human health and community function.
Question 5 of 5
Which agency provides coordination in the event of a terrorist attack?
Correct Answer: C
Rationale: In the context of Behavioral Nursing, understanding the roles of various agencies in emergency response is crucial for providing effective care during crises. The correct answer is C) National Incident Management System (NIMS). NIMS is responsible for coordinating a unified national response to incidents, including terrorist attacks. This agency ensures effective communication, coordination, and collaboration among different organizations involved in emergency response. Option A) Food and Drug Administration (FDA) primarily focuses on regulating food, drugs, and medical devices to ensure public safety in terms of health and medication, not on responding to terrorist attacks. Option B) Environmental Protection Agency (EPA) is concerned with environmental protection, including regulations related to air and water quality, hazardous waste, and pollution control. While they play a role in disaster response related to environmental hazards, they do not lead coordination efforts for terrorist attacks. Option D) Federal Emergency Management Agency (FEMA) is responsible for disaster response and recovery, including natural disasters like hurricanes and earthquakes. While FEMA may be involved in response efforts following a terrorist attack, their primary focus is not on coordinating responses to acts of terrorism. Educationally, knowing the specific roles of various agencies in emergency management prepares nurses to work effectively within the broader healthcare system during crises. Understanding the functions of agencies like NIMS helps nurses contribute to coordinated, interdisciplinary efforts in providing care and support during emergencies.