ATI RN
Psychobiological Disorder Questions
Question 1 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 2 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 3 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 4 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 5 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.