ATI RN
Psychobiological Disorder Questions
Question 1 of 5
A patient diagnosed with bipolar disorder displays aggressiveness, agitation, talkativeness, and irritability. The nurse expects the health care provider to prescribe a medication from which group?
Correct Answer: B
Rationale: The correct answer is B: Mood stabilizers. In bipolar disorder, characterized by manic and depressive episodes, mood stabilizers like lithium or anticonvulsants are essential to manage symptoms like aggressiveness and irritability. Psychostimulants (A) can exacerbate mania, anticholinergics (C) are not indicated for bipolar disorder, and antidepressants (D) can trigger manic episodes. Mood stabilizers help maintain emotional balance and prevent mood swings, making them the most appropriate choice in this scenario.
Question 2 of 5
A nurse caring for a patient taking a SSRI will develop outcome criteria related to
Correct Answer: B
Rationale: The correct answer is B. The nurse should develop outcome criteria related to improvement in depression because SSRIs are primarily used to treat depression by increasing the levels of serotonin in the brain. Monitoring improvement in depression is crucial to assess the effectiveness of the medication. Choice A (coherent thought processes) is not specific to SSRIs and may not directly correlate with the medication's therapeutic effects. Choice C (reduced levels of motor activity) is not a common side effect of SSRIs and is not typically monitored as an outcome criterion. Choice D (decreased extrapyramidal symptoms) is irrelevant as SSRIs do not target extrapyramidal symptoms, which are associated with antipsychotic medications.
Question 3 of 5
A nurse cares for four patients who are receiving clozapine, lithium, fluoxetine, and venlafaxine, respectively. With which patient should the nurse be most alert for problems associated with fluid and electrolyte imbalance? The patient receiving
Correct Answer: A
Rationale: The correct answer is A: lithium. Lithium is known to cause electrolyte imbalances, particularly affecting sodium levels. The nurse should monitor for signs of hyponatremia or hypernatremia. Clozapine (B) is more associated with metabolic side effects. Fluoxetine (C) and venlafaxine (D) are less likely to cause significant fluid and electrolyte imbalances compared to lithium. Sodium monitoring is crucial with lithium to prevent serious complications.
Question 4 of 5
A professional football player is seen in the emergency department after losing consciousness from an illegal block. Prior to discharge, the nurse assists the patient to schedule an outpatient computed tomography (CT) scan for the next day. Which strategy should the nurse use to ensure the patient remembers the appointment?
Correct Answer: B
Rationale: The correct answer is B: Log the appointment day, time, and location into the player's cell phone calendar feature. This method utilizes technology to set a reminder for the appointment, increasing the likelihood of the patient remembering. By inputting the information directly into the player's cell phone calendar, it serves as a tangible reminder that the patient will frequently access. This strategy leverages the convenience and accessibility of smartphones, enhancing the chances of successful appointment attendance. Choice A is less effective because a piece of paper can be lost or forgotten easily. Choice C is unnecessary as the patient does not require hospital admission for a routine CT scan appointment. Choice D relies solely on verbal communication which may not be as reliable as a digital reminder in a traumatic situation where the patient may be disoriented or forgetful.
Question 5 of 5
A nurse provides health education for an adult with sleep deprivation. It is most important for the nurse to encourage caution when the patient engages in
Correct Answer: C
Rationale: The correct answer is C: driving a car. Sleep deprivation impairs cognitive function and reaction time, increasing the risk of accidents while driving. It is crucial for the nurse to emphasize caution during activities requiring alertness and quick decision-making. Using a vacuum cleaner (A) and cooking a meal (B) involve less risk compared to driving. Bathing (D) is a routine task that does not pose the same level of danger as driving. Encouraging caution during driving is essential to prevent potential harm to the patient and others.