ATI RN
Psychobiologic Disorders Questions
Question 1 of 5
A patient says, I have trouble falling asleep at night and might lie awake until 3 or 4 AM before falling sleep. Which medication would the nurse expect a health care provider to prescribe for this patient?
Correct Answer: A
Rationale: The correct answer is A: zolpidem. Zolpidem is a sedative-hypnotic medication commonly prescribed for insomnia. It acts quickly to help initiate sleep and is suitable for short-term use. It is not associated with significant next-day drowsiness. Flurazepam (B) is a long-acting benzodiazepine used for insomnia but can cause residual sedation. Risperidone (C) is an antipsychotic used for psychiatric conditions, not primary insomnia. Methylphenidate (D) is a stimulant used for ADHD, which would worsen sleep issues.
Question 2 of 5
An adolescent was arrested for prostitution and assault on a parent. The adolescent says, 'I hate my parents. They focus all attention on my brother, who's perfect in their eyes.' Which type of therapy might promote the greatest change in the adolescent's behavior?
Correct Answer: A
Rationale: The correct answer is A: Family therapy. Family therapy is the most appropriate type of therapy as it focuses on addressing the family dynamics and communication patterns that may contribute to the adolescent's behavior. By involving the entire family in therapy sessions, underlying issues can be identified and resolved, leading to positive changes in the adolescent's behavior. B: Bibliotherapy involves the use of books to help individuals understand and cope with their emotions. While it may be beneficial for the adolescent to explore their feelings, it may not directly address the family issues contributing to their behavior. C: Play therapy utilizes play to help children express their thoughts and emotions. While it can be helpful for younger children, it may not be as effective for addressing the complex family dynamics influencing the adolescent's behavior. D: Art therapy involves the use of art to help individuals express themselves. While it can be a valuable form of self-expression, it may not target the underlying family problems that need to be addressed for significant behavior change.
Question 3 of 5
An adolescent acts out in disruptive ways. When this adolescent threatens to throw a heavy pool ball at another adolescent, which comment by the nurse would set appropriate limits?
Correct Answer: C
Rationale: The correct answer is C because it directly addresses the behavior of the adolescent by instructing them not to throw the ball and to put it back on the pool table. This sets a clear limit on the inappropriate behavior and provides a specific directive for the adolescent to follow. Choice A does not address the behavior or set limits. Choice B mentions consequences but does not guide the adolescent on what to do instead. Choice D is too vague and does not provide a clear direction for the adolescent to follow. Therefore, choice C is the most appropriate response in this situation.
Question 4 of 5
An 11-year-old diagnosed with ODD becomes angry over the rules at a residential treatment program and begins shouting at the nurse. What is the nurse's initial action to defuse the situation?
Correct Answer: B
Rationale: The correct initial action for the nurse to defuse the situation with the 11-year-old diagnosed with ODD is to take the child swimming at the facility's pool (Choice B). This action can help the child release pent-up emotions through physical activity, providing a positive outlet for their anger. Swimming can also have a calming effect on the child's nervous system, promoting relaxation and reducing stress levels. By engaging in a fun and physical activity, the child may be able to regulate their emotions and behavior more effectively than discussing feelings or establishing a behavioral contract in the heat of the moment. Administering an anxiolytic medication (Choice D) should not be the initial response as it does not address the root cause of the behavior, and it is important to try non-pharmacological interventions first. Choices A and C may be helpful in the long term but are not as immediate or appropriate in this situation.
Question 5 of 5
An adolescent was recently diagnosed with ODD. The parents say to the nurse, 'Isn't there some medication that will help with this problem?' Select the nurse's best response.
Correct Answer: C
Rationale: The correct answer is C, as medication is not typically the first line of treatment for Oppositional Defiant Disorder (ODD). The nurse should educate the parents on the importance of behavioral strategies as the primary intervention. Medications are usually reserved for cases where behavioral approaches have not been effective or for co-occurring conditions. Option A is too absolute and dismissive. Option B is a general statement and does not address the specific situation. Option D provides inaccurate information by suggesting that medications are the main solution without considering other interventions. By selecting option C, the nurse acknowledges the parents' concerns while redirecting the focus towards more appropriate strategies for managing ODD.