ATI RN
Psychobiological Disorder Questions
Question 1 of 5
A woman just received notification that her husband died. She approaches the nurse who cared for him during his last hours and says angrily, 'If you had given him your undivided attention, he would still be alive.' How should the nurse analyze this behavior?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A patient diagnosed with depersonalization disorder tells the nurse, 'It's starting again. I feel as though I'm going to float away.' Which intervention would be most appropriate at this point?
Correct Answer: B
Rationale: Helping the patient apply a grounding technique, such as exercise, assists the patient to interrupt the dissociative process. Medication can help reduce anxiety but does not directly interrupt the dissociative process. Isolation would allow the sensation to overpower the patient. It is not necessary to notify the health care provider.
Question 3 of 5
Two weeks ago, a soldier returned to the U.S. from active duty in a combat zone in Afghanistan. The soldier was diagnosed with posttraumatic stress disorder (PTSD). Which comment by the soldier requires the nurse's immediate attention?
Correct Answer: B
Rationale: The correct response indicates the soldier is thinking about death and feeling survivor's guilt. These emotions may accompany suicidal ideation, which warrants the nurse's follow-up assessment. Suicide is a high risk among military personnel diagnosed with posttraumatic stress disorder. One distracter indicates flashbacks, common with persons with PTSD, but not solely indicative that further problems exist. The other distracters are normal emotions associated with returning home and change.
Question 4 of 5
A soldier in a combat zone tells the nurse, 'I saw a child get blown up over a year ago, and I still keep seeing bits of flesh everywhere. I see something red, and the visions race back to my mind.' Which phenomenon associated with posttraumatic stress disorder (PTSD) is the soldier describing?
Correct Answer: A
Rationale: Spontaneous or cued recurrent, involuntary, and intrusive distressing memories of the traumatic events are often associated with PTSD. The soldier has described intrusive thoughts and visions associated with reexperiencing the traumatic event. This description does not indicate psychosis, hypervigilance, or avoidance.
Question 5 of 5
After major reconstructive surgery, a patient's wounds dehisced. Extensive wound care was required for 6 months, causing the patient to miss work and social activities. Which pathophysiology would be expected for this patient? Dysfunction of the:
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.