ATI RN
Psychobiologic Disorders Questions
Question 1 of 5
A young adult says, 'I was sexually abused by my older brother. During those assaults, I went somewhere else in my mind. I don't remember the details. Now, I often feel numb or unreal in romantic relationships, so I just avoid them.' Which disorders should the nurse suspect based on this history? Select all that apply.
Correct Answer: C
Rationale: Acute stress disorder, depersonalization disorder, and posttraumatic stress disorder can involve dissociative elements, such as numbing, feeling unreal, and being amnesic for traumatic events. All three disorders are also responses to acute stress or trauma, which has occurred here. The distracters are disorders not evident in this patient's presentation. Generalized anxiety disorder involves extensive worrying that is disproportionate to the stressors or foci of the worrying. Reactive attachment disorder and disinhibited social engagement disorder are problems of childhood.
Question 2 of 5
A patient has blindness related to conversion (functional neurological) disorder. To help the patient eat, the nurse should:
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A nurse assessing a patient diagnosed with a somatic symptom disorder is most likely to note that the patient:
Correct Answer: D
Rationale: The patient frequently has altered comfort and activity needs associated with the symptoms displayed (fatigue, insomnia, weakness, tension, pain, etc.). In addition, hygiene, safety, and security needs may also be compromised. The patient is rarely able to see a relation between symptoms and events in his or her life, which is readily discernible to health professionals. Patients with somatic symptom disorders often derive secondary gain from their symptoms and/or have considerable difficulty identifying feelings and conveying emotional needs to others.
Question 4 of 5
A nurse cares for these four patients. Which patient has the highest risk for problems with sleep physiology?
Correct Answer: B
Rationale: The corporate accountant is likely to work long hours and have significant stress associated with work demands. Compounded by travel, these factors are likely to precipitate unstable sleep patterns and inadequate sleep time. The retiree and lawn care worker engage in physical activity during the day, which will promote natural fatigue and sleep. The parents sleep is unlikely to be disturbed; teenagers sleep through the night.
Question 5 of 5
A patient needs diagnostic evaluation of sleep problems. Which test will evaluate the patient for possible sleep-related problems?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.