ATI RN
Psychobiologic Disorders Med Surg 2 Questions
Question 1 of 5
An adult client diagnosed with bipolar I disorder is prescribed lamotrigine (Lamictal) 400 mg three times a day for mood stabilization. Which statement about this medication order is true?
Correct Answer: C
Rationale: Rationale: The correct answer is C because the recommended dosage range for lamotrigine in bipolar I disorder is typically 100-400 mg/day. Since the client is prescribed 400 mg three times a day, the total daily dose would be 1200 mg, which is more than twice the upper limit of the recommended range. This high dosage may increase the risk of adverse effects, such as skin rash or dizziness. Summary: A: Incorrect - The dosage is higher than the recommended range. B: Incorrect - The dosage is not lower but higher than the recommended range. D: Incorrect - The dosage is not four times higher but more than twice the recommended range.
Question 2 of 5
Shortly after the parents announced that they were divorcing, a 15-year-old became truant from school and assaulted a friend. The adolescent told the school nurse, 'I'd rather stay in my room and listen to music. It's easier than thinking about what is happening in my family.' Which nursing diagnosis is most applicable?
Correct Answer: C
Rationale: The correct answer is C: Defensive coping related to adjustment to changes in family relationships. The adolescent's behavior of truancy and assault is a coping mechanism to avoid dealing with the stress and turmoil caused by the parents' divorce. This choice addresses the underlying issue of struggling to adjust to the changes in family dynamics and using defensive coping mechanisms to deal with the emotional distress. A: Chronic low self-esteem is not the most appropriate diagnosis in this case as the behavior exhibited is more related to coping with family changes rather than self-esteem issues. B: Decisional conflict related to school compliance is not the best choice as the behavior is not primarily driven by conflicts related to school requirements. D: Disturbed personal identity related to changing family dynamics is not the most suitable diagnosis as the primary issue lies in the coping mechanism and adjustment to family changes rather than personal identity disturbances.
Question 3 of 5
An adolescent diagnosed with an impulse control disorder says, 'I want to die. I spend my time getting even with people who hurt me.' When asked about a suicide plan, the adolescent replies, 'I'll jump from a bridge near my home. My father threw kittens off that bridge and they died.' Rate the suicide risk.
Correct Answer: D
Rationale: The correct answer is D, High. The adolescent expressing a desire to die, seeking revenge, and having a specific suicide plan indicate a high suicide risk. The adolescent's plan is detailed and connected to a past traumatic event, increasing the likelihood of intent to carry it out. The reference to the father's actions suggests a deep emotional impact and potential for impulsive behavior. Choices A, B, and C are incorrect because the adolescent's statements demonstrate clear indicators of high suicide risk, requiring immediate intervention to ensure safety.
Question 4 of 5
Which assessment findings support a diagnosis of ODD?
Correct Answer: A
Rationale: The correct answer is A because the assessment findings of being negative, hostile, and spiteful toward parents, and blaming others for misbehavior align with Oppositional Defiant Disorder (ODD) criteria. This behavior pattern is a key characteristic of ODD, where individuals often display defiance and hostility towards authority figures. Choice B describes symptoms of Tourette syndrome, not ODD. Choice C describes conduct disorder behaviors, not specific to ODD. Choice D is unrelated to ODD symptoms.
Question 5 of 5
Which of the following questions is designed to assess capacity for functional activities and participation when interviewing a patient who suffered a stroke?
Correct Answer: C
Rationale: The correct answer is C because it specifically asks about the patient's difficulty in walking a quarter of a mile, which assesses their capacity for functional activities. This question focuses on a specific distance and activity, providing a clear indication of the patient's ability to participate in a common daily task. Choice A is too general and does not specify a distance or activity, making it less effective in assessing functional capacity. Choice B focuses on the effect of an assistive device rather than the patient's actual ability to perform the activity. Choice D asks about going up and down stairs, which is not as indicative of overall functional capacity compared to walking a quarter of a mile.