ATI RN
Psychobiological Disorders Questions
Question 1 of 5
Select the correct etiology to complete this nursing diagnosis for a patient with dissociative identity disorder. Disturbed personal identity related to:
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A patient has blindness related to conversion (functional neurological) disorder but is unconcerned about this problem. Which understanding should guide the nurse's planning for this patient?
Correct Answer: B
Rationale: Psychoanalytical theory suggests conversion reduces anxiety through production of a physical symptom symbolically linked to an underlying conflict. Conversion, not suppression, is the operative defense mechanism in this disorder. While some MRI studies suggest that patients with conversion disorder have an abnormal pattern of cerebral activation, there is no actual alternation of nerve transmission. The other distracters oversimplify the dynamics, suggesting that only dependency needs are of concern, or suggest conscious motivation (conversion operates unconsciously).
Question 3 of 5
A patient with fears of serious heart disease was referred to the mental health center by a cardiologist. Extensive diagnostic evaluation showed no physical illness. The patient says, 'My chest is tight, and my heart misses beats. I'm often absent from work. I don't go out much because I need to rest.' Which health problem is most likely?
Correct Answer: D
Rationale: Illness anxiety disorder (hypochondriasis) involves preoccupation with fears of having a serious disease even when evidence to the contrary is available. The preoccupation causes impairment in social or occupational functioning. Somatic symptom disorder involves fewer symptoms. Dysthymic disorder is a disorder of lowered mood. Antisocial disorder applies to a personality disorder in which the individual has little regard for the rights of others.
Question 4 of 5
Which comment by a patient who recently experienced a myocardial infarction indicates use of maladaptive, ineffective coping strategies?
Correct Answer: A
Rationale: Blaming someone else and rationalizing one's failure to exercise are not adaptive coping strategies. Seeing the glass as half full, using social and religious supports, and confronting one's situation are seen as more effective strategies. The distracters demonstrate effective coping associated with a serious medical condition.
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: Failed to generate a rationale of 500+ characters after 5 retries.