ATI RN
Biological Basis of Behavior Quizlet Questions
Question 1 of 5
Situation: A 20-year-old college student is admitted to the medical ward because of sudden onset of paralysis of both legs. Extensive examination revealed no physical basis for the complaint. The nurse plans intervention based on which correct statement about conversion disorder?
Correct Answer: C
Rationale: The correct answer is C: The conversion symptom has symbolic meaning to the client. In conversion disorder, physical symptoms arise unconsciously due to psychological stress. The symptom may represent an underlying emotional conflict or distress that the individual is unable to express verbally. Understanding the symbolic meaning of the symptom is crucial for effective treatment. Choice A is incorrect because conversion symptoms are not consciously created to control anxiety. Choice B is incorrect as the client may not necessarily experience high anxiety in response to the paralysis; anxiety may be present but is not the primary cause of the symptom. Choice D is incorrect as a confrontational approach can be counterproductive in conversion disorder, as it may increase resistance and worsen symptoms.
Question 2 of 5
A client who abuses alcohol and cocaine tells a nurse that he only uses substances because of his stressful marriage and difficult job. Which defense mechanisms is this client using?
Correct Answer: C
Rationale: The correct answer is C: Rationalization. Rationalization is a defense mechanism where an individual justifies their undesirable behavior with seemingly logical reasons. In this case, the client is attributing their substance abuse to external stressors (marriage and job) to make it seem more acceptable. Displacement (A) involves redirecting emotions to a substitute target, projection (B) is attributing one's own thoughts or feelings to others, and sublimation (D) is channeling unacceptable impulses into socially acceptable activities. In this scenario, the client is rationalizing their substance abuse, making choice C the most appropriate.
Question 3 of 5
The nurse considers a client's response to crisis intervention successful if the client:
Correct Answer: D
Rationale: The correct answer is D because the goal of crisis intervention is to help the client stabilize and return to their previous level of functioning. This indicates that the client has successfully managed the crisis and can resume normal activities. Choice A focuses on behavioral changes, which may not necessarily indicate successful crisis intervention. Choice B emphasizes insight, which is important but not the primary indicator of success in crisis intervention. Choice C focuses on interpersonal skills, which are valuable but not the main goal of crisis intervention. Ultimately, returning to the previous level of functioning demonstrates successful crisis management.
Question 4 of 5
The nurse is administering a psychotropic drug to an elderly client who has a history of benign prostatic hypertrophy. It is most important for the nurse to teach this client to:
Correct Answer: C
Rationale: The correct answer is C: Report incomplete bladder emptying. Elderly clients with benign prostatic hypertrophy are at risk for urinary retention, which can be exacerbated by psychotropic drugs. Reporting incomplete bladder emptying is crucial to prevent urinary retention and potential complications. Adding fiber to the diet (choice A) and exercising regularly (choice B) are important for overall health but not directly related to the potential side effects of the drug. Taking the prescribed dose at bedtime (choice D) may be important for drug effectiveness but doesn't address the specific risk of urinary retention in this client population.
Question 5 of 5
An elderly client with Alzheimer's disease becomes agitated and combative when a nurse approaches to help with morning care. The most appropriate nursing intervention in this situation would be to:
Correct Answer: C
Rationale: The correct answer is C: Remain calm and talk quietly to the client. This approach is appropriate as it helps to de-escalate the situation and maintain a therapeutic environment. By remaining calm and speaking quietly, the nurse can help reduce the client's agitation and build trust. It also shows respect for the client's feelings and dignity. Choice A is incorrect because telling the client's family to get dressed is not addressing the client's agitation behavior. Choice B is inappropriate as restraining the client should only be considered as a last resort for safety reasons. Choice D is not the best initial intervention as sedation should not be the first response to behavioral issues in clients with Alzheimer's disease.