ATI RN
Psychobiological Disorder Questions
Question 1 of 5
The child prescribed an antipsychotic medication to manage violent behavior is one most likely diagnosed with:
Correct Answer: A
Rationale: Antipsychotic medication is useful for managing aggressive or violent behavior in some children diagnosed with attention deficit hyperactivity disorder. If medication were prescribed for a child with an anxiety disorder, it would be a benzodiazepine. Medications are generally not needed for children with communication disorder. Treatment of PTSD is more often associated with SSRI medications.
Question 2 of 5
A parent diagnosed with schizophrenia and 13-year-old child live in a homeless shelter. The child formed a trusting relationship with a shelter volunteer. The child says, My three friends and I got an A on our school science project. The nurse can assess that the child:
Correct Answer: A
Rationale: Resiliency enables a child to handle the stresses of a difficult childhood. Resilient children can adapt to changes in the environment, take advantage of nurturing relationships with adults other than parents, distance themselves from emotional chaos occurring within the family, learn, and use problem-solving skills.
Question 3 of 5
A person has had difficulty keeping a job because of arguing with co-workers and accusing them of conspiracy. Today the person shouts, Theyre all plotting to destroy me. Isnt that true? Select the nurses most therapeutic response.
Correct Answer: B
Rationale: Resist focusing on content; instead, focus on the feelings the patient is expressing. This strategy prevents arguing about the reality of delusional beliefs. Such arguments increase patient anxiety and the tenacity with which the patient holds to the delusion. The other options focus on content and provide opportunity for argument.
Question 4 of 5
Which hallucination necessitates the nurse to implement safety measures? The patient says,
Correct Answer: B
Rationale: In this scenario, option B is the correct answer because it indicates a paranoid hallucination, where the patient believes that others are trying to harm them. This type of hallucination poses a direct threat to the patient's safety and requires immediate intervention to prevent any harm. Implementing safety measures is crucial to protect both the patient and others around them. Option A describes a benign auditory hallucination, which does not pose an immediate safety risk. Option C involves a positive auditory hallucination, which may not require urgent safety measures. Option D describes a specific trigger for the hallucination but does not indicate a direct threat to the patient's safety. From an educational standpoint, understanding the different types of hallucinations and their implications for patient safety is essential for healthcare providers working with individuals experiencing psychobiological disorders. Recognizing when safety measures are necessary can help prevent potential harm and ensure the well-being of the patient. It is crucial for nurses to be able to differentiate between various types of hallucinations and respond appropriately based on the level of risk involved.
Question 5 of 5
A patient diagnosed with schizophrenia exhibits little spontaneous movement and demonstrates waxy flexibility. Which patient needs are of priority importance?
Correct Answer: C
Rationale: In this scenario, the correct answer is C) Physiological. When a patient diagnosed with schizophrenia exhibits symptoms like little spontaneous movement and waxy flexibility, it indicates a severe psychobiological disorder affecting the individual's physiological functioning. Addressing physiological needs such as ensuring proper nutrition, hydration, and maintaining physical health becomes the priority to stabilize the patient's condition and prevent any further deterioration in their health. Option A) Self-esteem and Option D) Self-actualization are related to higher levels of Maslow's hierarchy of needs, which are psychological and self-fulfillment needs. While these needs are important for overall well-being, they are secondary to physiological needs in a crisis situation where the patient's physical health is at risk. Option B) Psychosocial needs focus on social interactions and relationships, which are also important for a patient's recovery. However, in this case, when the patient's physiological symptoms are severe, addressing immediate physical needs takes precedence over psychosocial aspects. In an educational context, understanding the hierarchy of needs, as proposed by Maslow, is crucial for healthcare professionals when prioritizing patient care. By recognizing the significance of physiological needs in critical situations, healthcare providers can ensure that patients receive timely and appropriate interventions to address their most pressing concerns and stabilize their condition effectively.