ATI RN
Psychobiologic Disorders Med Surg 2 Questions
Question 1 of 5
The process of forming impressions about people involves perception of that person. Just like top-down processing can influence sensory perception, it can also influence social perception (forming an impression of someone else) because people often 'see' what they expect to see, and in the process, may create a
Correct Answer: B
Rationale: In this scenario, the correct answer is B) Self-fulfilling prophecy. The concept of self-fulfilling prophecy in social psychology refers to a belief or expectation that influences a person's behavior in a way that tends to bring about the expected outcome. In the context of forming impressions about people, if an individual holds a certain expectation or belief about someone, they may behave in a manner that elicits responses from the other person confirming those beliefs. Option A) Rebound effect does not align with the concept of forming impressions based on expectations or beliefs. The rebound effect typically refers to the tendency of a thought or feeling to return with greater intensity after being suppressed. Option C) Role refers to the behavior expected of an individual in a particular social position or status and is not directly related to the process of forming impressions based on expectations or beliefs. Option D) Disposition refers to a person's inherent qualities of mind and character, which may influence how they are perceived, but it does not directly address the influence of expectations or beliefs on social perception. Educationally, understanding the concept of self-fulfilling prophecy is crucial in recognizing how our beliefs and expectations can impact our interactions with others. By being aware of this phenomenon, individuals can strive to approach social situations with an open mind and avoid making judgments based solely on preconceived notions. This knowledge can lead to more effective communication, improved relationships, and reduced instances of bias or stereotyping.
Question 2 of 5
A kindergartener is disruptive in class. This child is unable to sit for expected lengths of time, inattentive to the teacher, screams while the teacher is talking, and is aggressive toward other children. The nurse plans interventions designed to:
Correct Answer: C
Rationale: Because of their disruptive behaviors, children with ADHD often receive negative feedback from parents, teachers, and peers, leading to self-esteem disturbance. These behaviors also cause peers to avoid the child with ADHD, leaving the child with ADHD vulnerable to loneliness. The child does not need inpatient treatment at this time. The incorrect options might or might not be relevant.
Question 3 of 5
The parent of a 6-year-old says, My child is in constant motion and talks all the time. My child isnt interested in toys but is out of bed every morning before me. The childs behavior is most consistent with diagnostic criteria for:
Correct Answer: D
Rationale: The correct answer is D) attention deficit hyperactivity disorder (ADHD). In the scenario described, the child's behavior of constant motion, excessive talking, early waking, and lack of interest in toys aligns with the hallmark symptoms of ADHD. Children with ADHD often demonstrate hyperactivity, impulsivity, and inattention, which can impact their daily functioning. Option A) communication disorder does not fit the behavioral profile described in the question. Communication disorders involve difficulties with speech, language, or social communication, which are not the primary concerns raised by the parent. Option B) stereotypic movement disorder involves repetitive, purposeless movements and is not reflective of the child's hyperactive and talkative behavior. Option C) intellectual development disorder is characterized by limitations in intellectual functioning and adaptive behaviors, which are not evident in the child's description. Educationally, understanding the distinguishing features of psychobiologic disorders like ADHD is crucial for healthcare providers to accurately assess, diagnose, and intervene to support children's development and well-being. Recognizing the specific symptoms of ADHD can lead to early identification and appropriate management strategies to help children thrive academically, socially, and emotionally.
Question 4 of 5
Soon after parents announced they were divorcing, a child stopped participating in sports, sat alone at lunch, and avoided former friends. The child told the school nurse, If my parents loved me, they would work out their problems. Which nursing diagnosis has the highest priority?
Correct Answer: A
Rationale: The highest priority nursing diagnosis in this scenario is "Social isolation" (option A). This is because the child's withdrawal from social activities and interaction indicates a significant impact on their psychosocial well-being, which requires immediate attention to prevent further emotional distress and potential long-term negative effects on their mental health. Option B, Decisional conflict, is not the highest priority in this case because the child's main issue is not related to making decisions but rather to the emotional response to their parents' divorce. Similarly, option C, Chronic low self-esteem, and option D, Disturbed personal identity, are not the most immediate concerns as the child's behaviors are more indicative of social withdrawal and emotional distress rather than long-standing self-esteem or identity issues. From an educational perspective, understanding the hierarchy of nursing diagnoses is crucial in prioritizing patient care. In this case, addressing the child's social isolation is paramount to ensure their emotional well-being and to provide necessary support during a challenging life event like their parents' divorce. By focusing on the most critical issue first, nurses can effectively intervene and support the child in coping with the situation and rebuilding their social connections.
Question 5 of 5
Which assessment finding would cause the nurse to consider a child to be most at risk for the development of mental illness?
Correct Answer: A
Rationale: Children raised by a depressed parent have an increased risk of developing an emotional disorder. Familial risk factors correlate with child psychiatric disorders, including severe marital discord, low socioeconomic status, large families and overcrowding, parental criminality, maternal psychiatric disorders, and foster-care placement. The chronicity of the parents depression means it has been a consistent stressor. The other factors are not as risk-enhancing.