ATI RN
Theoretical Basis for Behavior Modification Questions
Question 1 of 5
The type of therapy done by massaging the feet of the patient to act upon pathways, unblocking and renewing energy flow, is:
Correct Answer: A
Rationale: Reflexology is the correct answer to the question about the type of therapy that involves massaging the feet to act upon pathways, unblock, and renew energy flow. Reflexology is based on the principle that specific areas on the feet correspond to different organs and systems in the body. By applying pressure to these areas, it is believed that energy flow can be improved, promoting overall well-being. Acupuncture, on the other hand, involves the insertion of thin needles into specific points on the body to promote healing and relieve pain. Massage therapy primarily focuses on manipulating soft tissues to enhance relaxation, reduce muscle tension, and improve circulation. Chiropractic care involves adjustments to the spine and musculoskeletal system to improve alignment and function. In an educational context, understanding the distinctions between these therapies is crucial for healthcare professionals, particularly those working in fields related to behavior modification. By knowing the principles and techniques of various therapeutic approaches, professionals can make informed decisions about which interventions may be most appropriate for their clients' needs. Reflexology, with its focus on the feet and energy pathways, offers a unique perspective on promoting health and well-being that complements other therapeutic modalities.
Question 2 of 5
Which of the following statements about the neurobiologic causes of mental illness is most accurate?
Correct Answer: D
Rationale: Current theories and studies indicate that several mental disorders may be linked to a specific gene or combination of genes, but that the source is not solely genetic; nongenetic factors also play important roles. Most studies involving viral theories have focused on schizophrenia, but so far none has provided specific or conclusive evidence. A compromised immune system could contribute to the development of a variety of illnesses, particularly in populations already genetically at risk.
Question 3 of 5
A patient with depression has been taking paroxetine (Paxil) for the last 3 months and has noticed improvement of symptoms. Which of the following side effects would the nurse expect the patient to report?
Correct Answer: B
Rationale: Sexual dysfunction can result from enhanced serotonin transmission associated with SSRI use. Headache caused by hypertension can result when combining MAOIs with foods containing tyramine, such as aged cheeses and alcoholic beverages. An intense need to move about (akathisia) is an extrapyramidal side effect that would be expected of an antipsychotic medication.
Question 4 of 5
Which of the following is a term used to describe the occurrence of the eye rolling back in a locked position, which occurs with acute dystonia?
Correct Answer: B
Rationale: In this question, the correct answer is B) Oculogyric crisis. An oculogyric crisis is a term used to describe the occurrence of the eye rolling back in a locked position, which is a movement disorder commonly associated with acute dystonia. Now, let's delve into why the other options are incorrect: A) Opisthotonus: Opisthotonus is a term used to describe a specific abnormal posture where the head and heels are bent backward and the body is bowed forward. It is not specifically related to the eye rolling back in a locked position. C) Torticollis: Torticollis, also known as wry neck, is a condition characterized by a twisted neck or the head tilting to one side. It does not involve the eye rolling back in a locked position. D) Laryngospasm: Laryngospasm is a sudden spasm of the vocal cords that can cause temporary closure of the airway, leading to difficulty breathing and sometimes a sensation of choking. It is not associated with the eye rolling back in a locked position. In an educational context, understanding the terminology and clinical manifestations of movement disorders like oculogyric crisis is crucial for healthcare professionals, particularly those working in fields like neurology, psychiatry, or emergency medicine. Recognizing these specific signs and symptoms can aid in accurate diagnosis and appropriate management of patients experiencing acute dystonia or related conditions.
Question 5 of 5
A client with bipolar disorder has been taking lithium, and today his serum blood level is 2.0 mEq/L. What effects would the nurse expect to see?
Correct Answer: C
Rationale: The correct answer is C) Nausea, diarrhea, and confusion. When a patient with bipolar disorder is taking lithium and their serum blood level is at 2.0 mEq/L, they are at risk for lithium toxicity. Symptoms of lithium toxicity include gastrointestinal disturbances such as nausea and diarrhea, as well as neurological symptoms like confusion. These signs indicate the need for immediate medical intervention to prevent serious complications. Option A) Constipation and postural hypotension are not typical symptoms of lithium toxicity. Option B) Fever, muscle rigidity, and disorientation are more indicative of conditions like neuroleptic malignant syndrome rather than lithium toxicity. Option D) Drowsiness and mild fatigue are common side effects of lithium therapy but not necessarily indicative of toxicity. In an educational context, understanding the signs and symptoms of lithium toxicity is crucial for nurses and healthcare providers working with clients taking lithium for bipolar disorder. Monitoring serum lithium levels and recognizing the early signs of toxicity can prevent serious adverse outcomes and ensure patient safety. Regular education and training on medication management and monitoring are essential for healthcare professionals to provide quality care for clients with bipolar disorder.