ATI RN
Psychobiological Disorder Questions
Question 1 of 5
What is the MOST appropriate classification of patient impairments that are the result of inactivity and expanding multisystem dysfunction following a stroke?
Correct Answer: B
Rationale: The correct answer is B: Indirect impairments. Inactivity post-stroke can lead to a cascade of systemic issues impacting various body systems indirectly. This classification acknowledges the interconnected nature of impairments arising from inactivity. Direct impairments (Choice A) typically refer to immediate consequences of the stroke itself. Composite impairments (Choice C) imply a mix of various impairments without specifying the indirect relationship to inactivity. Comprehensive impairments (Choice D) suggest a thorough assessment but do not specifically address the indirect effects of inactivity as the primary cause of impairments post-stroke.
Question 2 of 5
Which one of the following population groups should be consistently tested for underlying hypertension because of its higher incidence?
Correct Answer: B
Rationale: The correct answer is B: African Americans. African Americans have a higher incidence of hypertension compared to other population groups. This is due to genetic factors and lifestyle differences. Consistent testing is crucial to detect hypertension early and prevent complications. Caucasians, Asians, and males over the age of 64 may also have a risk of hypertension, but it is not as consistently high as in African Americans. Regular testing in this group is essential for early detection and management.
Question 3 of 5
Tony, age 21, has been diagnosed with schizophrenia. He has been socially isolated and hearing voices telling him to kill his parents. He has been admitted to the psychiatric unit from the emergency department. The initial nursing intervention for Tony is to:
Correct Answer: B
Rationale: The correct answer is B: Ensure a safe environment for him and others. This is the initial nursing intervention because safety is the top priority when dealing with a patient experiencing psychotic symptoms like Tony. By ensuring a safe environment, we can prevent harm to Tony and others. Giving him an injection of Thorazine (choice A) is not the initial step as safety takes precedence. Placing him in restraints (choice C) should only be considered as a last resort for immediate danger. Ordering him a nutritious diet (choice D) is important for his overall well-being but not the immediate priority in this situation.
Question 4 of 5
Clint, a client on the psychiatric unit, has been diagnosed with schizophrenia. He begins to tell the nurse about how the CIA is looking for him and will kill him if they find him. The most appropriate response by the nurse is:
Correct Answer: D
Rationale: The correct answer is D: “I know you believe that, Clint, but it's really hard for me to believe.†This response acknowledges Clint's belief without validating or dismissing it, showing empathy and respect for his feelings. It avoids confrontation or denial, which could escalate his paranoia. Choice A dismisses Clint's concerns, potentially making him feel unheard and increasing his distress. Choice B minimizes Clint's beliefs, which can be invalidating and damaging to the therapeutic relationship. Choice C, while open-ended, may not address Clint's emotional needs and could lead to further delusional elaboration. Overall, choice D demonstrates empathy, validation, and nonjudgmental attitude, promoting trust and effective communication with Clint.
Question 5 of 5
When a client suddenly becomes aggressive and violent on the unit, which of the following approaches would be best for the nurse to use first?
Correct Answer: C
Rationale: The correct approach is to call for sufficient help first (choice C) because it prioritizes safety for both the client and staff. By calling for help, the nurse can ensure that there are enough resources to safely manage the aggressive behavior and prevent harm. This approach allows for a team effort in de-escalating the situation and controlling it effectively. Providing large motor activities (choice A) may not be appropriate during an aggressive outburst as it can escalate the situation. Administering medication (choice B) should not be the first response as it does not address the underlying cause of the aggression. Conveying to the client that their behavior is unacceptable (choice D) may further agitate the client and is not likely to de-escalate the situation effectively.