ATI RN
Biological Basis of Behavior Questions
Question 1 of 5
Which nursing response is an example of the nontherapeutic communication block of requesting an explanation?
Correct Answer: A
Rationale: The correct answer is A because it directly asks the client to provide an explanation, which can come off as confrontational and may make the client feel defensive or judged. This blocks effective communication by putting the client on the spot and may hinder trust-building in the therapeutic relationship. Explanation for other choices: B: This response offers reassurance and support, which can be therapeutic in nature. C: This response acknowledges the complexity of human behavior but does not necessarily block communication. D: This response seeks clarification and understanding, which can be beneficial for effective communication.
Question 2 of 5
Which intervention best demonstrates that a nurse correctly understands the cultural needs of a hospitalized Asian American patient diagnosed with a mental illness?
Correct Answer: B
Rationale: The correct answer is B because involving the patient's family to assist with activities of daily living demonstrates understanding of the cultural needs of Asian American patients. In many Asian cultures, family involvement in caregiving is crucial for mental health treatment. This intervention promotes holistic care and respects the cultural values of the patient. A: Encouraging the family to attend community support groups may not directly address the patient's immediate needs and may not align with their cultural preferences. C: Providing educational pamphlets is informative but may not actively involve the family in the patient's care. D: Restricting homemade herbal remedies without discussion or alternative solutions may disregard the family's beliefs and practices.
Question 3 of 5
A white patient of German descent rocks back and forth, grimaces, and rubs both temples. What is the nurse's best action?
Correct Answer: D
Rationale: The correct answer is D: Assess the patient for pain. The patient's behavior of rocking back and forth, grimacing, and rubbing temples could indicate pain rather than extrapyramidal symptoms or a need for prayer. Pain assessment is crucial to address the patient's needs effectively. It is essential to rule out pain as a possible cause before considering other interventions. Sitting and rocking with the patient (B) may not address the underlying issue of pain. Offering to pray with the patient (C) may not be appropriate if the patient's primary concern is physical discomfort. Assessing for extrapyramidal symptoms (A) is not the priority in this situation.
Question 4 of 5
A client diagnosed with paranoid personality disorder becomes violent on a unit. Which nursing intervention is most appropriate?
Correct Answer: C
Rationale: The correct answer is C because using clear, calm statements and a confident physical stance is the most appropriate intervention to de-escalate a client with paranoid personality disorder who becomes violent. This approach helps establish boundaries, maintain safety, and communicate assertively. Providing objective evidence (choice A) may not be effective due to the client's distorted perceptions. Initially restraining the client (choice B) can escalate the situation and lead to further distress. Empathizing with the client's paranoid perceptions (choice D) may validate their behavior and not address the immediate safety concerns.
Question 5 of 5
Which nursing diagnosis should the nurse identify as appropriate when working with a client diagnosed with schizoid personality disorder?
Correct Answer: D
Rationale: The correct answer is D: Social isolation R/T inability to relate to others. This is because individuals with schizoid personality disorder often have difficulty forming and maintaining relationships, leading to social isolation. This nursing diagnosis directly addresses the primary issue of the disorder. A: Altered thought processes related to (R/T) increased stress is incorrect because schizoid personality disorder is not typically associated with altered thought processes in the same way as other psychotic disorders. B: Risk for suicide R/T loneliness is incorrect because while individuals with schizoid personality disorder may experience loneliness, it is not necessarily linked to an increased risk for suicide. C: Risk for violence: directed toward others R/T paranoid thinking is incorrect as schizoid personality disorder is not typically characterized by violent behavior or paranoid thinking towards others.