ATI RN
Biological Basis of Behavior Questions
Question 1 of 5
Which of the following should be included in the health teachings among clients receiving Valium:
Correct Answer: A
Rationale: The correct answer is A: Avoid taking CNS depressants like alcohol. Valium is a central nervous system (CNS) depressant, so combining it with other CNS depressants like alcohol can lead to dangerous levels of sedation, respiratory depression, and even overdose. It is crucial to educate clients to avoid alcohol while taking Valium to prevent these serious complications. Explanation for incorrect choices: B: There are no restrictions in activities - This is incorrect because clients taking Valium should be advised to avoid activities that require mental alertness or coordination due to the sedative effects of the medication. C: Limit fluid intake - This is incorrect as there is no specific need to limit fluid intake while taking Valium unless advised by a healthcare provider for other medical reasons. D: Any beverage like coffee may be taken - This is incorrect as caffeine in beverages like coffee can potentially interact with Valium and affect its effectiveness, so it is important to provide guidance on caffeine intake while on Valium.
Question 2 of 5
A client with bipolar disorder, manic type, exhibits extreme excitement, delusional thinking, and command hallucinations. Which of the following is the priority nursing diagnosis?
Correct Answer: D
Rationale: The priority nursing diagnosis for a client with bipolar disorder, manic type, exhibiting extreme excitement, delusional thinking, and command hallucinations is "D: Risk for other-directed violence." This is the most critical because it addresses the immediate safety concern of potential harm to others due to the client's altered mental state. Anxiety (A) may be present but is secondary to the risk of violence. Impaired social interaction (B) and disturbed sensory-perceptual alteration (C) are important but not as urgent as ensuring the safety of others. It is crucial to prioritize interventions to prevent harm to others in this scenario.
Question 3 of 5
Which factors are the most essential for the nurse to assess when providing crisis intervention for a client?
Correct Answer: C
Rationale: Rationale: C is correct because assessing the client's perception of the triggering event helps understand their crisis context, and evaluating situational supports is crucial for intervention planning. A is not as essential because coping skills can vary. B focuses on emotions but may not address the root cause. D is important but not as critical as understanding the triggering event and available supports.
Question 4 of 5
A client taking the MAOI phenelzine (Nardil) tells the nurse that he routinely takes all of the medications listed below. Which medication would cause the nurse to express concern and therefore initiate further teaching?
Correct Answer: B
Rationale: The correct answer is B: Diphenhydramine (Benadryl). Phenelzine is an MAOI, which interacts with many medications, including diphenhydramine, leading to potential hypertensive crisis. Acetaminophen (A) is safe with MAOIs. Furosemide (C) can cause low blood pressure but not a significant interaction. Isosorbide dinitrate (D) is a vasodilator and should be used cautiously with MAOIs, but it is not the most concerning interaction compared to diphenhydramine.
Question 5 of 5
A 75-year-old client has dementia of the Alzheimer's type and confabulates. The nurse understands that this client:
Correct Answer: D
Rationale: The correct answer is D because confabulation is a symptom of dementia where the individual unknowingly fills memory gaps with fabricated information or fantasy to compensate for memory loss. In this case, the 75-year-old client with Alzheimer's type dementia is likely confabulating due to cognitive impairment. Choice A is incorrect because being jovial does not directly relate to confabulation. Choice B is incorrect as confabulation is not intentional deception. Choice C is incorrect as rationalizing behaviors is different from confabulation, which involves filling in memory gaps with fantasy.