ATI RN
Psychobiological Disorder Questions
Question 1 of 5
Which one of the following disability standardized instruments is MOST specific for a patient recovering from a stroke?
Correct Answer: B
Rationale: The correct answer is B: Fugl-Meyer Assessment of Physical Performance. This instrument is specific for stroke recovery as it assesses motor function, balance, sensation, and joint functioning - all crucial areas for stroke patients. It provides detailed information on impairments and changes in motor recovery post-stroke, guiding treatment planning and monitoring progress. A: Functional Independence Measure focuses on activities of daily living, not specific to stroke recovery. C: Short Form-36 is a general health-related quality of life measure, not specific to stroke recovery. D: Berg Balance Scale assesses balance but does not cover other important aspects of motor recovery post-stroke.
Question 2 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 3 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 4 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.
Question 5 of 5
The letters in the abbreviation DSM-5 stand for
Correct Answer: D
Rationale: The correct answer is D) Diagnostic and Statistical Manual of Mental Disorders. The Diagnostic and Statistical Manual of Mental Disorders (DSM) is a widely recognized and accepted classification system used by mental health professionals to diagnose and classify mental disorders. The "5" in DSM-5 indicates that it is the fifth edition of this manual. Option A) Diseases and Statistics Manual of Medicine is incorrect because the DSM specifically focuses on mental disorders, not physical diseases, and it is not a manual of medicine. Option B) Diagnosable Standards Manual of Mental Disorders is incorrect because while the DSM does provide standards for diagnosing mental disorders, the actual abbreviation does not stand for this. Option C) Diseases and Symptoms Manual of Mental Disorders is incorrect because while the DSM does include symptoms of mental disorders, it is primarily a diagnostic and statistical manual, not solely focused on symptoms. Understanding the correct abbreviation of DSM-5 is essential for mental health professionals, students, and researchers as it forms the basis for communication, research, and clinical practice in the field of psychology and psychiatry. Familiarity with the DSM-5 helps ensure accurate diagnosis, treatment planning, and communication among professionals in the mental health field.