ATI RN
Psychobiologic Disorders Med Surg 2 Questions
Question 1 of 5
Which statement about paraphilic disorders is accurate?
Correct Answer: D
Rationale: Paraphilic disorders are uncommon; however, because persons with these disorders repeatedly enact behaviors associated with their disorders, paraphilic acts are relatively common. The majority of victims of pedophiles are males in early adolescence; those pedophiles who prefer females usually prefer prepubescent children. Some persons with paraphilic disorders experience shame and are at higher risk for suicide due to the stigma, shame, and embarrassment. Biological and psychological drives underlying paraphilic behavior can be very strong and often are not controllable by willpower alone. Persons with paraphilic disorders have difficulty controlling their behavior, even when very motivated to do so.
Question 2 of 5
After the sudden death of his wife, a man says, 'I cant live without her—she was my whole life.' Select the nurses most therapeutic reply.
Correct Answer: B
Rationale: The most therapeutic reply for the man grieving the sudden death of his wife is option B: "Her death is a terrible loss for you." This response acknowledges and validates the man's feelings of grief and loss, showing empathy and understanding. It allows the man to express his emotions freely and feel supported in his mourning process. Option A ("Each day will get a little better") may come across as dismissive or minimizing the man's intense feelings of loss. Grieving is a complex process with ups and downs, and it is essential to acknowledge the depth of the man's pain rather than offering false reassurance. Option C ("It's important to recognize that she is no longer suffering") while true, may not address the emotional aspect of the man's grief. It focuses more on the positive outcome of the wife no longer suffering rather than addressing the man's emotional turmoil. Option D ("Your friends will help you cope with this change in your life") shifts the focus to external sources of support rather than validating the man's personal feelings of loss. While social support is crucial, in this scenario, it is more important to address the man's emotional needs directly. In an educational context, it is essential for nurses to cultivate therapeutic communication skills to effectively support patients experiencing grief and loss. Validating emotions, active listening, and showing empathy are key components of providing holistic care to individuals going through difficult life experiences. By choosing an empathetic and validating response like option B, nurses can create a safe space for patients to express their emotions and begin the healing process.
Question 3 of 5
A store clerk was killed during a robbery 2 weeks ago. His widow, who has a long history of schizoaffective disorder, cries spontaneously when talking about his death. Select the nurses most therapeutic response.
Correct Answer: D
Rationale: The patient is expressing feelings related to the loss, and this is an expected and healthy behavior. This patient is at risk for a maladaptive response because of the history of a serious mental illness, but the nurses priority intervention is to form a therapeutic alliance and support the patients expression of feelings. Crying at 2 weeks after his death is expected and normal.
Question 4 of 5
The unlicensed assistive personnel (UAP) says to the nurse, 'That patient with amnesia looks fine, but when I talk to her, she seems vague. What should I be doing for her?' Select the nurses best reply.
Correct Answer: B
Rationale: Disruptions in ability to perform activities of daily living, confusion, and anxiety are often apparent in patients with amnesia. Offering simple directions to promote activities of daily living and reduce confusion helps increase feelings of safety and security. A calm, secure, predictable, protective environment is also helpful when a person is dealing with a great deal of uncertainty. Recollection of memories should proceed at its own pace, and the patient should only gradually be given information about her past. Asking questions that require recall that the patient does not possess will only add frustration. Quiet, undemanding activities should be provided as the patient tolerates them and should be balanced with rest periods; the patient's time should not be loaded with demanding or stimulating activities.
Question 5 of 5
A soldier returns to the United States from active duty in a combat zone in Afghanistan. The soldier is diagnosed with posttraumatic stress disorder (PTSD). The nurse's highest priority is to screen this soldier for:
Correct Answer: C
Rationale: In this scenario, the nurse's highest priority is to screen the soldier for depression (option C) when diagnosed with posttraumatic stress disorder (PTSD). This is because PTSD and depression commonly coexist and share similar symptoms such as persistent sadness, feelings of hopelessness, and changes in sleep and appetite. Screening for depression in individuals with PTSD is crucial as untreated depression can significantly worsen the prognosis and quality of life for the individual. Furthermore, identifying and addressing depression early can help in preventing further psychological deterioration and potentially suicidal ideation. Bipolar disorder (option A), schizophrenia (option B), and dementia (option D) are not the highest priority for screening in this case because their symptomatology is distinct from PTSD and depression. While individuals with PTSD may also have comorbid conditions like bipolar disorder, schizophrenia, or dementia, the immediate concern is addressing the most prevalent and pressing issue, which in this case is depression. In an educational context, it's important for healthcare providers to understand the interconnectedness of mental health disorders and the significance of thorough screening and assessment to provide comprehensive care to individuals, especially those with a history of trauma like soldiers returning from combat zones. Early identification and intervention can make a significant difference in the outcomes and overall well-being of patients.