ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 33 Questions
Question 1 of 5
A student nurse is preparing a nursing care plan for a client who has insomnia and is experiencing sleep deprivation. Which nursing diagnosis would the nurse most likely identify as reflecting a priority care issue?
Correct Answer: A
Rationale: Sleep deprivation increases the risk for injury (
A) due to impaired coordination and cognition, making it a priority. Ineffective coping (
B), deficient knowledge (
C), and anxiety (
D) are secondary concerns compared to safety risks.
Question 2 of 5
A nurse is working with a client diagnosed with insomnia. When developing a teaching plan for the client, which sleep promotion intervention would the nurse implement first?
Correct Answer: B
Rationale: Establishing regular bedtimes and rising times (
B) is the first-line intervention for insomnia to stabilize circadian rhythms. Stopping smoking (
A) is secondary, frequent naps (
C) can worsen insomnia, and medications (
D) are not first-line.
Question 3 of 5
A nursing instructor is describing the prevalence of obstructive sleep apnea (OSA) as being greater in individuals with mental health disorders. Which disorders would the instructor include as being associated with OSA? Select all that apply.
Correct Answer: A,D,E
Rationale: OSA is associated with depression (
A), PTSD (
D), and anxiety (E) due to shared physiological and psychological stressors. Borderline personality disorder (
B) and schizophrenia (
C) have weaker associations with OSA.
Question 4 of 5
A nurse is giving a presentation to a community group about sleep and its relationship to health. In explaining the relationship between REM sleep and body temperature, which statement by the nurse would be most appropriate?
Correct Answer: C
Rationale: Body temperature decreases during REM sleep due to reduced thermoregulation, making the cycles inversely related (
C). No relationship (
A) is incorrect, higher REM with higher temperatures (
B) and direct proportionality (
D) contradict physiological evidence.
Question 5 of 5
A nurse is working with a psychiatric client who was admitted to the inpatient facility and is being discharged. The client asks the nurse what he should do when he goes home to promote getting adequate sleep. Which response by the nurse would be most appropriate?
Correct Answer: B
Rationale: Reserving the bedroom for sleep (
B) is a stimulus control technique that strengthens the association between the bedroom and sleep. TV watching (
A) can disrupt sleep, sleeping pills (
C) are not a first-line recommendation, and a warm bedroom (
D) may interfere with sleep.