ATI RN
Psychobiologic Disorders Med Surg 2 Questions
Question 1 of 5
A drug blocks the attachment of norepinephrine to ï¡1 receptors. The patient may experience
Correct Answer: B
Rationale: The correct answer is B: orthostatic hypotension. Blocking norepinephrine from binding to α1 receptors would prevent vasoconstriction, leading to decreased blood pressure upon standing (orthostatic hypotension). Hypertensive crisis (A) would be more likely if norepinephrine was acting on α1 receptors causing vasoconstriction. Severe appetite disturbance (C) and an increase in psychotic symptoms (D) are not directly related to blocking norepinephrine from binding to α1 receptors.
Question 2 of 5
The nurse provides health education for an adult experiencing sleep deprivation. Which instruction has the highest priority?
Correct Answer: A
Rationale: The correct answer is A because it addresses the safety concern of the individual experiencing sleep deprivation. Driving while sleep-deprived can lead to serious accidents due to impaired cognitive function and reaction time. It is crucial to prioritize safety by limiting driving to short periods to prevent accidents. Choice B is incorrect as sleep deprivation should not be left untreated for a year. Choice C may help some individuals relax but does not address the safety issue of driving while sleep-deprived. Choice D is inappropriate as alcohol consumption can worsen sleep quality and is not a recommended solution for addressing sleep deprivation.
Question 3 of 5
A person says, I often feel like I have been dreaming just before I awake in the morning. Which rationale correctly explains the comment?
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. During the sleep cycle, REM (Rapid Eye Movement) sleep stages become longer in the second half of the night. 2. Dreams predominantly occur during REM sleep, which is associated with vivid dreaming. 3. As the person wakes up from REM sleep, they are more likely to remember the dreams they were having. 4. Feeling like one has been dreaming just before waking up aligns with the longer REM periods in the latter part of the sleep cycle. Summary: A: Incorrect - Slow-wave sleep increases towards the beginning of the sleep cycle, not at the end. C: Incorrect - Dream frequency is not solely based on unresolved conflicts or depression. D: Incorrect - Dream content related to developmental tasks does not explain the feeling of dreaming just before waking up.
Question 4 of 5
Which season would be most associated with increased periods of wakefulness in the general population?
Correct Answer: A
Rationale: The correct answer is A: Summer. During summer, longer daylight hours and increased sunlight exposure can disrupt the body's natural sleep-wake cycle, leading to more wakefulness. Sunlight also suppresses the production of melatonin, the hormone that regulates sleep. This disruption in melatonin levels can result in difficulty falling asleep and staying asleep. In contrast, winter (B) typically has shorter daylight hours and colder temperatures, encouraging more indoor activities and potentially more restful sleep. Spring (C) and Fall (D) do not have the same level of prolonged daylight exposure as summer, making them less likely to be associated with increased periods of wakefulness.
Question 5 of 5
A patient with rheumatoid arthritis reports, For the past month I've had trouble falling asleep. When I finally get to sleep, I wake up several times during the night. Which information should the nurse seek initially?
Correct Answer: D
Rationale: The correct initial information the nurse should seek is whether the patient has pain at night (choice D). Pain is a common symptom in rheumatoid arthritis that can disrupt sleep. By understanding the presence and severity of pain at night, the nurse can assess the impact on the patient's sleep quality and develop appropriate interventions. Choices A, B, and C are not as crucial initially because addressing the pain issue is fundamental in managing the patient's sleep disturbances in the context of rheumatoid arthritis.