ATI RN
Psychobiologic Disorders Questions
Question 1 of 5
A home care nurse assesses a very demanding patient with chronic obstructive pulmonary disease (COPD). Afterward, the nurse talks with the spouse who has provided this patient's care for 6 years. The spouse says, I don't need much sleep anymore. I might need to help him during the night. Select the nurse's most therapeutic response.
Correct Answer: B
Rationale: The correct answer is B because it addresses the spouse's potential health concerns and shows genuine concern. By acknowledging the spouse's behavior and expressing worry, the nurse opens up a dialogue about the spouse's well-being. This response focuses on the caregiver's health, which is essential in preventing caregiver burnout. Choice A is incorrect because it only praises the spouse's devotion without addressing the potential negative impact on their health. Choice C is incorrect because it minimizes the spouse's sacrifice and may come off as dismissive. Choice D is incorrect as it uses a threatening tone and does not show empathy towards the spouse's situation.
Question 2 of 5
A patient says, I have trouble falling asleep at night and might lie awake until 3 or 4 AM before falling sleep. Which medication would the nurse expect a health care provider to prescribe for this patient?
Correct Answer: A
Rationale: The correct answer is A: zolpidem. Zolpidem is a sedative-hypnotic medication commonly prescribed for insomnia. It acts quickly to help initiate sleep and is suitable for short-term use. It is not associated with significant next-day drowsiness. Flurazepam (B) is a long-acting benzodiazepine used for insomnia but can cause residual sedation. Risperidone (C) is an antipsychotic used for psychiatric conditions, not primary insomnia. Methylphenidate (D) is a stimulant used for ADHD, which would worsen sleep issues.
Question 3 of 5
A new patient at the sleep disorders clinic tells the nurse, I have not slept well in a year, so I never feel good. I do not expect things will ever improve or be any different. Interventions the nurse should consider include (Select all that apply)
Correct Answer: B
Rationale: The correct answer is B: providing instruction in relaxation techniques. This is the most appropriate intervention because teaching relaxation techniques can help the patient manage stress and anxiety, which are common contributors to sleep disturbances. By learning to relax, the patient may improve their ability to fall asleep and stay asleep. Choice A is incorrect because suggesting the use of alcohol as a sedative can lead to dependence, disrupt sleep patterns, and worsen the patient's overall health. Choice C is incorrect because while addressing cognitive distortions may be beneficial, it is not the most immediate intervention for improving sleep quality. Choice D is incorrect because providing health teaching on factors that influence sleep is important, but focusing solely on this aspect may not directly address the patient's immediate need for better sleep.
Question 4 of 5
An adolescent was arrested for prostitution and assault on a parent. The adolescent says, 'I hate my parents. They focus all attention on my brother, who's perfect in their eyes.' Which type of therapy might promote the greatest change in the adolescent's behavior?
Correct Answer: A
Rationale: The correct answer is A: Family therapy. Family therapy is the most appropriate type of therapy as it focuses on addressing the family dynamics and communication patterns that may contribute to the adolescent's behavior. By involving the entire family in therapy sessions, underlying issues can be identified and resolved, leading to positive changes in the adolescent's behavior. B: Bibliotherapy involves the use of books to help individuals understand and cope with their emotions. While it may be beneficial for the adolescent to explore their feelings, it may not directly address the family issues contributing to their behavior. C: Play therapy utilizes play to help children express their thoughts and emotions. While it can be helpful for younger children, it may not be as effective for addressing the complex family dynamics influencing the adolescent's behavior. D: Art therapy involves the use of art to help individuals express themselves. While it can be a valuable form of self-expression, it may not target the underlying family problems that need to be addressed for significant behavior change.
Question 5 of 5
An adolescent acts out in disruptive ways. When this adolescent threatens to throw a heavy pool ball at another adolescent, which comment by the nurse would set appropriate limits?
Correct Answer: C
Rationale: The correct answer is C because it directly addresses the behavior of the adolescent by instructing them not to throw the ball and to put it back on the pool table. This sets a clear limit on the inappropriate behavior and provides a specific directive for the adolescent to follow. Choice A does not address the behavior or set limits. Choice B mentions consequences but does not guide the adolescent on what to do instead. Choice D is too vague and does not provide a clear direction for the adolescent to follow. Therefore, choice C is the most appropriate response in this situation.