ATI RN
Psychobiologic Disorders Med Surg 2 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 patients care for 6 years. The spouse says, I dont need much sleep anymore. I might need to help him during the night. Select the nurses most therapeutic response.
Correct Answer: B
Rationale: The correct response, option B, is the most therapeutic because it demonstrates genuine concern for the spouse's well-being. By acknowledging the spouse's fatigue and expressing worry, the nurse opens up a dialogue about the caregiver's own health needs, potentially leading to a discussion about self-care. This response shows empathy and focuses on the spouse's needs, creating an opportunity to address any underlying issues or stressors. Option A is not as effective because it only acknowledges the spouse's devotion without addressing the underlying issue of fatigue and potential health concerns. While recognizing dedication is important, it does not address the immediate health implications. Option C, though positive, does not directly address the spouse's health or well-being. It focuses more on the patient's situation rather than the spouse's current state. Option D is confrontational and may induce guilt or fear in the spouse. It does not offer support or empathy and can potentially strain the nurse-spouse relationship. In an educational context, it is crucial for nurses to recognize the signs of caregiver burnout and address it with empathy and support. Caregivers often neglect their own health while caring for others, leading to negative consequences. By fostering open communication and addressing caregiver needs, nurses can help maintain the well-being of both the patient and the caregiver.
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: Zolpidem is a short-acting hypnotic that will help the patient initiate sleep and awaken without untoward symptoms of drowsiness. Methylphenidate is a central nervous system stimulant. Flurazepam is a long-acting hypnotic that will produce hangover drowsiness during the next day. Risperidone is an antipsychotic and not likely to be useful in this scenario.
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: A
Rationale: Interventions that could be helpful include teaching relaxation techniques, such as meditation or progressive relaxation, to relieve the tension that sometimes prevents initiation of sleep. Reviewing factors that influence sleep can assist the patient to diagnose and remove barriers to sleep. Cognitive therapy could be helpful in combating the hopelessness verbalized by the patient. Alcohol consumption actually disrupts sleep. Becoming overtired may be a barrier to nighttime sleep. Naps may help replace lost sleep, but lengthy daytime sleep will prevent the patient from sleeping well at night.
Question 4 of 5
Which nursing action should occur first regarding a patient who has a problem of sexual dysfunction or sexual disorder? The nurse should:
Correct Answer: D
Rationale: Before one can be helpful to patients with sexual dysfunctions or disorders, the nurse must be aware of his or her own feelings and values about sex and sexuality. Nurses must keep their personal beliefs separate from their patient care in order to remain objective, professional, and effective. Nurses must be comfortable with the idea that patients have a right to their own values and must avoid criticism and censure. The other options are indicated as well, but self-awareness must precede them to provide the best care.
Question 5 of 5
The male manager of a health club placed a hidden video camera in the womens locker room and recorded several women as they showered and dressed. The disorder most likely represented by this behavior is:
Correct Answer: D
Rationale: Voyeurism is achieving sexual pleasure through the viewing of others in intimate situations, such as undressing, bathing, or having sexual relations. A homosexual individual would be interested in watching members of the same sex, and homosexuality is not typically associated with voyeurism. Exhibitionists are interested in exposing their genitals to others. Pedophiles seek sexual contact with children.