ATI RN
Psychobiologic Disorders Questions
Question 1 of 5
A nurse cares for these four patients. Which patient has the highest risk for problems with sleep physiology?
Correct Answer: B
Rationale: The corporate accountant is likely to work long hours and have significant stress associated with work demands. Compounded by travel, these factors are likely to precipitate unstable sleep patterns and inadequate sleep time. The retiree and lawn care worker engage in physical activity during the day, which will promote natural fatigue and sleep. The parents sleep is unlikely to be disturbed; teenagers sleep through the night.
Question 2 of 5
A person is prescribed lorazepam (Ativan) 2 mg po bid prn for anxiety. When the person takes this medication, which change in sleep is anticipated? The patient will:
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A nurse counsels a patient on ways to determine the persons total sleep requirement. Which instruction would produce the most accurate results?
Correct Answer: B
Rationale: Sleep requirements are most accurately determined by going to bed at the usual time and waking up without an alarm for several nights, ideally on vacation. The average of these findings indicates the estimated requirements. Two distracters relate to dream content and daytime alertness. Some adults are long sleepers or short sleepers with different requirements for sleep from the general population.
Question 4 of 5
A patient reports, Nearly every night I awaken feeling frightened after a bad dream. The dream usually involves being hunted by people trying to hurt me. It usually happens between 4 and 5 AM. The nurse assesses this disorder as most consistent with criteria for which problem?
Correct Answer: B
Rationale: Nightmares are long, frightening dreams from which people awaken in a frightened state. They occur during REM sleep late in the night. Night terror disorder occurs as arousal in the first third of the night during nonREM sleep and is accompanied by feelings of panic. REM sleep behavior disorder involves acting out a violent dream during REM sleep. Nightmare disorder may lead to sleep deprivation.
Question 5 of 5
A patient tells the nurse, Everyone says we should sleep 8 hours a night. I can only sleep 6 hours, no matter how hard I try. Am I doing harm to my body? Select the nurses best response.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.