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?

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ATI RN Mental Health Online Practice 2023 A Questions

Question 1 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: The correct answer is C. REM sleep and body temperature cycles are inversely related. During REM sleep, our body temperature decreases, which is essential for the body to conserve energy and maintain a state of relaxation. This decrease in body temperature during REM sleep helps promote the restoration and rejuvenation of the body. It is crucial for the nurse to convey this information accurately to the community group to emphasize the importance of quality sleep for overall health. Choice A is incorrect because there is indeed an observable relationship between REM sleep and body temperature. Choice B is incorrect as higher levels of REM sleep are associated with lower body temperatures, not higher. Choice D is incorrect as the experience of REM sleep is not directly proportional to a rise in body temperature; instead, it is inversely related.

Question 2 of 5

A nurse is obtaining the medical history of a client who has a new prescription for isosorbide mononitrate. Which of the following should the nurse identify as a contraindication to medication?

Correct Answer: A

Rationale: The correct answer is A: Glaucoma. Isosorbide mononitrate is contraindicated in patients with glaucoma due to the potential for worsening of intraocular pressure. Glaucoma is a condition where the optic nerve is damaged due to increased intraocular pressure, and isosorbide mononitrate can further elevate intraocular pressure. Choices B, C, and D are incorrect as hypertension, polycythemia, and migraine headaches are not contraindications for isosorbide mononitrate.

Question 3 of 5

A nurse is interviewing a client who is a survivor of abuse. The client is telling the nurse about how the violence occurred. Which statement would the nurse interpret as reflecting phase 3 of the cycle of violence?

Correct Answer: D

Rationale: Step 1: Phase 3 of the cycle of violence is the reconciliation or "honeymoon" phase where the abuser shows remorse, apologizes, and promises to change. Step 2: In choice D, the abuser apologizes and promises not to hit again, indicating the reconciliation phase. Step 3: Choices A, B, and C reflect earlier phases of the cycle - tension building (choice B) and the explosion phase (choices A and C). Step 4: In summary, choice D is correct as it aligns with the characteristics of phase 3, while choices A, B, and C represent earlier stages of the cycle of violence.

Question 4 of 5

Which statement made by a family member tends to support a diagnosis of delirium rather than dementia?

Correct Answer: A

Rationale: The correct answer is A because the sudden onset of confusion is a key characteristic of delirium, whereas dementia typically has a gradual progression. Choice B suggests a symptom of dementia - progressive memory loss. Choice C indicates a hallucination, which can occur in both delirium and dementia. Choice D describes memory and cognitive impairment, which can be seen in both conditions but is more indicative of dementia due to the chronic nature of forgetfulness.

Question 5 of 5

Which of the following would be most important for the nurse to keep in mind when establishing the nurse-patient relationship with a client with schizophrenia to promote recovery?

Correct Answer: C

Rationale: The correct answer is C because short, time-limited interactions are best for clients experiencing psychosis due to their limited attention span and potential for increased anxiety. Lengthy interactions may overwhelm the client and hinder the development of trust and rapport. A: The relationship typically develops over a short period of time - Incorrect. Building a therapeutic relationship with a client with schizophrenia takes time due to trust issues and symptom severity. B: Decisions about care are the responsibility of interdisciplinary team - Incorrect. While involving the interdisciplinary team is important, the nurse-patient relationship is crucial in promoting recovery. D: Typically, clients with schizophrenia readily engage in a therapeutic relationship - Incorrect. Clients with schizophrenia may have difficulties in engaging due to symptoms such as paranoia and disorganized thinking.

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