ATI RN
Psychobiologic Disorders Med Surg 2 Questions
Question 1 of 5
A person is prescribed sertraline (Zoloft) 100 mg PO daily. Which change in sleep is likely secondary to this medication? The patient will have:
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A nurse who works night shift says, I am exhausted most of the time. I sleep through my alarm. Sometimes my brain does not seem to work right. I am worried that I might make a practice error. Which question should the nursing supervisor ask first?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 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 4 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 5 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.