ATI RN
Psychobiological Disorder Questions
Question 1 of 5
A person says, I often feel like I have been dreaming just before I awake in the morning. Which rationale correctly explains the comment?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A patient with rheumatoid arthritis reports, For the past month Ive been having a lot of trouble falling asleep. When I finally get to sleep, I wake up several times during the night. Which information should the nurse seek initially?
Correct Answer: D
Rationale: Patients with diseases such as arthritis may have sleep disturbance related to nightly pain. Because the pain is chronic, the patient may fail to realize it is the reason for the inability to sleep. The other options do not follow the patients lead or begin problem solving without an adequate baseline.
Question 3 of 5
A patient reports, The medicine prescribed to help me get to sleep worked well for about a month, but I dont have any more of those pills, and now my insomnia is worse than ever. I had nightmares the last 2 nights. Which type of medication did the health care provider most likely prescribe?
Correct Answer: A
Rationale: Hypnotics can worsen existing sleep disturbances when they induce drug-dependency insomnia. Once the drug is discontinued, the individual may have rebound insomnia and nightmares. CNS stimulants worsen insomnia while they are in use. Tricyclic antidepressants and atypical antipsychotics may help insomnia but would not be used for initial therapy.
Question 4 of 5
A young adult says to the nurse, I go to sleep without any problem, but I often wake up during the night because it feels like there are rubber bands in my legs. Which assessment question should the nurse ask to assess for restless legs syndrome (RLS)?
Correct Answer: D
Rationale: Restless legs syndrome (RLS) is a sensory and movement disorder characterized by an unpleasant, uncomfortable sensation in the legs accompanied by an urge to move. Symptoms begin or worsen during periods of inactivity, such as sleep. Symptoms can have a significant impact on the individuals ability to fall asleep and stay asleep. There is likely to be a strong genetic component, especially when seen in individuals less than 40 years old.
Question 5 of 5
A new staff nurse tells the clinical nurse specialist, I am unsure about my role when patients bring up sexual problems. The clinical nurse specialist should give clarification by saying, All nurses:
Correct Answer: B
Rationale: The basic education of nurses provides information sufficient to qualify the generalist to assess for sexual dysfunction and perform health teaching. Taking a detailed sexual history and providing sex therapy requires additional training in sex education and counseling. Nurses with basic education are not qualified to be sexual counselors. Additional education is necessary. A registered nurse may provide basic information about sexual function, but complex questions may require referral.