ATI RN
Psychobiologic Disorders Med Surg 2 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: Correct Answer: B Rationale: 1. During the sleep cycle, REM (Rapid Eye Movement) sleep stages become longer in the second half of the night. 2. Dreams predominantly occur during REM sleep, which is associated with vivid dreaming. 3. As the person wakes up from REM sleep, they are more likely to remember the dreams they were having. 4. Feeling like one has been dreaming just before waking up aligns with the longer REM periods in the latter part of the sleep cycle. Summary: A: Incorrect - Slow-wave sleep increases towards the beginning of the sleep cycle, not at the end. C: Incorrect - Dream frequency is not solely based on unresolved conflicts or depression. D: Incorrect - Dream content related to developmental tasks does not explain the feeling of dreaming just before waking up.
Question 2 of 5
A patient with rheumatoid arthritis reports, For the past month I've had 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: The correct initial information the nurse should seek is whether the patient has pain at night (choice D). Pain is a common symptom in rheumatoid arthritis that can disrupt sleep. By understanding the presence and severity of pain at night, the nurse can assess the impact on the patient's sleep quality and develop appropriate interventions. Choices A, B, and C are not as crucial initially because addressing the pain issue is fundamental in managing the patient's sleep disturbances in the context of rheumatoid arthritis.
Question 3 of 5
A patient reports, The medicine prescribed to help me get to sleep worked well for about a month, but I don't have any more of those pills. 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: The correct answer is A: Benzodiazepine. Benzodiazepines are commonly prescribed for short-term treatment of insomnia due to their sedative effects. The patient's initial positive response to the medication indicates it was likely a sedative-hypnotic drug like a benzodiazepine. The worsening insomnia and nightmares after discontinuation suggest withdrawal symptoms commonly seen with benzodiazepines. Tricyclic antidepressants (B) and conventional antipsychotics (C) are not typically used as first-line treatments for insomnia. Central nervous system stimulants (D) would exacerbate insomnia rather than improve sleep.
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: The correct answer is D: "Does anyone else in your family have this problem?" This question is crucial for assessing restless legs syndrome (RLS) because RLS can have a genetic component. By asking if anyone else in the family has experienced similar symptoms, the nurse can determine if there is a familial pattern of RLS, which can help in diagnosing and managing the condition. A: "What type of birth control do you use?" This question is unrelated to RLS and does not provide relevant information for assessing the client's symptoms. B: "How much caffeine do you use every day?" While caffeine consumption can potentially impact sleep, it is not directly related to RLS symptoms involving sensations of rubber bands in the legs. C: "How much exercise do you get in a typical day?" While exercise can influence sleep patterns, it is not a key assessment question for RLS specifically.
Question 5 of 5
A 16-year-old diagnosed with a conduct disorder (CD) has been in a residential program for 3 months. Which outcome should occur before discharge?
Correct Answer: A
Rationale: The correct answer is A. Before discharge, creating a behavioral contract with rules, rewards, and consequences is crucial for maintaining progress made in the residential program. This helps the adolescent and parents establish clear expectations and boundaries, promoting consistency and accountability. Choice B is incorrect because although having positive influences is important, it is not a specific outcome that must be achieved before discharge. Choice C is incorrect as it involves temporary placement with a foster family, which may not be necessary if the adolescent and parents can work together effectively. Choice D is incorrect as it sets an unrealistic and arbitrary expectation of experiencing no anger or frustration for a week, which may not be achievable or sustainable.