ATI RN
Psychobiologic Disorders Questions
Question 1 of 5
The laboratory report for a patient taking clozapine (Clozaril) shows a white blood cell count of 3000 mm3. Select the nurse™s best action.
Correct Answer: A
Rationale: The correct answer is A. A white blood cell count of 3000 mm3 in a patient taking clozapine is concerning for agranulocytosis, a potentially life-threatening side effect. The nurse should report these results to the health care provider immediately for further evaluation and possible discontinuation of the medication. Administering the next dose (B) can worsen the condition. Giving aspirin and forcing fluids (C) is not indicated for this situation. Repeating the laboratory test (D) may delay necessary intervention.
Question 2 of 5
Which comment is most likely from a patient with chronic sleep deprivation?
Correct Answer: B
Rationale: The correct answer is B because the patient describes symptoms associated with chronic sleep deprivation, such as fatigue and gastrointestinal issues. This indicates a disruption in the body's normal functioning due to lack of adequate sleep. Choice A suggests using external stimuli to fall asleep, which may not necessarily indicate chronic sleep deprivation. Choice C shows awareness of the recommended sleep duration, which is not necessarily indicative of chronic sleep deprivation. Choice D suggests experiencing confusion upon waking, which could indicate other sleep disorders but not specifically chronic sleep deprivation.
Question 3 of 5
A patient says, It takes me about 15 minutes to go to sleep each night. This comment describes
Correct Answer: C
Rationale: The correct answer is C: sleep latency. Sleep latency refers to the time it takes for an individual to fall asleep after lying down in bed. In this case, the patient mentioning that it takes about 15 minutes to go to sleep each night indicates a delay in the onset of sleep, which aligns with the concept of sleep latency. Delta sleep (A) refers to slow-wave deep sleep stages, parasomnia (B) involves abnormal behaviors during sleep, and REM sleep (D) is the stage of sleep characterized by rapid eye movements and vivid dreams, none of which are directly related to the time taken to fall asleep.
Question 4 of 5
A person is prescribed sertraline 100 mg PO daily. Which change in sleep is likely secondary to this medication? The patient will have
Correct Answer: D
Rationale: The correct answer is D: less REM sleep. Sertraline, a selective serotonin reuptake inhibitor (SSRI), can suppress REM sleep. Serotonin inhibits REM sleep, and by blocking its reuptake, sertraline can reduce REM sleep duration. This medication is known to increase sleep continuity and reduce awakenings, leading to less REM sleep. Choices A, B, and C are incorrect because sertraline does not directly affect dreaming, excessive sleepiness, or slow-wave sleep.
Question 5 of 5
A home care nurse assesses a very demanding patient with chronic obstructive pulmonary disease (COPD). Afterward, the nurse talks with the spouse who has provided this patient's care for 6 years. The spouse says, I don't need much sleep anymore. I might need to help him during the night. Select the nurse's most therapeutic response.
Correct Answer: B
Rationale: The correct answer is B because it addresses the spouse's potential health concerns and shows genuine concern. By acknowledging the spouse's behavior and expressing worry, the nurse opens up a dialogue about the spouse's well-being. This response focuses on the caregiver's health, which is essential in preventing caregiver burnout. Choice A is incorrect because it only praises the spouse's devotion without addressing the potential negative impact on their health. Choice C is incorrect because it minimizes the spouse's sacrifice and may come off as dismissive. Choice D is incorrect as it uses a threatening tone and does not show empathy towards the spouse's situation.