ATI RN
Psychobiologic Disorders Med Surg 2 Questions
Question 1 of 5
The nurse provides health education for an adult experiencing sleep deprivation. Which instruction has the highest priority?
Correct Answer: A
Rationale: The correct answer is A because it addresses the safety concern of the individual experiencing sleep deprivation. Driving while sleep-deprived can lead to serious accidents due to impaired cognitive function and reaction time. It is crucial to prioritize safety by limiting driving to short periods to prevent accidents. Choice B is incorrect as sleep deprivation should not be left untreated for a year. Choice C may help some individuals relax but does not address the safety issue of driving while sleep-deprived. Choice D is inappropriate as alcohol consumption can worsen sleep quality and is not a recommended solution for addressing sleep deprivation.
Question 2 of 5
Which season would be most associated with increased periods of wakefulness in the general population?
Correct Answer: A
Rationale: The correct answer is A: Summer. During summer, longer daylight hours and increased sunlight exposure can disrupt the body's natural sleep-wake cycle, leading to more wakefulness. Sunlight also suppresses the production of melatonin, the hormone that regulates sleep. This disruption in melatonin levels can result in difficulty falling asleep and staying asleep. In contrast, winter (B) typically has shorter daylight hours and colder temperatures, encouraging more indoor activities and potentially more restful sleep. Spring (C) and Fall (D) do not have the same level of prolonged daylight exposure as summer, making them less likely to be associated with increased periods of wakefulness.
Question 3 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 4 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 5 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.