ATI RN
Psychobiologic Disorders Questions
Question 1 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 2 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 3 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.
Question 4 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: The correct question to ask first is B: "How much sleep do you get in a 24-hour period?" This is because the nurse is experiencing symptoms of fatigue and sleep deprivation, which can significantly impact their performance and patient safety. By understanding the nurse's sleep patterns, the nursing supervisor can assess the root cause of the issue and provide appropriate interventions such as adjusting the work schedule or promoting better sleep hygiene. Choices A, C, and D are incorrect because they do not directly address the primary concern of sleep deprivation. Asking about stress levels (A) may be relevant but addressing sleep should take precedence. Suggesting exercises before bed (C) or hypnotic medication (D) overlook the importance of understanding the nurse's current sleep habits and patterns.
Question 5 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: The correct answer is A: zolpidem. Zolpidem is a sedative-hypnotic medication commonly prescribed for insomnia. It acts quickly to help initiate sleep and is suitable for short-term use. It is not associated with significant next-day drowsiness. Flurazepam (B) is a long-acting benzodiazepine used for insomnia but can cause residual sedation. Risperidone (C) is an antipsychotic used for psychiatric conditions, not primary insomnia. Methylphenidate (D) is a stimulant used for ADHD, which would worsen sleep issues.