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HESI LPN · HESI LPN Mental Health Nursing · HESI Psychobiological Disorders

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A nurse cares for these four patients. Which patient has the highest risk for problems with sleep physiology?

A. Retiree who volunteers twice a week at Habitat for Humanity

B. Corporate accountant who travels frequently

C. Parent with three teenagers

D. Lawn care worker

Expert Explanatory Rationale

Correct Answer: Corporate accountant who travels frequently

Question 2 of 5

A patient needs diagnostic evaluation of sleep problems. Which test will evaluate the patient for possible sleep-related problems?

A. Skull x-rays

B. Electroencephalogram (EEG)

C. Positron emission tomography (PET)

D. Single photon emission computed tomography (SPECT)

Expert Explanatory Rationale

Correct Answer: Electroencephalogram (EEG)

Question 3 of 5

A person is prescribed lorazepam 2 mg PO bid as needed for anxiety. When the person takes this medication, which change in sleep is anticipated? The patient will

A. have fewer dreams.

B. have less slow-wave sleep.

C. experience extended sleep latency.

D. enter sleep through REM sleep.

Expert Explanatory Rationale

Correct Answer: have less slow-wave sleep.

Question 4 of 5

A nurse counsels a patient on ways to determine the person's total sleep requirement. Which instruction would produce the most accurate results?

A. For 1 full week, record what you remember about your dream content and related feelings as soon as you wake up. Bring the record to your next appointment.Ã‚Â

B. While off work for 1 week, go to bed at your usual time and wake up without an alarm. Record how many hours you sleep and then average the findings.Ã‚Â

C. For 2 full weeks, record how much time you sleep each night and rate your daytime alertness on a scale of 1 to 10. Calculate your average alertness score.Ã‚Â

D. All adults need 7 or 8 hours of sleep to function properly. Let's design ways to help you reach that goal.Ã‚Â

Expert Explanatory Rationale

Correct Answer: While off work for 1 week, go to bed at your usual time and wake up without an alarm. Record how many hours you sleep and then average the findings.Ã‚Â

Question 5 of 5

A patient reports, Nearly every night I awaken feeling frightened after a bad dream. The dream usually involves being hunted by people trying to hurt me. It usually happens between 4 and 5 AM.Ã‚Â The nurse assesses this disorder as most consistent with criteria for which problem?

A. Sleep deprivation

B. Nightmare disorder

C. Night terror disorder

D. REM sleep behavior disorder

Expert Explanatory Rationale

Correct Answer: Nightmare disorder

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