Exam 19: Sleep-Wake Disorders

Normally,most people sleep at night.What is the physiological rationale?

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,and 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?

Which neurotransmitters are most responsible for wakefulness? Select all that apply.

A nurse provides health education for an adult with sleep deprivation.It is most important for the nurse to encourage caution when the patient engages in:

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?

A person is prescribed sertraline (Zoloft)100 mg PO daily.Which change in sleep is likely secondary to this medication? The patient will have:

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

A patient tells the nurse,"Everyone says we should sleep 8 hours a night.I can only sleep 6 hours,no matter how hard I try.Am I doing harm to my body?" Select the nurse's best response.

Which comment is most likely from a patient with chronic sleep deprivation?

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)?

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.

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

A patient says,"It takes me about 15 minutes to go to sleep each night." This comment describes:

A patient experiencing primary insomnia asks the nurse,"I take a nap during the day.Doesn't that make up for a lost night's sleep?" Select the nurse's best reply.

Which person would be most likely to experience sleep fragmentation?

A person says,"I often feel like I have been dreaming just before I awake in the morning." Which rationale correctly explains the comment?

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." The nurse assesses this disorder as most consistent with criteria for which problem?

The nurse provides health education for an adult experiencing sleep deprivation.Which instruction has the highest priority?

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

A new patient at the sleep disorders clinic tells the nurse,"I have not slept well in a year,so I never feel good.I do not expect things will ever improve or be any different." Interventions the nurse should consider include: (select all that apply)