Exam 19: Sleep-Wake Disorders

A patient with rheumatoid arthritis reports,"For the past month I've been having a lot of trouble falling asleep.When I finally get to sleep,I wake up several times during the night." Which information should the nurse seek initially?

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?

A night shift worker reports,"I'm having trouble getting to sleep after a night's work.I have a hearty breakfast with coffee,read the paper,do my exercises,and then go to bed.However,I just lie awake until it is nearly time to get up to be with my family for dinner." What changes should the nurse suggest? Select all that apply.

A person is prescribed lorazepam (Ativan)2 mg po bid prn for anxiety.When the person takes this medication,which change in sleep is anticipated? The patient will:

A 76-year-old man tells the nurse at the sleep disorder clinic,"I awaken almost nightly in the midst of violent dreams in which I am defending myself against multiple attackers.Then I realize I have been hitting and kicking my wife.She has bruises." Which health problem is most likely?

Which season would be most associated with increased periods of wakefulness in the general population?