Exam 20: Sleep Disorders

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

Which person would be most likely to experience sleep fragmentation?

A person takes 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 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 being most consistent with criteria for:

Which sleep disturbance would be most likely for a patient with bipolar I disorder?

A night shift worker complains,"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 change(s)should the nurse suggest? Select all that apply.

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

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

Correctly sequence these sleep events. A)Rapid-eye-movement sleep B)Slow-wave or delta sleep C)Sleep latency

A home health nurse visits a patient with COPD who is on constant oxygen therapy and very demanding.The wife has cared for this patient for 6 years.When the nurse asks about her sleep the wife responds,"I don't need much sleep anymore.I must be able to hear if he calls out during the night." Select the nurse's most therapeutic response.

A patient with degenerative arthritis complains,"For the past month I have been having a lot of trouble sleeping.I cannot seem to fall asleep.When I finally do get to sleep,I wake up over and over during the night." Which information should the nurse seek initially?

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. )

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

A patient tells the practitioner,"I have trouble falling asleep at night and might lie awake until 3 or 4 AM before falling sleep." Which medication would be best for this patient?

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

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?

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 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.

A person says,"I was dreaming about snow skiing down a huge mountain when I woke up this morning." Which rationale correctly explains the comment?

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