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An Older Adult Is Having Difficulty Sleeping and Asks a Nurse

Question 2

Multiple Choice

An older adult is having difficulty sleeping and asks a nurse, "My neighbor told me that I should take melatonin to help me sleep. What do you think about this?" The nurse responds to the individual's question using the knowledge that: (Select all that apply.)


A) in the natural state melatonin is produced by the pineal gland and regulates the sleep-wake cycle.
B) melatonin is available in both immediate and extended release forms; however, only the immediate form is effective.
C) there are no significant adverse effects to melatonin.
D) it must be used with caution in a patient that is taking other medications that have central nervous system depressant effects.
E) evidence shows that it is effective at decreasing sleep onset latency, improving quality of sleep, and improving morning wakefulness.

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