A client is describing their experiences with sleep and wakefulness disorders. Select all the potential consequences of sleep deprivation that the client mentions.
Enhanced mood and behavior.
Improved communication skills.
Reduced work performance.
Increased appetite regulation.
Altered hormonal levels.
Correct Answer : C,D,E
Choice A rationale:
Enhanced mood and behavior. Enhanced mood and behavior are not potential consequences of sleep deprivation. Instead, sleep deprivation is often linked to mood disturbances such as irritability, mood swings, and increased stress. Lack of sleep can negatively impact emotional well-being and behavior.
Choice B rationale:
Improved communication skills. Improved communication skills are not a potential consequence of sleep deprivation. Sleep deprivation impairs cognitive functions, including communication skills. Individuals who are sleep-deprived may experience difficulties in articulating thoughts, concentrating, and engaging in effective communication.
Choice C rationale:
Reduced work performance. This is one of the correct answers. Sleep deprivation can significantly reduce work performance. Cognitive deficits resulting from lack of sleep can lead to decreased productivity, poor decision-making, and impaired concentration. This can have a negative impact on work-related tasks and responsibilities.
Choice D rationale:
Increased appetite regulation. This is another correct answer. Sleep deprivation can disrupt the body's appetite regulation mechanisms. It leads to hormonal changes that increase the production of ghrelin, a hormone that stimulates appetite, and decrease the production of leptin, a hormone that signals satiety. As a result, sleep-deprived individuals often experience increased hunger and cravings.
Choice E rationale:
Altered hormonal levels. This is the third correct answer. Sleep deprivation can disrupt the normal balance of hormones in the body. It can lead to changes in hormones such as cortisol (the stress hormone) and growth hormone. These hormonal disruptions can have widespread effects on various physiological processes, including metabolism, stress response, and immune function.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Monitoring the patient's adherence to follow-up appointments is not the appropriate method for assessing changes in sleep patterns and symptoms. While follow-up appointments are important for tracking progress, they do not directly measure the patient's sleep patterns or symptoms.
Choice B rationale:
Asking the patient to rate their daytime sleepiness on a scale of 0-10 is a valid method for assessing changes in sleep patterns and symptoms. The Epworth Sleepiness Scale (ESS) is a commonly used tool for this purpose. It provides a subjective measure of the patient's level of daytime sleepiness, which can help gauge the effectiveness of interventions aimed at improving sleep.
Choice C rationale:
Measuring the patient's physical activity levels before and after treatment might be relevant to overall health assessment but is not a direct method of assessing changes in sleep patterns and symptoms. Physical activity can influence sleep, but it does not specifically measure the impact of interventions on sleep disorders.
Choice D rationale:
Reviewing the patient's family history of sleep disorders is important for understanding potential genetic predispositions to sleep problems. However, it is not a method for directly assessing changes in the patient's sleep patterns and symptoms resulting from interventions.
Correct Answer is B
Explanation
Choice A rationale:
CBT techniques do not involve the use of drugs. Instead, they are focused on cognitive and behavioral strategies to address sleep-related issues without medication.
Choice B rationale:
This choice accurately represents the core principle of cognitive-behavioral therapy for sleep disorders. CBT aims to identify and address the underlying psychological factors, thoughts, and behaviors that contribute to sleep problems. It emphasizes techniques like cognitive restructuring, relaxation training, and sleep scheduling to improve sleep patterns.
Choice C rationale:
While relaxation training and imagery training can be components of CBT for sleep disorders, they are not the only focus. CBT encompasses a broader range of strategies, including cognitive restructuring and sleep education, to target the root causes of sleep disturbances.
Choice D rationale:
CBT techniques are effective on their own and do not require the use of medication treatments. In fact, CBT is often recommended as a first-line treatment for insomnia and other sleep disorders due to its efficacy without the potential side effects of medications.
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