A client is prescribed a medication to help manage their sleep disorder. Which statement accurately reflects a guideline for using medications to treat sleep and wakefulness disorders?
"Medications should be used long-term as the primary treatment for sleep disorders.".
"It's safe to take over-the-counter antihistamines to help with sleep problems.".
"Patients can take medications in varying dosages without consulting a healthcare professional.".
"Medications should be used cautiously and under medical supervision due to potential side effects and interactions.".
The Correct Answer is D
Choice A rationale:
Using medications as the primary long-term treatment for sleep disorders is not recommended due to the potential for tolerance, dependency, and adverse effects. Many sleep medications can lose their effectiveness over time, and relying solely on medications may not address the underlying causes of sleep disturbances.
Choice B rationale:
Over-the-counter antihistamines are not the preferred choice for treating sleep problems, as they can lead to drowsiness the next day and potentially interact with other medications. Their safety profile for long-term use is not well-established, and they might not address the root causes of sleep disorders.
Choice C rationale:
Taking medications in varying dosages without consulting a healthcare professional is unsafe and can lead to unpredictable effects, including overdose and adverse reactions. Dosing of sleep medications should be carefully monitored and adjusted based on individual needs and response.
Choice D rationale:
The correct choice, this statement accurately reflects the guideline for using medications to treat sleep and wakefulness disorders. Medications for sleep disorders should be used cautiously and under medical supervision. This is because sleep medications can have potential side effects such as drowsiness, impaired cognitive function, and even rebound insomnia upon discontinuation. Additionally, there's a risk of interactions with other medications the patient might be taking. Healthcare professionals should evaluate the patient's medical history, potential drug interactions, and individual needs before prescribing sleep medications. Non-pharmacological interventions and addressing underlying causes of sleep disorders are also important aspects of treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E"]
Explanation
Choice A rationale:
Asking about caffeine consumption close to bedtime is relevant as caffeine is a stimulant that can interfere with sleep. Consuming caffeine too close to bedtime can disrupt sleep onset and overall sleep quality.
Choice B rationale:
Engaging in vigorous exercise before going to bed can increase alertness and body temperature, making it harder to fall asleep. It's important to finish exercise several hours before bedtime to allow the body to wind down.
Choice C rationale:
Inquiring about surgery for sleep disorders might not directly provide information about the patient's sleep patterns. While surgeries like sleep apnea treatment might impact sleep, this question is less focused on gathering information about sleep habits.
Choice D rationale:
Asking whether the patient uses the bed for activities other than sleep and sex is relevant to understanding sleep hygiene. Using the bed for activities like work or watching TV can disrupt the association between the bed and sleep.
Choice E rationale:
Inquiring about nightmares frequency can provide insight into sleep quality and potential sleep disturbances. Frequent nightmares can lead to fragmented sleep and contribute to sleep pattern disturbances.
Correct Answer is C
Explanation
Choice A rationale:
Sleep diary involves individuals tracking their sleep patterns and habits over a certain period of time, usually done by the individual themselves. It does not involve monitoring physiological parameters during sleep, such as brain waves, eye movements, muscle activity, heart rate, breathing patterns, and body position. A sleep diary is a subjective self-reporting tool rather than a comprehensive assessment method.
Choice B rationale:
Physical examination can provide some information about a person's overall health, but it doesn't directly involve monitoring the specific physiological parameters mentioned. It focuses more on identifying physical health issues through a general examination rather than assessing sleep and wakefulness disorders.
Choice C rationale:
Polysomnography (PSG) is the correct choice. PSG is a comprehensive sleep study that involves monitoring various physiological parameters during sleep, including brain waves (electroencephalogram or EEG), eye movements (electrooculogram or EOG), muscle activity (electromyogram or EMG), heart rate (electrocardiogram or ECG), breathing patterns, and body position. It is considered the gold standard for diagnosing sleep disorders and provides valuable data about sleep stages, sleep-related breathing disorders, and other sleep-related issues.
Choice D rationale:
Sleep history involves collecting information about an individual's sleep patterns, habits, and behaviors over time. While it provides important insights into sleep-related problems, it doesn't directly involve monitoring physiological parameters during sleep like PSG does. Sleep history is typically obtained through interviews and questionnaires.
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