A client is seeking information about a sleep disorder involving abnormal movements of the limbs or body during sleep. Which of the following conditions is characterized by repetitive or stereotyped movements during sleep or while falling asleep?

Hypersomnolence.

Periodic limb movement disorder (PLMD).

Sleep-related rhythmic movement disorder (SRMD).

Circadian rhythm sleep-wake disorder.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Hypersomnolence refers to excessive daytime sleepiness and an increased need for sleep. It is not characterized by abnormal movements of the limbs or body during sleep. Hypersomnolence can be a symptom of various sleep disorders but is not directly related to the condition described.

Choice B rationale:

Periodic limb movement disorder (PLMD) involves repetitive and involuntary movements of the legs and sometimes the arms during sleep. These movements are distinct from the abnormal movements described in the question. PLMD can cause sleep disturbances and daytime fatigue but is not the disorder characterized by stereotyped movements during sleep.

Choice C rationale:

Sleep-related rhythmic movement disorder (SRMD) is characterized by repetitive or stereotyped movements during sleep or while falling asleep. These movements can include head banging, body rocking, or rolling. SRMD is often seen in children and tends to decrease with age. It is a parasomnia, which is a category of sleep disorders involving unusual behaviors during sleep.

Choice D rationale:

Circadian rhythm sleep-wake disorder involves disruptions in the sleep-wake cycle due to misalignments between a person's internal body clock and external cues like light and darkness. It is not characterized by abnormal movements of the limbs or body during sleep. Circadian rhythm sleep-wake disorder can lead to difficulties falling asleep or staying awake at appropriate times but is distinct from the disorder described.

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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.

A. Continuous positive airway pressure (CPAP) device. B. Oral appliance therapy (OAT). C. Weight loss. D. Surgery. E. Medication (dopamine agonists).

Correct Answer is ["A","C","D"]

Explanation

Choice A rationale:

Continuous positive airway pressure (CPAP) device. This is a correct choice. CPAP is the primary treatment for obstructive sleep apnea (OSA). It involves wearing a mask that delivers a constant stream of air to keep the airway open during sleep, preventing the breathing interruptions characteristic of OSA.

Choice B rationale:

Oral appliance therapy (OAT). While OAT can be used for mild to moderate OSA, it is not as commonly used as CPAP. It involves wearing a custom-fitted oral device that helps keep the airway open by repositioning the jaw during sleep.

Choice C rationale:

Weight loss. This is a correct choice. Weight loss can significantly improve OSA, especially in cases where excess weight contributes to airway obstruction. Losing weight reduces the amount of tissue that can narrow the airway during sleep.

Choice D rationale:

Surgery. Surgical interventions may be considered for severe cases of OSA that don't respond well to CPAP or other treatments. Surgeries can involve removing excess tissue from the throat, repositioning the jaw, or creating a new airway passage. However, surgery is not as commonly used as CPAP or weight loss.

Choice E rationale:

Medication (dopamine agonists). Medications are not commonly used for the treatment of obstructive sleep apnea (OSA). Dopamine agonists are typically used to treat conditions like Parkinson's disease and restless legs syndrome, not OSA.

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A client is seeking information about a sleep disorder involving abnormal movements of the limbs or body during sleep. Which of the following conditions is characterized by repetitive or stereotyped movements during sleep or while falling asleep?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

(Select all that apply):. A nurse is assessing a patient's sleep history. Which of the following questions would be appropriate for the nurse to ask to gather relevant information about the patient's sleep patterns? Select all that apply.

Correct Answer is ["A","D","E"]

Explanation

A nurse is providing education on treatment options for sleep-related breathing disorders. Select all of the following interventions that are commonly used for obstructive sleep apnea (OSA).

Correct Answer is ["A","C","D"]

Explanation

A nurse is conducting a teaching session on types of sleep and wakefulness disorders. Which of the following classifications is characterized by abnormal behavioral, experiential, physiological, or psychological events occurring during sleep or sleep-wake transitions?

A client is discussing their experiences with a nurse regarding sleep and wakefulness disorders. Select all the potential impacts of sleep deprivation mentioned in the text.

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?

(Select All That Apply):. A nurse is educating a group of individuals about the factors that contribute to sleep and wakefulness disorders. Which of the following are considered lifestyle factors that can influence sleep patterns? Select all that apply.

A nurse is teaching a patient with sleep pattern disturbance about cognitive-behavioral therapy (CBT) techniques. Which statement accurately describes CBT for sleep disorders?

(Select All That Apply):. A nurse is assessing a client's medical history for potential risk factors for sleep and wakefulness disorders. Which of the following are considered medical disorders that can contribute to these disorders? Select all that apply.

A nurse is implementing interventions to promote a safe sleeping environment for a patient with sleep disorders. What action would the nurse take to achieve this goal?