A client is seeking information about treatment options for a sleep disorder characterized by excessive daytime sleepiness despite adequate nighttime sleep. Which of the following interventions is commonly recommended for this condition?
Medication (short-term use).
Relaxation techniques.
Cognitive behavioral therapy (CBT).
Avoiding alcohol and caffeine.
The Correct Answer is C
Choice A rationale:
Medication (short-term use) is not the commonly recommended intervention for a sleep disorder characterized by excessive daytime sleepiness despite adequate nighttime sleep. While medication might be considered in certain cases, it is usually not the first-line treatment option for this condition. Medications can have side effects and may not address the underlying causes of the sleep disorder.
Choice B rationale:
Relaxation techniques can be helpful for improving sleep quality and managing stress, but they are not typically the primary intervention for excessive daytime sleepiness despite adequate nighttime sleep. Relaxation techniques focus more on promoting relaxation and reducing stress, which might indirectly improve sleep patterns but may not directly address the specific disorder described.
Choice C rationale:
Cognitive behavioral therapy (CBT) is commonly recommended for a sleep disorder characterized by excessive daytime sleepiness despite adequate nighttime sleep. CBT for insomnia (CBT-I) is an evidence-based approach that addresses the psychological and behavioral factors contributing to sleep disturbances. It focuses on improving sleep hygiene, modifying negative thought patterns about sleep, and establishing a consistent sleep schedule. CBT has shown effectiveness in treating sleep disorders without the potential side effects of medications.
Choice D rationale:
Avoiding alcohol and caffeine is generally a good practice for promoting healthy sleep, but it alone is not the commonly recommended intervention for a sleep disorder characterized by excessive daytime sleepiness despite adequate nighttime sleep. While avoiding alcohol and caffeine can help prevent sleep disturbances, it might not fully resolve the underlying disorder causing excessive sleepiness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A"]
Explanation
Choice A rationale:
Sleep deprivation has been extensively studied and is known to have significant negative effects on cognitive function. Reduced attention span and memory are some of the primary impacts of sleep deprivation. Sleep is essential for consolidating memories and maintaining optimal cognitive performance. Lack of sleep impairs the brain's ability to focus, process information, and recall memories effectively.
Choice B rationale:
Enhanced immune function is not a potential impact of sleep deprivation. In fact, sleep deprivation can weaken the immune system, making the body more susceptible to infections and illnesses. During deep sleep, the immune system releases cytokines and other protective compounds to combat inflammation and infections. Sleep deprivation disrupts this process, leading to immune system dysfunction.
Choice C rationale:
Altered mood and behavior is a correct potential impact of sleep deprivation. Sleep plays a crucial role in regulating mood and emotional well-being. Sleep-deprived individuals are more likely to experience mood swings, irritability, anxiety, and even depression. The brain's ability to regulate emotions is compromised due to inadequate sleep.
Choice D rationale:
Increased sexual function is not a potential impact of sleep deprivation. In fact, sleep deprivation can lead to decreased sexual desire and function. Hormonal imbalances caused by lack of sleep can negatively affect reproductive health and sexual performance.
Choice E rationale:
Impaired judgment and decision-making is a correct potential impact of sleep deprivation. Sleep-deprived individuals often struggle with making sound judgments and decisions. The prefrontal cortex, responsible for higher-order cognitive functions, is particularly affected by sleep loss. This can result in poor decision-making, impulsivity, and decreased ability to assess risks accurately.
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale:
Exercising vigorously right before bedtime is not a recommended sleep hygiene practice. It can actually stimulate the body and make it harder to fall asleep. Exercising earlier in the day is more beneficial for improving sleep.
Choice B rationale:
Avoiding exposure to bright light at night is a crucial sleep hygiene practice. Bright light, especially the blue light emitted by screens, can suppress the production of melatonin, a hormone that regulates sleep-wake cycles, making it harder to fall asleep.
Choice C rationale:
Using the bed for activities other than sleep can disrupt the association between the bed and sleep. It's important to create a mental connection between the bed and sleep to improve sleep quality. Engaging in activities like watching TV or working in bed can interfere with this association.
Choice D rationale:
Maintaining a regular bedtime and rising time helps regulate the body's internal clock and improves sleep quality. Consistency in sleep schedule reinforces the body's natural circadian rhythms, making it easier to fall asleep and wake up at the desired times.
Choice E rationale:
Checking the phone frequently during the night is not a recommended sleep hygiene practice. The blue light emitted by phones can suppress melatonin production and disrupt sleep. Additionally, waking up to check the phone can fragment sleep and make it harder to achieve restful sleep.
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