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.

Answer and Explanation

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.

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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.

A. Actigraphy. B. Maintenance of wakefulness test (MWT). C. Polysomnography (PSG). D. Epworth sleepiness scale.

Correct Answer is C

Explanation

Choice A rationale:

Actigraphy is a method that involves wearing a wrist-worn device that monitors movement and light exposure to infer sleep patterns and circadian rhythms. It's often used in sleep research and can provide long-term data, but it doesn't directly measure physiological parameters like brain waves, eye movements, and heart rate. Therefore, it's not the correct choice for this scenario.

Choice B rationale:

The Maintenance of Wakefulness Test (MWT) is used to assess a person's ability to stay awake during a quiet, daytime environment. It's typically used to evaluate excessive daytime sleepiness, especially in individuals with conditions like narcolepsy. This test doesn't involve monitoring physiological parameters during sleep and is performed while the person is awake, so it's not the correct choice.

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, EEG), eye movements (electrooculogram, EOG), muscle activity (electromyogram, EMG), and heart rate (electrocardiogram, ECG). This test is commonly used to diagnose sleep disorders such as sleep apnea, insomnia, and parasomnias.

Choice D rationale:

The Epworth Sleepiness Scale is a self-report questionnaire used to assess an individual's likelihood of falling asleep in various situations. It's a subjective measure of daytime sleepiness and doesn't involve monitoring physiological parameters during sleep, so it's not the correct choice.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

A client is undergoing a sleep study to aid in the diagnosis of a sleep disorder. The study monitors various physiological parameters during sleep, including brain waves, eye movements, muscle activity, and heart rate. Which type of test is the client undergoing?

Correct Answer is C

Explanation

A nurse is educating a client about the potential impacts of sleep and wakefulness disorders on health and quality of life. Which of the following is a potential impact of sleep deprivation on cognitive function?

A nurse is assessing a client who reports difficulty initiating or maintaining sleep, causing impairment and distress. Which of the following statements made by the nurse reflects an appropriate assessment?

A nurse is explaining the potential impacts of sleep and wakefulness disorders to a client. Which of the following statements accurately reflects a possible impact on quality of life?

(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.

(Select all that apply):. A nurse is assisting a patient with implementing good sleep hygiene practices. Which of the following actions would the nurse recommend to the patient? Select all that apply.

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 nurse is assessing a patient who has been experiencing sleep deprivation. The patient complains of feeling more anxious and irritable lately. Which statement made by the patient aligns with the potential impacts of sleep and wakefulness disorders?

(Select All That Apply):. A nurse is assessing a client for possible sleep and wakefulness disorders. Which of the following are common symptoms that the nurse should consider? Select all that apply.