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?

Actigraphy.

Maintenance of wakefulness test (MWT).

Polysomnography (PSG).

Epworth sleepiness scale.

Answer and Explanation

The Correct Answer is C

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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Correct Answer is C

Explanation

Choice A rationale:

"I've noticed that I've been having trouble falling asleep at night.". This choice suggests difficulty falling asleep, which is a common symptom of sleep deprivation. However, it does not directly align with the reported impacts of sleep and wakefulness disorders mentioned in the question. The primary concern in this question is related to the potential impacts of sleep and wakefulness disorders, particularly on emotional and psychological well-being.

Choice B rationale:

"I've been taking melatonin supplements to help with my sleep.". This choice indicates the patient's use of melatonin supplements to improve sleep. While melatonin can be used to regulate sleep patterns, its usage does not directly address the emotional and psychological impacts of sleep deprivation that the patient is complaining about. The focus here is on the potential impacts of sleep and wakefulness disorders beyond just using supplements.

Choice C rationale:

"I've been having vivid dreams and nightmares during the night.". This is the correct choice. Vivid dreams and nightmares during the night can be indicative of disruptions in sleep patterns and quality. Sleep and wakefulness disorders, such as insomnia and sleep apnea, can lead to fragmented sleep and an increased occurrence of vivid dreams and nightmares. These disruptions can contribute to feelings of anxiety and irritability, aligning with the patient's complaints.

Choice D rationale:

"I've been feeling really impatient and getting upset easily.". While irritability and impatience are potential consequences of sleep deprivation, this choice does not directly address the mention of vivid dreams and nightmares during the night. While irritability is a common symptom of sleep deprivation, the choice does not capture the emotional and psychological impacts of sleep and wakefulness disorders mentioned in the question.

A. Advise the client to continue with their current sleep habits. B. Recommend the client to use their bed for activities like reading and watching TV. C. Educate the client about sleep hygiene and behavioral interventions. D. Prescribe medications without consulting a healthcare provider.

Correct Answer is C

Explanation

Choice A rationale:

Advising the client to continue with their current sleep habits would not be appropriate because if the client is seeking help for sleep quality concerns, their current habits might be contributing to the issue. Without proper assessment and guidance, this could exacerbate the problem.

Choice B rationale:

Recommending the client to use their bed for activities like reading and watching TV is not ideal. The bed should be associated with sleep and relaxation, and engaging in stimulating activities can hinder the client's ability to fall asleep and stay asleep.

Choice C rationale:

Educating the client about sleep hygiene and behavioral interventions is the appropriate action. Sleep hygiene education includes teaching the client about practices that promote good sleep, such as maintaining a regular sleep schedule, creating a comfortable sleep environment, avoiding caffeine and heavy meals close to bedtime, and engaging in relaxing activities before sleep. Behavioral interventions can help address specific sleep problems and develop healthy sleep habits.

Choice D rationale:

Prescribing medications without consulting a healthcare provider is not within the nurse's scope of practice. Furthermore, medication should not be the first line of treatment for sleep concerns, and it's important to explore non-pharmacological interventions first.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

A client is concerned about their sleep quality and is seeking help. What would be the appropriate action for the nurse to take?

Correct Answer is C

Explanation

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?

(Select all that apply):. A nurse is educating a group of patients about the treatment options for sleep and wakefulness disorders. Which of the following options would the nurse include in the discussion? 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.

(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.

A nurse is discussing sleep-related movement disorders with a client. Select all of the following factors that can contribute to restless legs syndrome (RLS).

A client is inquiring about sleep-related movement disorders. Which of the following conditions involves grinding of the teeth during sleep and is often associated with stress and anxiety?

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?

A nurse is discussing the possible effects of sleep deprivation with a patient. Which of the following statements accurately represents a potential impact on immune function?