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?
"Do you often find yourself experiencing excessive daytime sleepiness?".
"Have you been sleeping for more than 9 hours a night?".
"Are you experiencing episodes of abnormal respiratory patterns during sleep?".
"Have you been falling asleep at inappropriate times during the day?".
The Correct Answer is A
Choice A rationale:
Excessive daytime sleepiness is a common consequence of insomnia. This question aims to assess whether the client experiences daytime impairment due to poor sleep initiation or maintenance. Inquiring about excessive daytime sleepiness is crucial because it reflects the potential impact of insomnia on the client's daily functioning.
Choice B rationale:
Asking about whether the client sleeps for more than 9 hours a night is not directly related to insomnia. While prolonged sleep can be seen in certain conditions like hypersomnolence, it doesn't address the core symptom of difficulty initiating or maintaining sleep associated with insomnia.
Choice C rationale:
Inquiring about abnormal respiratory patterns during sleep is relevant for sleep disorders like sleep apnea, which can cause disruptions in sleep due to breathing difficulties. However, this question is not specific to the symptoms of insomnia, which involve difficulties falling asleep or staying asleep.
Choice D rationale:
Asking about falling asleep at inappropriate times during the day is more aligned with narcolepsy, a disorder characterized by sudden and uncontrollable episodes of falling asleep. While some individuals with insomnia might experience daytime sleepiness, it's not a defining feature of the disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Insomnia refers to the difficulty of initiating or maintaining sleep or experiencing nonrestorative sleep, often resulting in daytime impairments. It doesn't involve abnormal behavioral or physiological events during sleep, making it an incorrect choice.
Choice B rationale:
Hypersomnolence is characterized by excessive daytime sleepiness and prolonged nighttime sleep, but it doesn't encompass abnormal events during sleep. It focuses on excessive sleep rather than abnormal behaviors or experiences during sleep.
Choice C rationale:
Circadian rhythm sleep-wake disorders involve disruptions in the sleep-wake cycle due to misalignment with the natural circadian rhythm. While this can lead to difficulties in falling asleep or staying awake at desired times, it doesn't specifically account for abnormal behavioral or experiential events during sleep.
Choice D rationale:
Parasomnias involve abnormal behaviors, experiences, physiological events, or psychological events occurring during sleep or sleep-wake transitions. These include disorders like sleepwalking, night terrors, sleep-related eating disorders, and rapid eye movement (REM) sleep behavior disorder. These behaviors are outside the range of normal sleep activities and differentiate parasomnias from other sleep disorders.
Correct Answer is ["A","C","D"]
Explanation
Choice A rationale:
Sleep hygiene measures are fundamental for improving sleep quality. These measures include creating a comfortable sleep environment, maintaining a consistent sleep schedule, avoiding caffeine and nicotine close to bedtime, and more. They are often the first step in managing sleep disorders.
Choice C rationale:
Antidepressant medications can sometimes be used to manage sleep disorders, particularly when they are linked to conditions like depression or anxiety. However, they are not typically the first-line treatment and should be considered based on individual patient needs and the guidance of a healthcare provider.
Choice D rationale:
Cognitive-behavioral therapy (CBT) is an evidence-based approach for treating various sleep disorders, including insomnia. It focuses on changing negative thought patterns and behaviors that contribute to sleep problems. CBT has shown effectiveness and is recommended as a primary treatment option.
Choice E rationale:
Psychotherapy can be beneficial for addressing psychological factors contributing to sleep problems. However, it's not limited to physical causes; psychological factors can play a significant role in sleep disorders as well. Therefore, psychotherapy is not exclusive to addressing only physical causes of sleep problems.
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