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?

"I've noticed that I've been having trouble falling asleep at night.".

"I've been taking melatonin supplements to help with my sleep.".

"I've been having vivid dreams and nightmares during the night.".

"I've been feeling really impatient and getting upset easily.".

Answer and Explanation

The Correct Answer is C

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.

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Correct Answer is B

Explanation

Choice A rationale:

Monitoring the patient's adherence to follow-up appointments is not the appropriate method for assessing changes in sleep patterns and symptoms. While follow-up appointments are important for tracking progress, they do not directly measure the patient's sleep patterns or symptoms.

Choice B rationale:

Asking the patient to rate their daytime sleepiness on a scale of 0-10 is a valid method for assessing changes in sleep patterns and symptoms. The Epworth Sleepiness Scale (ESS) is a commonly used tool for this purpose. It provides a subjective measure of the patient's level of daytime sleepiness, which can help gauge the effectiveness of interventions aimed at improving sleep.

Choice C rationale:

Measuring the patient's physical activity levels before and after treatment might be relevant to overall health assessment but is not a direct method of assessing changes in sleep patterns and symptoms. Physical activity can influence sleep, but it does not specifically measure the impact of interventions on sleep disorders.

Choice D rationale:

Reviewing the patient's family history of sleep disorders is important for understanding potential genetic predispositions to sleep problems. However, it is not a method for directly assessing changes in the patient's sleep patterns and symptoms resulting from interventions.

A. Exercising vigorously right before bedtime. B. Avoiding exposure to bright light at night. C. Using the bed for activities other than sleep. D. Maintaining a regular bedtime and rising time. E. Checking the phone frequently during the night.

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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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is evaluating the outcomes of interventions for a patient with sleep and wakefulness disorders. Which method would the nurse use to assess changes in the patient's sleep patterns and symptoms?

Correct Answer is B

Explanation

(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.

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

Explanation

A client is describing their sleep patterns to the nurse, mentioning that they frequently wake up during the night and have difficulty falling back asleep. Which statement indicates an understanding of the client's symptoms?

(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.

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 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 seeking information about the potential effects of sleep deprivation on physical health. Which of the following statements reflects a possible consequence of sleep deprivation on metabolic function?

A nurse is providing education to a group of patients in a sleep clinic about sleep hygiene measures. Which of the following statements accurately represents a sleep hygiene recommendation for promoting better sleep quality?

A client is inquiring about the potential consequences of sleep deprivation on cardiovascular health. Which of the following is a potential impact of sleep and wakefulness disorders on cardiovascular risk?