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.".
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.
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 C
Explanation
Choice A rationale:
Restless legs syndrome (RLS). RLS is characterized by an irresistible urge to move the legs due to uncomfortable sensations. It is not associated with grinding of the teeth.
Choice B rationale:
Sleep-related rhythmic movement disorder (SRMD). SRMD involves repetitive and rhythmic movements during sleep, such as head banging or body rocking. It does not involve teeth grinding.
Choice C rationale:
Bruxism. This is the correct choice. Bruxism is the involuntary grinding or clenching of the teeth during sleep. It is often associated with stress, anxiety, and dental conditions. Treatment may involve the use of mouthguards to protect the teeth.
Choice D rationale:
Periodic limb movement disorder (PLMD). PLMD is characterized by repetitive limb movements during sleep, often involving the legs. It is not associated with teeth grinding.
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