A nurse is conducting an assessment with a client who has been experiencing difficulty adjusting to different time zones due to frequent travel. Which aspect of sleep and wakefulness disorders is the client likely experiencing?

Excessive daytime sleepiness.

Shift work sleep disorder.

Restless legs syndrome.

Mood disorder.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Excessive daytime sleepiness is a symptom that can occur in various sleep disorders, such as sleep apnea, narcolepsy, and even insufficient sleep due to poor sleep hygiene. However, the client's difficulty adjusting to different time zones due to frequent travel is more indicative of a disruption in circadian rhythms caused by shift work and jet lag, rather than a specific disorder characterized by excessive daytime sleepiness.

Choice B rationale:

Shift work sleep disorder is the correct choice. Frequent travel across different time zones disrupts the body's natural circadian rhythm, leading to difficulties in adjusting to new sleep-wake schedules. This disruption can result in insomnia, fatigue, and daytime sleepiness. The client's experience aligns with the characteristics of shift work sleep disorder, which is common among individuals who work irregular hours or travel frequently.

Choice C rationale:

Restless legs syndrome (RLS) involves uncomfortable sensations in the legs that lead to an urge to move them. This disorder is unlikely to be the cause of the client's difficulty adjusting to time zone changes and frequent travel. RLS symptoms are more related to sensations in the legs rather than disturbances in sleep-wake schedules.

Choice D rationale:

Mood disorders, such as depression and anxiety, can certainly impact sleep and wakefulness. However, the client's symptoms of struggling with time zone adjustments and frequent travel are more closely associated with disruptions in circadian rhythms due to changes in sleep schedules rather than being solely indicative of a mood disorder.

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Correct Answer is C

Explanation

Choice A rationale:

Providing the patient with caffeinated beverages in the evening is counterproductive to promoting a safe sleeping environment. Caffeine is a stimulant that can interfere with the ability to fall asleep and stay asleep.

Choice B rationale:

Encouraging the patient to exercise vigorously right before bedtime can actually hinder sleep. Exercise increases alertness and releases adrenaline, making it harder for the body to relax and prepare for sleep. It's recommended to finish vigorous exercise at least a few hours before bedtime.

Choice C rationale:

The correct choice, this action is essential for promoting a safe sleeping environment. Noise and disturbances can disrupt sleep and prevent the patient from achieving restful sleep. Minimizing noise and disturbances can involve measures such as using earplugs, ensuring a comfortable room temperature, and darkening the room to reduce light exposure.

Choice D rationale:

Administering medications to induce sleep at the patient's desired time might lead to dependence on medications for sleep initiation. It's important to address the underlying causes of sleep disorders and use medications judiciously under medical supervision, as stated in Choice D.

A. "CBT techniques involve using drugs to modify maladaptive thoughts and behaviors related to sleep.". B. "CBT techniques focus on addressing underlying psychological issues or stressors that contribute to sleep problems.". C. "CBT techniques mainly include relaxation training and imagery training to promote better sleep.". D. "CBT techniques are only effective when used in combination with medication treatments.".

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.

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A nurse is conducting an assessment with a client who has been experiencing difficulty adjusting to different time zones due to frequent travel. Which aspect of sleep and wakefulness disorders is the client likely experiencing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is implementing interventions to promote a safe sleeping environment for a patient with sleep disorders. What action would the nurse take to achieve this goal?

Correct Answer is C

Explanation

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 nurse is providing education to a group of clients about sleep and wakefulness disorders. Which of the following statements accurately defines sleep and its importance for human survival?

(Select All That Apply):. A nurse is educating a group of individuals about the factors that contribute to sleep and wakefulness disorders. Which of the following are considered lifestyle factors that can influence sleep patterns? Select all that apply.

A nurse is planning care for a patient with insomnia. Which of the following goals would be appropriate for this patient?

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?

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?

A nurse is educating a group of clients about sleep and wakefulness disorders. Select all the potential impacts of sleep deprivation mentioned in the text.