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:

Sleep diary involves individuals tracking their sleep patterns and habits over a certain period of time, usually done by the individual themselves. It does not involve monitoring physiological parameters during sleep, such as brain waves, eye movements, muscle activity, heart rate, breathing patterns, and body position. A sleep diary is a subjective self-reporting tool rather than a comprehensive assessment method.

Choice B rationale:

Physical examination can provide some information about a person's overall health, but it doesn't directly involve monitoring the specific physiological parameters mentioned. It focuses more on identifying physical health issues through a general examination rather than assessing sleep and wakefulness disorders.

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 or EEG), eye movements (electrooculogram or EOG), muscle activity (electromyogram or EMG), heart rate (electrocardiogram or ECG), breathing patterns, and body position. It is considered the gold standard for diagnosing sleep disorders and provides valuable data about sleep stages, sleep-related breathing disorders, and other sleep-related issues.

Choice D rationale:

Sleep history involves collecting information about an individual's sleep patterns, habits, and behaviors over time. While it provides important insights into sleep-related problems, it doesn't directly involve monitoring physiological parameters during sleep like PSG does. Sleep history is typically obtained through interviews and questionnaires.

A. "Do you consume caffeine-containing beverages close to bedtime?". B. "How often do you engage in vigorous exercise before going to bed?". C. "Have you ever had surgery to treat your sleep disorder?". D. "Do you use your bed for activities other than sleep and sex?". E. "Do you experience nightmares frequently?".

Correct Answer is ["A","D","E"]

Explanation

Choice A rationale:

Asking about caffeine consumption close to bedtime is relevant as caffeine is a stimulant that can interfere with sleep. Consuming caffeine too close to bedtime can disrupt sleep onset and overall sleep quality.

Choice B rationale:

Engaging in vigorous exercise before going to bed can increase alertness and body temperature, making it harder to fall asleep. It's important to finish exercise several hours before bedtime to allow the body to wind down.

Choice C rationale:

Inquiring about surgery for sleep disorders might not directly provide information about the patient's sleep patterns. While surgeries like sleep apnea treatment might impact sleep, this question is less focused on gathering information about sleep habits.

Choice D rationale:

Asking whether the patient uses the bed for activities other than sleep and sex is relevant to understanding sleep hygiene. Using the bed for activities like work or watching TV can disrupt the association between the bed and sleep.

Choice E rationale:

Inquiring about nightmares frequency can provide insight into sleep quality and potential sleep disturbances. Frequent nightmares can lead to fragmented sleep and contribute to sleep pattern disturbances.

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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 educating a group of individuals about the methods used in diagnosing sleep and wakefulness disorders. Which of the following assessment components involves monitoring brain waves, eye movements, muscle activity, heart rate, breathing patterns, and body position during sleep?

Correct Answer is C

Explanation

(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.

Correct Answer is ["A","D","E"]

Explanation

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.

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?

A client is prescribed a medication to help manage their sleep disorder. Which statement accurately reflects a guideline for using medications to treat sleep and wakefulness disorders?

A nurse is educating a group of clients about sleep-related breathing disorders. Which of the following symptoms is often associated with obstructive sleep apnea (OSA)?

A client is seeking information about a sleep disorder involving abnormal movements of the limbs or body during sleep. Which of the following conditions is characterized by repetitive or stereotyped movements during sleep or while falling asleep?

A nurse is teaching a patient with sleep pattern disturbance about cognitive-behavioral therapy (CBT) techniques. Which statement accurately describes CBT for sleep disorders?

(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.

(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.