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).

Genetic factors.

Iron deficiency anemia.

Excessive caffeine consumption.

Pregnancy.

Chronic stress.

Answer and Explanation

Correct Answer : B,C

Choice A rationale:

Genetic factors. Restless legs syndrome (RLS) does have a genetic component, but it's not a major contributing factor on its own. While there might be a family history, it's not a primary cause of RLS.

Choice B rationale:

Iron deficiency anemia. This is a correct choice. Iron deficiency is strongly associated with restless legs syndrome (RLS). Iron is crucial for dopamine production and function, and dopamine dysregulation is thought to play a role in RLS. Treatment of iron deficiency can often alleviate RLS symptoms.

Choice C rationale:

Excessive caffeine consumption. This is a correct choice. Caffeine is a stimulant that can worsen symptoms of RLS. It can exacerbate the restlessness and discomfort in the legs that are characteristic of the disorder.

Choice D rationale:

Pregnancy. Pregnancy can trigger or worsen RLS symptoms, but it is not a primary cause of RLS. The hormonal changes and increased blood volume during pregnancy can lead to RLS symptoms, but these symptoms typically resolve after pregnancy.

Choice E rationale:

Chronic stress. Chronic stress can worsen RLS symptoms, but it is not a direct cause. Stress can exacerbate the discomfort and restlessness in the legs, making the symptoms more pronounced.

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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.

A. "Do you often find yourself experiencing excessive daytime sleepiness?". B. "Have you been sleeping for more than 9 hours a night?". C. "Are you experiencing episodes of abnormal respiratory patterns during sleep?". D. "Have you been falling asleep at inappropriate times during the day?".

Correct Answer is A

Explanation

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.

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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).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is inquiring about sleep-related movement disorders. Which of the following conditions involves grinding of the teeth during sleep and is often associated with stress and anxiety?

Correct Answer is C

Explanation

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?

Correct Answer is A

Explanation

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

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?

A client is seeking information about treatment options for a sleep disorder characterized by excessive daytime sleepiness despite adequate nighttime sleep. Which of the following interventions is commonly recommended for this condition?

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 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 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?