A nurse is educating a group of individuals about the factors contributing to sleep and wakefulness disorders. Which of the following categories is NOT among the common causes or risk factors for these disorders?
Medical disorders.
Mental health disorders.
Genetic predisposition.
Medications and substance use.
The Correct Answer is C
Choice A rationale:
Medical disorders can contribute to sleep and wakefulness disorders. Conditions such as sleep apnea, restless legs syndrome, and chronic pain can disrupt sleep patterns. Various medical conditions affect sleep architecture and can lead to sleep disturbances, affecting overall sleep quality.
Choice B rationale:
Mental health disorders are well-documented causes of sleep and wakefulness disorders. Conditions like insomnia, depression, anxiety, and bipolar disorder can directly impact sleep initiation, maintenance, and overall sleep quality. The bidirectional relationship between mental health and sleep is widely recognized in clinical literature.
Choice C rationale:
Genetic predisposition can play a role in sleep disorders, but it is not among the most common causes or risk factors. Some sleep disorders, such as narcolepsy and certain circadian rhythm disorders, have a genetic component. However, other factors like lifestyle, environment, and medical conditions often have more significant contributions.
Choice D rationale:
Medications and substance use are recognized contributors to sleep and wakefulness disorders. Many medications can interfere with sleep patterns, including stimulants, antidepressants, and certain antihypertensive drugs. Substance use, particularly alcohol and recreational drugs, can disrupt sleep architecture and lead to insomnia and poor sleep quality.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Increased irritability and anxiety are indeed potential impacts of sleep deprivation, but they primarily affect the emotional aspect of the individual rather than cognitive function.
Choice B rationale:
Altered metabolic function such as obesity is a potential impact of sleep deprivation, but it's related to metabolic processes rather than cognitive function.
Choice C rationale:
Impaired judgment and decision-making are well-documented effects of sleep deprivation. Sleep plays a crucial role in cognitive processes, and lack of adequate sleep can lead to difficulties in reasoning, problem-solving, and making sound decisions.
Choice D rationale:
Decreased sexual function like low libido is a potential impact of sleep deprivation, but it's related to sexual health rather than cognitive function.
Correct Answer is ["A","C","D"]
Explanation
Choice A rationale:
Sleep hygiene measures are fundamental for improving sleep quality. These measures include creating a comfortable sleep environment, maintaining a consistent sleep schedule, avoiding caffeine and nicotine close to bedtime, and more. They are often the first step in managing sleep disorders.
Choice C rationale:
Antidepressant medications can sometimes be used to manage sleep disorders, particularly when they are linked to conditions like depression or anxiety. However, they are not typically the first-line treatment and should be considered based on individual patient needs and the guidance of a healthcare provider.
Choice D rationale:
Cognitive-behavioral therapy (CBT) is an evidence-based approach for treating various sleep disorders, including insomnia. It focuses on changing negative thought patterns and behaviors that contribute to sleep problems. CBT has shown effectiveness and is recommended as a primary treatment option.
Choice E rationale:
Psychotherapy can be beneficial for addressing psychological factors contributing to sleep problems. However, it's not limited to physical causes; psychological factors can play a significant role in sleep disorders as well. Therefore, psychotherapy is not exclusive to addressing only physical causes of sleep problems.
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