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 ["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.
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.
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