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?

Monitoring the patient's adherence to follow-up appointments.

Asking the patient to rate their daytime sleepiness on a scale of 0-10.

Measuring the patient's physical activity levels before and after treatment.

Reviewing the patient's family history of sleep disorders.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Monitoring the patient's adherence to follow-up appointments is not the appropriate method for assessing changes in sleep patterns and symptoms. While follow-up appointments are important for tracking progress, they do not directly measure the patient's sleep patterns or symptoms.

Choice B rationale:

Asking the patient to rate their daytime sleepiness on a scale of 0-10 is a valid method for assessing changes in sleep patterns and symptoms. The Epworth Sleepiness Scale (ESS) is a commonly used tool for this purpose. It provides a subjective measure of the patient's level of daytime sleepiness, which can help gauge the effectiveness of interventions aimed at improving sleep.

Choice C rationale:

Measuring the patient's physical activity levels before and after treatment might be relevant to overall health assessment but is not a direct method of assessing changes in sleep patterns and symptoms. Physical activity can influence sleep, but it does not specifically measure the impact of interventions on sleep disorders.

Choice D rationale:

Reviewing the patient's family history of sleep disorders is important for understanding potential genetic predispositions to sleep problems. However, it is not a method for directly assessing changes in the patient's sleep patterns and symptoms resulting from interventions.

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Correct Answer is D

Explanation

Choice A rationale:

"Sleep deprivation can lead to reduced susceptibility to infections.". This statement is incorrect. Sleep deprivation weakens the immune system and reduces the body's ability to fight off infections. Lack of sleep can lead to a decrease in the production of immune cells and antibodies, making individuals more susceptible to infections.

Choice B rationale:

"Sleep deprivation can enhance wound healing.". This statement is incorrect. Wound healing is adversely affected by sleep deprivation. Sleep is essential for the body's natural healing processes, as it allows for the release of growth factors and the repair of damaged tissues. Sleep deprivation can slow down wound healing and hinder the body's recovery mechanisms.

Choice C rationale:

"Sleep deprivation has no impact on autoimmune diseases.". This statement is incorrect. Sleep deprivation can have a significant impact on autoimmune diseases. Sleep plays a crucial role in regulating immune responses and maintaining immune system balance. Sleep deprivation can exacerbate autoimmune conditions and contribute to their progression.

Choice D rationale:

"Sleep deprivation can increase the risk of inflammation.". This is the correct answer. Sleep deprivation is known to increase the levels of pro-inflammatory cytokines in the body. These inflammatory markers can lead to chronic inflammation, which is associated with various health problems, including cardiovascular disease, diabetes, and neurodegenerative disorders.

A. "The patient will report increased daytime sleepiness and fatigue.". B. "The patient will demonstrate adherence to a variable sleep schedule.". C. "The patient will use caffeine-containing beverages to improve alertness during the day.". D. "The patient will verbalize understanding of the available treatment options for sleep disorders.".

Correct Answer is D

Explanation

Choice A rationale:

The goal for a patient with insomnia is to reduce daytime sleepiness and fatigue, not increase them. Therefore, aiming for the patient to report increased daytime sleepiness and fatigue would be counterproductive to the treatment of insomnia.

Choice B rationale:

A variable sleep schedule might worsen insomnia symptoms. Consistency in sleep timing is important to regulate the body's internal clock. Introducing variability in the sleep schedule could disrupt the circadian rhythm and exacerbate sleep difficulties.

Choice C rationale:

Using caffeine-containing beverages to improve alertness during the day contradicts the goal of treating insomnia. Caffeine is a stimulant that can interfere with sleep and exacerbate insomnia symptoms if consumed later in the day.

Choice D rationale:

The correct choice, this goal is appropriate for a patient with insomnia. It focuses on ensuring that the patient understands the available treatment options for sleep disorders. Educating the patient about treatment options empowers them to make informed decisions about their care. Treatment options may include lifestyle modifications, behavioral therapies, and, in some cases, pharmacological interventions. Informed patients are more likely to engage in effective self-management and collaborate with healthcare providers to develop an individualized treatment plan.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing the possible effects of sleep deprivation with a patient. Which of the following statements accurately represents a potential impact on immune function?

Correct Answer is D

Explanation

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

Correct Answer is D

Explanation

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?

(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.

A client is undergoing a sleep study to aid in the diagnosis of a sleep disorder. The study monitors various physiological parameters during sleep, including brain waves, eye movements, muscle activity, and heart rate. Which type of test is the client undergoing?

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 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?

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?