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

"The patient will report increased daytime sleepiness and fatigue.".

"The patient will demonstrate adherence to a variable sleep schedule.".

"The patient will use caffeine-containing beverages to improve alertness during the day.".

"The patient will verbalize understanding of the available treatment options for sleep disorders.".

Answer and Explanation

The Correct Answer is D

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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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. "Sleep deprivation can enhance overall well-being and happiness.". B. "Sleep deprivation may improve academic achievement.". C. "Sleep deprivation can negatively affect work performance.". D. "Sleep deprivation has no effect on physical appearance.".

Correct Answer is C

Explanation

Choice A rationale:

"Sleep deprivation can enhance overall well-being and happiness.". This choice contradicts the known negative effects of sleep deprivation. Sleep deprivation is associated with reduced overall well-being, increased stress, and mood disturbances. The statement is not accurate and does not align with the question's context.

Choice B rationale:

"Sleep deprivation may improve academic achievement.". This choice is also inaccurate. Sleep deprivation is well-known to impair cognitive function, including memory, attention, and learning. It is unlikely to improve academic achievement and can, in fact, hinder it.

Choice C rationale:

"Sleep deprivation can negatively affect work performance.". This is the correct choice. Sleep deprivation can lead to reduced cognitive function, impaired decision-making, and decreased concentration, all of which negatively impact work performance. This aligns with the potential impacts of sleep and wakefulness disorders on quality of life.

Choice D rationale:

"Sleep deprivation has no effect on physical appearance.". While the statement might be tempting to consider, it is inaccurate. Sleep deprivation can affect physical appearance by causing under-eye circles, skin issues, and a generally tired and worn-out appearance. The choice does not align with the well-documented effects of sleep deprivation on physical appearance.

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

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 explaining the potential impacts of sleep and wakefulness disorders to a client. Which of the following statements accurately reflects a possible impact on quality of life?

Correct Answer is C

Explanation

(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 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 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?

(Select All That Apply):. A nurse is assessing a client's medical history for potential risk factors for sleep and wakefulness disorders. Which of the following are considered medical disorders that can contribute to these disorders? Select all that apply.

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 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 nurse is providing education to a group of patients in a sleep clinic about sleep hygiene measures. Which of the following statements accurately represents a sleep hygiene recommendation for promoting better sleep quality?

(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.