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 ["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.

A. "It's a good idea to exercise vigorously right before bedtime to tire yourself out.". B. "Drinking a cup of coffee in the evening can help you relax and fall asleep faster.". C. "You should use your bed for activities like watching TV and reading to help you wind down.". D. "Creating a quiet and comfortable sleeping environment can improve the quality of your sleep.".

Correct Answer is D

Explanation

Choice A rationale:

Exercising vigorously right before bedtime can actually have a counterproductive effect on sleep. Intense physical activity can increase alertness and body temperature, making it more difficult to fall asleep. It's recommended to finish exercising at least a few hours before bedtime.

Choice B rationale:

Drinking a cup of coffee in the evening is not advised for promoting better sleep quality. Caffeine is a stimulant that can interfere with sleep by increasing alertness and delaying the onset of sleep. It's generally recommended to avoid caffeine-containing beverages several hours before bedtime.

Choice C rationale:

Using the bed for activities like watching TV and reading can associate the bed with wakeful activities rather than sleep. This can confuse the brain and make it harder to fall asleep when you actually get into bed. To improve sleep quality, the bed should primarily be associated with sleep and intimate activities.

Choice D rationale:

Creating a quiet and comfortable sleeping environment is indeed a key sleep hygiene recommendation. A conducive sleep environment includes factors like a comfortable mattress and pillows, proper room temperature, minimal noise and light, and a relaxing bedtime routine. These factors can significantly contribute to better sleep quality.

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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

(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.

Correct Answer is ["A","C","D"]

Explanation

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?

Correct Answer is D

Explanation

A client is describing their experiences with sleep and wakefulness disorders. Select all the potential consequences of sleep deprivation that the client mentions.

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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?

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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?

A nurse is providing education to a group of clients about sleep and wakefulness disorders. Which of the following statements accurately defines sleep and its importance for human survival?

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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?