A nurse is providing education on treatment options for sleep-related breathing disorders. Select all of the following interventions that are commonly used for obstructive sleep apnea (OSA).

Continuous positive airway pressure (CPAP) device.

Oral appliance therapy (OAT).

Weight loss.

Surgery.

Medication (dopamine agonists).

Answer and Explanation

Correct Answer : A,C,D

Choice A rationale:

Continuous positive airway pressure (CPAP) device. This is a correct choice. CPAP is the primary treatment for obstructive sleep apnea (OSA). It involves wearing a mask that delivers a constant stream of air to keep the airway open during sleep, preventing the breathing interruptions characteristic of OSA.

Choice B rationale:

Oral appliance therapy (OAT). While OAT can be used for mild to moderate OSA, it is not as commonly used as CPAP. It involves wearing a custom-fitted oral device that helps keep the airway open by repositioning the jaw during sleep.

Choice C rationale:

Weight loss. This is a correct choice. Weight loss can significantly improve OSA, especially in cases where excess weight contributes to airway obstruction. Losing weight reduces the amount of tissue that can narrow the airway during sleep.

Choice D rationale:

Surgery. Surgical interventions may be considered for severe cases of OSA that don't respond well to CPAP or other treatments. Surgeries can involve removing excess tissue from the throat, repositioning the jaw, or creating a new airway passage. However, surgery is not as commonly used as CPAP or weight loss.

Choice E rationale:

Medication (dopamine agonists). Medications are not commonly used for the treatment of obstructive sleep apnea (OSA). Dopamine agonists are typically used to treat conditions like Parkinson's disease and restless legs syndrome, not OSA.

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Correct Answer is B

Explanation

Choice A rationale:

Excessive daytime sleepiness is a symptom that can occur in various sleep disorders, such as sleep apnea, narcolepsy, and even insufficient sleep due to poor sleep hygiene. However, the client's difficulty adjusting to different time zones due to frequent travel is more indicative of a disruption in circadian rhythms caused by shift work and jet lag, rather than a specific disorder characterized by excessive daytime sleepiness.

Choice B rationale:

Shift work sleep disorder is the correct choice. Frequent travel across different time zones disrupts the body's natural circadian rhythm, leading to difficulties in adjusting to new sleep-wake schedules. This disruption can result in insomnia, fatigue, and daytime sleepiness. The client's experience aligns with the characteristics of shift work sleep disorder, which is common among individuals who work irregular hours or travel frequently.

Choice C rationale:

Restless legs syndrome (RLS) involves uncomfortable sensations in the legs that lead to an urge to move them. This disorder is unlikely to be the cause of the client's difficulty adjusting to time zone changes and frequent travel. RLS symptoms are more related to sensations in the legs rather than disturbances in sleep-wake schedules.

Choice D rationale:

Mood disorders, such as depression and anxiety, can certainly impact sleep and wakefulness. However, the client's symptoms of struggling with time zone adjustments and frequent travel are more closely associated with disruptions in circadian rhythms due to changes in sleep schedules rather than being solely indicative of a mood disorder.

A. "CBT techniques involve using drugs to modify maladaptive thoughts and behaviors related to sleep.". B. "CBT techniques focus on addressing underlying psychological issues or stressors that contribute to sleep problems.". C. "CBT techniques mainly include relaxation training and imagery training to promote better sleep.". D. "CBT techniques are only effective when used in combination with medication treatments.".

Correct Answer is B

Explanation

Choice A rationale:

CBT techniques do not involve the use of drugs. Instead, they are focused on cognitive and behavioral strategies to address sleep-related issues without medication.

Choice B rationale:

This choice accurately represents the core principle of cognitive-behavioral therapy for sleep disorders. CBT aims to identify and address the underlying psychological factors, thoughts, and behaviors that contribute to sleep problems. It emphasizes techniques like cognitive restructuring, relaxation training, and sleep scheduling to improve sleep patterns.

Choice C rationale:

While relaxation training and imagery training can be components of CBT for sleep disorders, they are not the only focus. CBT encompasses a broader range of strategies, including cognitive restructuring and sleep education, to target the root causes of sleep disturbances.

Choice D rationale:

CBT techniques are effective on their own and do not require the use of medication treatments. In fact, CBT is often recommended as a first-line treatment for insomnia and other sleep disorders due to its efficacy without the potential side effects of medications.

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A nurse is providing education on treatment options for sleep-related breathing disorders. Select all of the following interventions that are commonly used for obstructive sleep apnea (OSA).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

A nurse is teaching a patient with sleep pattern disturbance about cognitive-behavioral therapy (CBT) techniques. Which statement accurately describes CBT for sleep disorders?

Correct Answer is B

Explanation

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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?

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 discussing their experiences with a nurse regarding sleep and wakefulness disorders. Select all the potential impacts of sleep deprivation mentioned in the text.

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

A nurse is implementing interventions to promote a safe sleeping environment for a patient with sleep disorders. What action would the nurse take to achieve this goal?

(Select all that apply):. A nurse is assisting a patient with implementing good sleep hygiene practices. Which of the following actions would the nurse recommend to the patient? Select all that apply.

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