A nurse is teaching a patient with sleep pattern disturbance about cognitive-behavioral therapy (CBT) techniques. Which statement accurately describes CBT for sleep disorders?
"CBT techniques involve using drugs to modify maladaptive thoughts and behaviors related to sleep.".
"CBT techniques focus on addressing underlying psychological issues or stressors that contribute to sleep problems.".
"CBT techniques mainly include relaxation training and imagery training to promote better sleep.".
"CBT techniques are only effective when used in combination with medication treatments.".
The Correct Answer is B
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Using medications as the primary long-term treatment for sleep disorders is not recommended due to the potential for tolerance, dependency, and adverse effects. Many sleep medications can lose their effectiveness over time, and relying solely on medications may not address the underlying causes of sleep disturbances.
Choice B rationale:
Over-the-counter antihistamines are not the preferred choice for treating sleep problems, as they can lead to drowsiness the next day and potentially interact with other medications. Their safety profile for long-term use is not well-established, and they might not address the root causes of sleep disorders.
Choice C rationale:
Taking medications in varying dosages without consulting a healthcare professional is unsafe and can lead to unpredictable effects, including overdose and adverse reactions. Dosing of sleep medications should be carefully monitored and adjusted based on individual needs and response.
Choice D rationale:
The correct choice, this statement accurately reflects the guideline for using medications to treat sleep and wakefulness disorders. Medications for sleep disorders should be used cautiously and under medical supervision. This is because sleep medications can have potential side effects such as drowsiness, impaired cognitive function, and even rebound insomnia upon discontinuation. Additionally, there's a risk of interactions with other medications the patient might be taking. Healthcare professionals should evaluate the patient's medical history, potential drug interactions, and individual needs before prescribing sleep medications. Non-pharmacological interventions and addressing underlying causes of sleep disorders are also important aspects of treatment.
Correct Answer is ["A","D"]
Explanation
Choice A rationale:
Stress can significantly impact sleep patterns. Chronic stress can lead to difficulties falling asleep, staying asleep, or experiencing restorative sleep. The release of stress hormones like cortisol can disrupt the natural sleep-wake cycle, making it harder to achieve and maintain quality sleep.
Choice B rationale:
Genetic predisposition can influence an individual's susceptibility to sleep disorders. Genetic factors may play a role in conditions like narcolepsy, restless legs syndrome, and sleep apnea. However, it's not a lifestyle factor; rather, it's a biological factor affecting sleep.
Choice C rationale:
Height is not a lifestyle factor that directly influences sleep patterns. There is no established connection between an individual's height and their sleep-wake cycle or the occurrence of sleep disorders.
Choice D rationale:
Smoking can disrupt sleep patterns. Nicotine is a stimulant that can interfere with falling asleep and staying asleep. Smokers often experience sleep disturbances, such as difficulty falling asleep and fragmented sleep. Therefore, smoking is a relevant lifestyle factor affecting sleep.
Choice E rationale:
Enhanced physical strength is not a lifestyle factor that affects sleep patterns. While physical activity can impact sleep, this specific factor does not have a direct correlation with sleep-wake disorders.
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