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.".

Answer and Explanation

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

Explanation

Choice A rationale:

Asking about caffeine consumption close to bedtime is relevant as caffeine is a stimulant that can interfere with sleep. Consuming caffeine too close to bedtime can disrupt sleep onset and overall sleep quality.

Choice B rationale:

Engaging in vigorous exercise before going to bed can increase alertness and body temperature, making it harder to fall asleep. It's important to finish exercise several hours before bedtime to allow the body to wind down.

Choice C rationale:

Inquiring about surgery for sleep disorders might not directly provide information about the patient's sleep patterns. While surgeries like sleep apnea treatment might impact sleep, this question is less focused on gathering information about sleep habits.

Choice D rationale:

Asking whether the patient uses the bed for activities other than sleep and sex is relevant to understanding sleep hygiene. Using the bed for activities like work or watching TV can disrupt the association between the bed and sleep.

Choice E rationale:

Inquiring about nightmares frequency can provide insight into sleep quality and potential sleep disturbances. Frequent nightmares can lead to fragmented sleep and contribute to sleep pattern disturbances.

A. Sleep diary. B. Physical examination. C. Polysomnography (PSG). D. Sleep history.

Correct Answer is C

Explanation

Choice A rationale:

Sleep diary involves individuals tracking their sleep patterns and habits over a certain period of time, usually done by the individual themselves. It does not involve monitoring physiological parameters during sleep, such as brain waves, eye movements, muscle activity, heart rate, breathing patterns, and body position. A sleep diary is a subjective self-reporting tool rather than a comprehensive assessment method.

Choice B rationale:

Physical examination can provide some information about a person's overall health, but it doesn't directly involve monitoring the specific physiological parameters mentioned. It focuses more on identifying physical health issues through a general examination rather than assessing sleep and wakefulness disorders.

Choice C rationale:

Polysomnography (PSG) is the correct choice. PSG is a comprehensive sleep study that involves monitoring various physiological parameters during sleep, including brain waves (electroencephalogram or EEG), eye movements (electrooculogram or EOG), muscle activity (electromyogram or EMG), heart rate (electrocardiogram or ECG), breathing patterns, and body position. It is considered the gold standard for diagnosing sleep disorders and provides valuable data about sleep stages, sleep-related breathing disorders, and other sleep-related issues.

Choice D rationale:

Sleep history involves collecting information about an individual's sleep patterns, habits, and behaviors over time. While it provides important insights into sleep-related problems, it doesn't directly involve monitoring physiological parameters during sleep like PSG does. Sleep history is typically obtained through interviews and questionnaires.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

(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.

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

Explanation

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?

Correct Answer is C

Explanation

(Select All That Apply):. A nurse is assessing a client for possible sleep and wakefulness disorders. Which of the following are common symptoms that the nurse should consider? Select all that apply.

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?

(Select All That Apply):. A nurse is educating a group of individuals about the factors that contribute to sleep and wakefulness disorders. Which of the following are considered lifestyle factors that can influence sleep patterns? Select all that apply.

A nurse is educating a group of clients about sleep and wakefulness disorders. Select all the potential impacts of sleep deprivation mentioned in the text.

A nurse is educating a client about the potential impacts of sleep and wakefulness disorders on health and quality of life. Which of the following is a potential impact of sleep deprivation on cognitive function?

A client is describing their sleep patterns to the nurse, mentioning that they frequently wake up during the night and have difficulty falling back asleep. Which statement indicates an understanding of the client's symptoms?

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?

(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.