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 C

Explanation

Choice A rationale:

Medication (short-term use) is not the commonly recommended intervention for a sleep disorder characterized by excessive daytime sleepiness despite adequate nighttime sleep. While medication might be considered in certain cases, it is usually not the first-line treatment option for this condition. Medications can have side effects and may not address the underlying causes of the sleep disorder.

Choice B rationale:

Relaxation techniques can be helpful for improving sleep quality and managing stress, but they are not typically the primary intervention for excessive daytime sleepiness despite adequate nighttime sleep. Relaxation techniques focus more on promoting relaxation and reducing stress, which might indirectly improve sleep patterns but may not directly address the specific disorder described.

Choice C rationale:

Cognitive behavioral therapy (CBT) is commonly recommended for a sleep disorder characterized by excessive daytime sleepiness despite adequate nighttime sleep. CBT for insomnia (CBT-I) is an evidence-based approach that addresses the psychological and behavioral factors contributing to sleep disturbances. It focuses on improving sleep hygiene, modifying negative thought patterns about sleep, and establishing a consistent sleep schedule. CBT has shown effectiveness in treating sleep disorders without the potential side effects of medications.

Choice D rationale:

Avoiding alcohol and caffeine is generally a good practice for promoting healthy sleep, but it alone is not the commonly recommended intervention for a sleep disorder characterized by excessive daytime sleepiness despite adequate nighttime sleep. While avoiding alcohol and caffeine can help prevent sleep disturbances, it might not fully resolve the underlying disorder causing excessive sleepiness.

A. "Do you consume caffeine-containing beverages close to bedtime?". B. "How often do you engage in vigorous exercise before going to bed?". C. "Have you ever had surgery to treat your sleep disorder?". D. "Do you use your bed for activities other than sleep and sex?". E. "Do you experience nightmares frequently?".

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.

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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

A client is seeking information about treatment options for a sleep disorder characterized by excessive daytime sleepiness despite adequate nighttime sleep. Which of the following interventions is commonly recommended for this condition?

Correct Answer is C

Explanation

(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

(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 nurse is conducting a teaching session on types of sleep and wakefulness disorders. Which of the following classifications is characterized by abnormal behavioral, experiential, physiological, or psychological events occurring during sleep or sleep-wake transitions?

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

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?

A client is prescribed a medication to help manage their sleep disorder. Which statement accurately reflects a guideline for using medications to treat sleep and wakefulness disorders?

A nurse is assessing a patient who has been experiencing sleep deprivation. The patient complains of feeling more anxious and irritable lately. Which statement made by the patient aligns with the potential impacts of sleep and wakefulness disorders?

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?