(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.

Allergies.

Degenerative neurologic illnesses.

Infections.

Mood disorders.

Caffeine consumption.

Answer and Explanation

Correct Answer : B,D

Choice A rationale:

Allergies are not typically considered medical disorders that directly contribute to sleep and wakefulness disorders. Allergic reactions can lead to discomfort and difficulty breathing, but they are not primary contributors to sleep disturbances.

Choice B rationale:

Degenerative neurologic illnesses, such as Parkinson's disease and Alzheimer's disease, can disrupt sleep patterns. These conditions may lead to changes in sleep architecture, insomnia, excessive daytime sleepiness, and other sleep-related issues.

Choice C rationale:

Infections can cause temporary disruptions in sleep due to symptoms like fever, discomfort, and respiratory issues. However, infections are not among the primary medical disorders known for contributing to chronic sleep and wakefulness disorders.

Choice D rationale:

Mood disorders like depression and anxiety can significantly impact sleep and wakefulness. Depression may lead to insomnia or oversleeping, while anxiety can cause difficulty falling asleep and maintaining sleep. Both conditions can affect sleep quality and duration.

Choice E rationale:

Caffeine consumption is a lifestyle factor, not a medical disorder. While caffeine intake, especially close to bedtime, can interfere with sleep, it is not classified as a medical disorder contributing to sleep and wakefulness disorders.

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Correct Answer is A

Explanation

Choice A rationale:

Insomnia often leads to significant daytime fatigue and tiredness due to inadequate sleep during the night. This statement indicates that the client is experiencing the expected consequence of insomnia, reinforcing the understanding of the client's symptoms.

Choice B rationale:

Mentioning that the client has been sleeping for more than 9 hours each night is not indicative of insomnia. In fact, excessive sleep is more characteristic of hypersomnolence rather than the difficulty in falling asleep or staying asleep associated with insomnia.

Choice C rationale:

Stating that the client wakes up feeling refreshed and alert every morning contradicts the typical experience of someone with insomnia. People with insomnia usually wake up feeling tired and unrefreshed due to the disrupted sleep they've had during the night.

Choice D rationale:

Expressing that the client experiences intense headaches during the day is not a specific symptom of insomnia. Headaches could be related to various causes and might not be directly linked to the client's sleep patterns.

A. Restless legs syndrome (RLS). B. Sleep-related rhythmic movement disorder (SRMD). C. Bruxism. D. Periodic limb movement disorder (PLMD).

Correct Answer is C

Explanation

Choice A rationale:

Restless legs syndrome (RLS). RLS is characterized by an irresistible urge to move the legs due to uncomfortable sensations. It is not associated with grinding of the teeth.

Choice B rationale:

Sleep-related rhythmic movement disorder (SRMD). SRMD involves repetitive and rhythmic movements during sleep, such as head banging or body rocking. It does not involve teeth grinding.

Choice C rationale:

Bruxism. This is the correct choice. Bruxism is the involuntary grinding or clenching of the teeth during sleep. It is often associated with stress, anxiety, and dental conditions. Treatment may involve the use of mouthguards to protect the teeth.

Choice D rationale:

Periodic limb movement disorder (PLMD). PLMD is characterized by repetitive limb movements during sleep, often involving the legs. It is not associated with teeth grinding.

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(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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

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?

Correct Answer is C

Explanation

A client is discussing the potential consequences of sleep and wakefulness disorders with a nurse. Which of the following statements accurately reflects a possible impact on sexual function?

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 nurse is discussing sleep-related movement disorders with a client. Select all of the following factors that can contribute to restless legs syndrome (RLS).

A nurse is evaluating the outcomes of interventions for a patient with sleep and wakefulness disorders. Which method would the nurse use to assess changes in the patient's sleep patterns and symptoms?

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

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.