(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 C

Explanation

Choice A rationale:

Medical disorders can contribute to sleep and wakefulness disorders. Conditions such as sleep apnea, restless legs syndrome, and chronic pain can disrupt sleep patterns. Various medical conditions affect sleep architecture and can lead to sleep disturbances, affecting overall sleep quality.

Choice B rationale:

Mental health disorders are well-documented causes of sleep and wakefulness disorders. Conditions like insomnia, depression, anxiety, and bipolar disorder can directly impact sleep initiation, maintenance, and overall sleep quality. The bidirectional relationship between mental health and sleep is widely recognized in clinical literature.

Choice C rationale:

Genetic predisposition can play a role in sleep disorders, but it is not among the most common causes or risk factors. Some sleep disorders, such as narcolepsy and certain circadian rhythm disorders, have a genetic component. However, other factors like lifestyle, environment, and medical conditions often have more significant contributions.

Choice D rationale:

Medications and substance use are recognized contributors to sleep and wakefulness disorders. Many medications can interfere with sleep patterns, including stimulants, antidepressants, and certain antihypertensive drugs. Substance use, particularly alcohol and recreational drugs, can disrupt sleep architecture and lead to insomnia and poor sleep quality.

A. Provide the patient with caffeinated beverages in the evening. B. Encourage the patient to exercise vigorously right before bedtime. C. Minimize noise and disturbances in the patient's sleeping environment. D. Administer medications to induce sleep at the patient's desired time.

Correct Answer is C

Explanation

Choice A rationale:

Providing the patient with caffeinated beverages in the evening is counterproductive to promoting a safe sleeping environment. Caffeine is a stimulant that can interfere with the ability to fall asleep and stay asleep.

Choice B rationale:

Encouraging the patient to exercise vigorously right before bedtime can actually hinder sleep. Exercise increases alertness and releases adrenaline, making it harder for the body to relax and prepare for sleep. It's recommended to finish vigorous exercise at least a few hours before bedtime.

Choice C rationale:

The correct choice, this action is essential for promoting a safe sleeping environment. Noise and disturbances can disrupt sleep and prevent the patient from achieving restful sleep. Minimizing noise and disturbances can involve measures such as using earplugs, ensuring a comfortable room temperature, and darkening the room to reduce light exposure.

Choice D rationale:

Administering medications to induce sleep at the patient's desired time might lead to dependence on medications for sleep initiation. It's important to address the underlying causes of sleep disorders and use medications judiciously under medical supervision, as stated in Choice D.

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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 nurse is educating a group of individuals about the factors contributing to sleep and wakefulness disorders. Which of the following categories is NOT among the common causes or risk factors for these disorders?

Correct Answer is C

Explanation

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?

Correct Answer is C

Explanation

A client is seeking information about the potential effects of sleep deprivation on physical health. Which of the following statements reflects a possible consequence of sleep deprivation on metabolic function?

(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.

(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.

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

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 educating a group of clients about sleep-related breathing disorders. Which of the following symptoms is often associated with obstructive sleep apnea (OSA)?