(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.
"Do you consume caffeine-containing beverages close to bedtime?".
"How often do you engage in vigorous exercise before going to bed?".
"Have you ever had surgery to treat your sleep disorder?".
"Do you use your bed for activities other than sleep and sex?".
"Do you experience nightmares frequently?".
Correct Answer : A,D,E
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is ["A","D","E"]
Explanation
Choice A rationale:
Increased cardiovascular risk is a potential impact of sleep deprivation. Chronic sleep deprivation has been associated with an increased risk of conditions like hypertension, heart disease, and stroke.
Choice B rationale:
Enhanced immune function is not a potential impact of sleep deprivation. In fact, sleep deprivation can weaken the immune system, making individuals more susceptible to infections.
Choice C rationale:
Improved emotional regulation is not a potential impact of sleep deprivation. Sleep deprivation often leads to mood disturbances, irritability, and emotional instability.
Choice D rationale:
Reduced attention span is a potential impact of sleep deprivation. Lack of sleep can impair the ability to concentrate, focus, and sustain attention on tasks.
Choice E rationale:
Enhanced memory and learning is not a potential impact of sleep deprivation. On the contrary, sleep is crucial for memory consolidation and optimal cognitive function, and sleep deprivation can hinder learning and memory processes.
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