(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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Exercising vigorously right before bedtime can actually have a counterproductive effect on sleep. Intense physical activity can increase alertness and body temperature, making it more difficult to fall asleep. It's recommended to finish exercising at least a few hours before bedtime.
Choice B rationale:
Drinking a cup of coffee in the evening is not advised for promoting better sleep quality. Caffeine is a stimulant that can interfere with sleep by increasing alertness and delaying the onset of sleep. It's generally recommended to avoid caffeine-containing beverages several hours before bedtime.
Choice C rationale:
Using the bed for activities like watching TV and reading can associate the bed with wakeful activities rather than sleep. This can confuse the brain and make it harder to fall asleep when you actually get into bed. To improve sleep quality, the bed should primarily be associated with sleep and intimate activities.
Choice D rationale:
Creating a quiet and comfortable sleeping environment is indeed a key sleep hygiene recommendation. A conducive sleep environment includes factors like a comfortable mattress and pillows, proper room temperature, minimal noise and light, and a relaxing bedtime routine. These factors can significantly contribute to better sleep quality.
Correct Answer is D
Explanation
Choice A rationale:
"Sleep deprivation can lead to reduced susceptibility to infections.". This statement is incorrect. Sleep deprivation weakens the immune system and reduces the body's ability to fight off infections. Lack of sleep can lead to a decrease in the production of immune cells and antibodies, making individuals more susceptible to infections.
Choice B rationale:
"Sleep deprivation can enhance wound healing.". This statement is incorrect. Wound healing is adversely affected by sleep deprivation. Sleep is essential for the body's natural healing processes, as it allows for the release of growth factors and the repair of damaged tissues. Sleep deprivation can slow down wound healing and hinder the body's recovery mechanisms.
Choice C rationale:
"Sleep deprivation has no impact on autoimmune diseases.". This statement is incorrect. Sleep deprivation can have a significant impact on autoimmune diseases. Sleep plays a crucial role in regulating immune responses and maintaining immune system balance. Sleep deprivation can exacerbate autoimmune conditions and contribute to their progression.
Choice D rationale:
"Sleep deprivation can increase the risk of inflammation.". This is the correct answer. Sleep deprivation is known to increase the levels of pro-inflammatory cytokines in the body. These inflammatory markers can lead to chronic inflammation, which is associated with various health problems, including cardiovascular disease, diabetes, and neurodegenerative disorders.
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