(Select all that apply):. A nurse is assisting a patient with implementing good sleep hygiene practices. Which of the following actions would the nurse recommend to the patient? Select all that apply.
Exercising vigorously right before bedtime.
Avoiding exposure to bright light at night.
Using the bed for activities other than sleep.
Maintaining a regular bedtime and rising time.
Checking the phone frequently during the night.
Correct Answer : B,C,D
Choice A rationale:
Exercising vigorously right before bedtime is not a recommended sleep hygiene practice. It can actually stimulate the body and make it harder to fall asleep. Exercising earlier in the day is more beneficial for improving sleep.
Choice B rationale:
Avoiding exposure to bright light at night is a crucial sleep hygiene practice. Bright light, especially the blue light emitted by screens, can suppress the production of melatonin, a hormone that regulates sleep-wake cycles, making it harder to fall asleep.
Choice C rationale:
Using the bed for activities other than sleep can disrupt the association between the bed and sleep. It's important to create a mental connection between the bed and sleep to improve sleep quality. Engaging in activities like watching TV or working in bed can interfere with this association.
Choice D rationale:
Maintaining a regular bedtime and rising time helps regulate the body's internal clock and improves sleep quality. Consistency in sleep schedule reinforces the body's natural circadian rhythms, making it easier to fall asleep and wake up at the desired times.
Choice E rationale:
Checking the phone frequently during the night is not a recommended sleep hygiene practice. The blue light emitted by phones can suppress melatonin production and disrupt sleep. Additionally, waking up to check the phone can fragment sleep and make it harder to achieve restful sleep.
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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 ["B","C"]
Explanation
Choice A rationale:
Genetic factors. Restless legs syndrome (RLS) does have a genetic component, but it's not a major contributing factor on its own. While there might be a family history, it's not a primary cause of RLS.
Choice B rationale:
Iron deficiency anemia. This is a correct choice. Iron deficiency is strongly associated with restless legs syndrome (RLS). Iron is crucial for dopamine production and function, and dopamine dysregulation is thought to play a role in RLS. Treatment of iron deficiency can often alleviate RLS symptoms.
Choice C rationale:
Excessive caffeine consumption. This is a correct choice. Caffeine is a stimulant that can worsen symptoms of RLS. It can exacerbate the restlessness and discomfort in the legs that are characteristic of the disorder.
Choice D rationale:
Pregnancy. Pregnancy can trigger or worsen RLS symptoms, but it is not a primary cause of RLS. The hormonal changes and increased blood volume during pregnancy can lead to RLS symptoms, but these symptoms typically resolve after pregnancy.
Choice E rationale:
Chronic stress. Chronic stress can worsen RLS symptoms, but it is not a direct cause. Stress can exacerbate the discomfort and restlessness in the legs, making the symptoms more pronounced.
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