(Select all that apply):. A nurse is educating a group of patients about the treatment options for sleep and wakefulness disorders. Which of the following options would the nurse include in the discussion? Select all that apply.
Sleep hygiene measures.
Surgery as the first-line treatment.
Antidepressant medications.
Cognitive-behavioral therapy (CBT).
Psychotherapy only for physical causes of sleep problems.
Correct Answer : A,C,D
Choice A rationale:
Sleep hygiene measures are fundamental for improving sleep quality. These measures include creating a comfortable sleep environment, maintaining a consistent sleep schedule, avoiding caffeine and nicotine close to bedtime, and more. They are often the first step in managing sleep disorders.
Choice C rationale:
Antidepressant medications can sometimes be used to manage sleep disorders, particularly when they are linked to conditions like depression or anxiety. However, they are not typically the first-line treatment and should be considered based on individual patient needs and the guidance of a healthcare provider.
Choice D rationale:
Cognitive-behavioral therapy (CBT) is an evidence-based approach for treating various sleep disorders, including insomnia. It focuses on changing negative thought patterns and behaviors that contribute to sleep problems. CBT has shown effectiveness and is recommended as a primary treatment option.
Choice E rationale:
Psychotherapy can be beneficial for addressing psychological factors contributing to sleep problems. However, it's not limited to physical causes; psychological factors can play a significant role in sleep disorders as well. Therefore, psychotherapy is not exclusive to addressing only physical causes of sleep problems.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
Choice A rationale:
Vivid dreams can be associated with certain sleep disorders such as REM sleep behavior disorder, where individuals act out their dreams due to a lack of muscle paralysis during REM sleep. This can lead to physical movements during sleep and potentially result in injuries to the individual or their sleep partner.
Choice B rationale:
Hair thinning is not typically a symptom of sleep and wakefulness disorders. It is more commonly associated with factors like genetics, hormonal changes, and certain medical conditions such as alopecia.
Choice C rationale:
Feeling very energetic during the daytime is not aligned with the symptoms of sleep and wakefulness disorders. Sleep disorders often lead to daytime fatigue and excessive sleepiness rather than increased energy levels.
Choice D rationale:
Experiencing muscle spasms at night is not a classic symptom of sleep and wakefulness disorders. Muscle spasms could be related to various factors such as electrolyte imbalances, restless legs syndrome, or nocturnal leg cramps, but they are not among the primary symptoms of these disorders.
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