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Insights into various sleep disorders, their causes, and appropriate measures to manage them. Topics covered include short-term sleep disturbances caused by emotional stress, safety measures for sleepwalkers, medications that may cause insomnia, manifestations of narcolepsy, recommendations for clients with obstructive sleep apnea, effects of sleep deprivation, and the use of cognitive therapy to treat insomnia. The document also includes information on the recommended sleep hours for children and the role of circadian synchronization in maintaining optimal health.
Typology: Exams
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A nurse should share with a group of attendees at a sleep disorders workshop that the primary cause of short-term sleep disturbances is? - Emotional Stress
Emotional Stress preoccupies the mind and does not allow it to become calm and ready for sleep. Sleep experts consider it the primary cause of short-term sleep problems.
A nurse is talking with a parent who has two young children who sleepwalk. Which of the following information is the priority for the nurse to emphasize with this parent? - Install gates to block the children's access to stairways
The greatest risk to sleepwalkers is injury. This, the priority is for parents to take reasonable measures to ensure the children's safety, such as by installing gates to block access to stairways and to fortify doors with additional locks or alarms.
A nurse is reviewing the medication history of a client who reports having difficulty sleeping. Which of the following classifications includes some medications that should alert the nurse to the possible adverse effect of insomnia? - Antidysrhythmics
Many medications cause insomnia, including some that treat cardiovascular problems. An example is the beta blockers. Some that treat respiratory disorders, like the bronchodilators, also cause insomnia.
A nurse is talking with a parent whose teenage boy is undergoing a sleep study. The parent asks the nurse about narcolepsy. The nurse should explain that the most common manifestation of narcolepsy is.... - Excessive daytime sleepiness
Narcolepsy apparently stems from a lack of a biochemical called hypocretin in the part of the central nervous system that controls sleep. Its most common manifestation is excessive daytime sleepiness.
A nurse is talking with a client who is about to begin using a continuous positive airway pressure device to treat obstructive sleep apnea. What 4 things should the nurse recommend for clients with sleep apnea? - Sleep on their side Avoid alcohol Do not smoke
RN is preparing a "lunch and learn" presentation for a group of coworkers about sleep deprivation. She should explain that people who are sleep deprived can develop what manifestations? - Slow reflexes Loss of fine motor control Blurred vision
Cardiac dysrhythmias
A nurse is giving a presentation about treating sleep disorders as part of a continuing education program. She should explain that the purpose of using cognitive therapy to treat insomnia is to help clients - Develop a positive outlook about sleep
With cognitive therapy, clients can change sleep habits and improve scheduling factors that interfere with sleep, as well as change misconceptions about sleep
Between the ages of 3 - 6 years, a child needs an average of how many hours of sleep per night? - 12
Children need 11-13 hrs of sleep per night (average of 12) and may be restless and irritable if they do not get it
A nurse is teaching a client who is undergoing a sleep study to confirm obstructive sleep apnea. What should the nurse include in the teaching? - With OSA, oral structures relax during sleep and block the flow of air
OSA involves structures of the mouth and throat relaxing during sleep and blocking the flow of air. The diaphragm works harder to "blow through" the obstructions and eventually the person breathes again.
A nurse is talking with coworkers about changing a rotating shift policy. She explains the importance of circadian synchronization for optimal health, and well being. What is an example of this phenomenon? - Being awake when body temperature peaks
People are in circadian synchronization when, for example, they are awake when their
body temperature is the highest and sleep when it is lowest. Their biological clock is
working with their circadian rhythms and not against them.