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RPSGT Domain 1 (Clinical Overview, Education,Patient Support) Comprehensive Exam Guide 202, Exams of Nursing

RPSGT Domain 1 (Clinical Overview, Education,Patient Support) Comprehensive Exam Guide 2024RPSGT Domain 1 (Clinical Overview, Education,Patient Support) Comprehensive Exam Guide 2024RPSGT Domain 1 (Clinical Overview, Education,Patient Support) Comprehensive Exam Guide 2024RPSGT Domain 1 (Clinical Overview, Education,Patient Support) Comprehensive Exam Guide 2024

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Download RPSGT Domain 1 (Clinical Overview, Education,Patient Support) Comprehensive Exam Guide 202 and more Exams Nursing in PDF only on Docsity! RPSGT Domain 1 (Clinical Overview, Education, Patient Support) Comprehensive Exam Guide 2024 1. What is the recommended amount of sleep for adults according to sleep hygiene guidelines? A) 5-6 hours B) 7-9 hours C) 10-12 hours D) As much as possible Correct Answer: B) 7-9 hours Rationale: The National Sleep Foundation recommends 7-9 hours of sleep for adults, as this duration has been found to be most beneficial for health and well-being. 2. Which of the following is NOT a recommended practice for improving sleep hygiene? A) Keeping a consistent sleep schedule B) Using electronic devices right before bed C) Creating a comfortable sleep environment D) Limiting caffeine intake in the evening Correct Answer: B) Using electronic devices right before bed Rationale: Exposure to light from screens can interfere with the body's circadian rhythm and suppress melatonin production, making it harder to fall asleep. Rationale: Melatonin is a hormone that helps synchronize the body's circadian rhythms with the environmental light-dark cycle, facilitating the onset of sleep. 8. Which of the following is a common side effect of sleep medications? A) Increased energy B) Daytime drowsiness C) Decreased appetite D) Heightened alertness Correct Answer: B) Daytime drowsiness Rationale: Many sleep medications can cause residual drowsiness the next day, which can affect a person's ability to perform tasks that require full alertness. 9. In terms of sleep hygiene, why is it important to limit naps during the day? A) Naps can decrease REM sleep B) Naps can lead to sleep inertia C) Naps can disrupt nighttime sleep patterns D) Naps can increase sleep latency Correct Answer: C) Naps can disrupt nighttime sleep patterns Rationale: Long or frequent naps can interfere with the regular sleep schedule and make it more difficult to fall asleep at night. 10. What is a common recommendation for patients struggling with insomnia? A) Engage in vigorous exercise before bed B) Establish a relaxing bedtime routine C) Increase caffeine intake D) Take irregular naps Correct Answer: B) Establish a relaxing bedtime routine Rationale: A calming routine before bed can help signal to the body that it's time to wind down and prepare for sleep, which can be beneficial for those with insomnia. 11. When educating a patient on therapy compliance, what is a key factor to emphasize for the effectiveness of treatment? A) The cost of treatment B) The brand of equipment C) Consistent use of prescribed therapy D) The color of the therapy device Correct Answer: C) Consistent use of prescribed therapy Rationale: Regular and consistent use of prescribed treatments, such as CPAP, is crucial for the effectiveness of therapy and management of sleep disorders. 12. What is the importance of sleep disorder testing before starting treatment? A) To determine the patient's favorite sleep position B) To identify specific sleep disorders and tailor treatment C) To choose the color of the sleep equipment D) To test the patient's memory Correct Answer: B) To identify specific sleep disorders and tailor treatment Rationale: Accurate diagnosis through sleep testing is essential to provide targeted and effective treatment for the patient's specific sleep disorder. 13. How does sleep deprivation affect cognitive function? A) It has no significant impact B) It improves memory retention C) It impairs judgment and decision-making D) It enhances problem-solving skills Correct Answer: C) It impairs judgment and decision-making Rationale: Lack of sleep can negatively affect cognitive processes, leading to poor judgment, difficulty in learning, and decreased problem-solving ability. 14. What is the goal of patient and caregiver education in sleep medicine? A) To entertain patients and caregivers B) To ensure compliance and improve treatment outcomes C) To sell sleep-related products D) To complicate the treatment process What is a common method to address mask leaks during PAP therapy? A) Lowering the pressure setting B) Increasing the mask size C) Adjusting the mask straps D) Ignoring the leaks Correct Answer: C Rationale: Adjusting the mask straps can often help achieve a better seal and mitigate mask leaks during PAP therapy. Which of the following statements is true regarding humidification in PAP therapy? A) Humidification is not necessary for PAP therapy B) Humidification can alleviate nasal dryness and congestion C) Humidification increases the pressure delivered by the PAP device D) Humidification is only beneficial for certain mask types Correct Answer: B Rationale: Humidification plays a vital role in reducing nasal dryness and congestion commonly associated with PAP therapy. What role does education play in PAP therapy desensitization? A) Education has no impact on patient comfort with PAP therapy B) Education can help patients understand the importance of therapy compliance C) Education is solely the responsibility of the healthcare provider D) Education is unnecessary for successful PAP therapy Correct Answer: B Rationale: Educating patients about the significance of therapy compliance can enhance their comfort and adherence to PAP therapy. Which of the following is a potential consequence of non-compliance with PAP therapy? A) Improved sleep quality B) Worsening of sleep apnea symptoms C) Reduced risk of cardiovascular complications D) Decreased daytime sleepiness Correct Answer: B Rationale: Non-compliance with PAP therapy can lead to the worsening of sleep apnea symptoms and associated health risks. How often should patients be encouraged to clean their PAP equipment? A) Once a month B) Every 6 months C) Daily D) Annually Correct Answer: C Rationale: Regular cleaning of PAP equipment, including masks, tubing, and humidifiers, on a daily basis is essential to maintain hygiene and prevent complications. Which of the following factors can contribute to poor mask fit during PAP therapy? A) Using a mask that is too small B) Keeping the mask loose C) Avoiding mask adjustments D) Using a mask liner Correct Answer: A Rationale: Using a mask that is too small can result in poor fit and compromised effectiveness of PAP therapy. What is the purpose of ramp features in PAP devices? A) To increase pressure gradually during therapy B) To decrease pressure abruptly at the beginning of therapy C) To adjust the mask size automatically D) To turn off the device after a specific duration Correct Answer: A Rationale: Ramp features in PAP devices help patients acclimate to therapy by gradually increasing the pressure over a set period. C) By adjusting the pressure settings randomly D) By discontinuing PAP therapy Correct Answer: B Rationale: Patients experiencing issues with their PAP equipment should seek guidance from healthcare providers or equipment suppliers to address the problems effectively and ensure optimal therapy outcomes. 1. For a 55-year-old male presenting with excessive daytime sleepiness, which of the following tests is most appropriate for diagnosing Obstructive Sleep Apnea (OSA)? A. Polysomnography (PSG) B. Actigraphy C. Multiple Sleep Latency Test (MSLT) D. Maintenance of Wakefulness Test (MWT) Correct Answer: A. Polysomnography (PSG) Rationale: Polysomnography is the gold standard for diagnosing OSA. 2. A patient’s sleep study report reveals an AHI of 15. Which severity category does this fall under? A. Mild B. Moderate C. Severe D. Very severe Correct Answer: B. Moderate Rationale: An AHI of 5-15 is mild, 15-30 is moderate, and >30 is severe. 3. In the context of sleep disorders, which medication is most often contraindicated due to its potential to exacerbate apnea? A. Amitriptyline B. Zolpidem C. Ramelteon D. Modafinil Correct Answer: A. Amitriptyline Rationale: Amitriptyline, a tricyclic antidepressant, can increase sleep apnea episodes. 4. Which of the following is considered a primary indicator for a Multiple Sleep Latency Test (MSLT)? A. Frequent nocturnal awakenings B. Excessive daytime sleepiness C. Restless legs syndrome D. Sleepwalking Correct Answer: B. Excessive daytime sleepiness Rationale: MSLT is primarily used to evaluate excessive daytime sleepiness and narcolepsy. 5. For a patient with chronic insomnia, which type of therapy has the most supporting evidence for long-term effectiveness? A. Pharmacotherapy B. Cognitive Behavioral Therapy for Insomnia (CBT-I) C. Acupuncture D. Melatonin supplements Correct Answer: B. Cognitive Behavioral Therapy for Insomnia (CBT-I) Rationale: CBT-I has robust evidence for long-term management of chronic insomnia. 6. During a clinical assessment, a patient reports snoring loudly every night. What condition should be primarily suspected? A. Obstructive Sleep Apnea (OSA) B. Central Sleep Apnea C. Circadian Rhythm Disorder D. Narcolepsy Correct Answer: A. Obstructive Sleep Apnea (OSA) Rationale: Loud snoring is a common symptom associated with OSA. A. Diazepam B. Modafinil C. Diphenhydramine D. Chloral hydrate Correct Answer: B. Modafinil Rationale: Modafinil is indicated to promote wakefulness in narcoleptic patients. 12. For a patient with insomnia secondary to depression, which medication class is most appropriate for treatment? A. Benzodiazepines B. Non-benzodiazepine hypnotics C. SSRIs D. Antipsychotics Correct Answer: C. SSRIs Rationale: SSRIs address both depression and secondary insomnia. 13. What is the most appropriate initial treatment strategy for a newly diagnosed OSA patient with an AHI of 40? A. Lifestyle modifications B. Mandibular advancement device C. PAP therapy D. Pharmacotherapy Correct Answer: C. PAP therapy Rationale: PAP therapy is the first-line treatment for moderate to severe OSA. 14. A patient complains of excessive sweating during sleep. Which clinical assessment is most relevant? A. PSG B. Thyroid function tests C. Actigraphy D. MSLT Correct Answer: B. Thyroid function tests Rationale: Excessive sweating during sleep can indicate hyperthyroidism. 15. Which of the following histories would be most indicative of Sleep- Wake Transition Disorder? A. Frequent nocturnal awakenings B. Sleepwalking during early childhood C. Hypnagogic hallucinations D. Sleep paralysis Correct Answer: C. Hypnagogic hallucinations Rationale: Hypnagogic hallucinations occur at sleep onset, typical in narcolepsy. 16. What PSG finding is particularly diagnostic for REM Sleep Behavior Disorder (RBD)? A. Decreased sleep efficiency B. Fragmented sleep architecture C. Loss of REM atonia D. Increased delta wave activity Correct Answer: C. Loss of REM atonia Rationale: RBD is characterized by the loss of muscle atonia during REM sleep.
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