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Mental Health Nursing

Nursing

Quiz 20 :

Sleepwake Disorders

Quiz 20 :

Sleepwake Disorders

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Which comment is most likely from a patient with chronic sleep deprivation?
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Answer:

C

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Which person would be most likely to experience sleep fragmentation?
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A

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A patient tells the nurse, "Everyone says we should sleep 8 hours a night. I can only sleep 6 hours, no matter how hard I try. Am I doing harm to my body?" Select the nurse's best response.
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Answer:

D

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A person says, "I often feel like I have been dreaming just before I awake in the morning." Which rationale correctly explains the comment?
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A patient experiencing primary insomnia says she takes a nap during the day and asks the nurse, "Doesn't that make up for a lost night's sleep?" Select the nurse's best reply.
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The nurse provides health education for an adult experiencing sleep deprivation. Which instruction has the highest priority?
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A person is prescribed lorazepam (Ativan) 2 mg po bid prn for anxiety. When the person takes this medication, which change in sleep is anticipated?
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A patient reports, "The medicine prescribed to help me get to sleep worked well for about a month, but I don't have any more of those pills, and now my insomnia is worse than ever. I had nightmares the last 2 nights." Which type of medication did the health care provider most likely prescribe?
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A patient with rheumatoid arthritis reports, "For the past month I've been having a lot of trouble falling asleep. When I finally get to sleep, I wake up several times during the night." Which information should the nurse seek initially?
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A patient says, "It takes me about 15 minutes to go to sleep each night." Which of the following does this comment describe?
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A nurse cares for the following four patients. Which patient has the highest risk for problems with sleep physiology?
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A 76-year-old man tells the nurse at the sleep disorder clinic, "I awaken almost nightly in the midst of violent dreams in which I am defending myself against multiple attackers. Then I realize I have been hitting and kicking my wife. She has bruises." Which health problem is most likely?
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Normally, most people sleep at night. What is the physiological rationale?
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A nurse provides health education for an adult with sleep deprivation. It is most important for the nurse to encourage caution when the patient engages in which of the following?
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A person is prescribed a selective serotonin reuptake inhibitor (SSRI). Which change in sleep is likely to be secondary to this medication?
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Which season would be most associated with increased periods of wakefulness in the general population?
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A nurse counsels a patient on ways to determine the person's total sleep requirement. Which instruction would produce the most accurate results?
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A home care nurse assesses a very demanding patient with chronic obstructive pulmonary disease (COPD). Afterward, the nurse talks with the spouse, who has provided this patient's care for 6 years. The spouse says, "I don't need much sleep anymore. I might need to help him during the night." Select the nurse's most therapeutic response.
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A patient needs diagnostic evaluation of sleep problems. Which test will evaluate the patient for possible sleep-related problems?
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A nurse who works night shift says, "I am exhausted most of the time. I sleep through my alarm. Sometimes my brain does not seem to work right. I am worried that I might make a practice error." Which question should the nursing supervisor ask first?
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