Psychiatric Mental Health Nursing 5th Edition By Fortinash
Psychiatric Mental Health Nursing 5th Edition By Fortinash
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Chapter 19: Sleep Disorders: Dyssomnias and Parasomnias
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Sleep study reports excessive, loud snoring. |
| b. | Sleep study shows evidence of sleep paralysis. |
| c. | Patient reports “needing to drink pots of coffee to stay awake at work.” |
| d. | Patient reports, “When I get sleepy I actually see things that aren’t really there.” |
ANS: A
Snoring is a characteristic obstructive sleep apnea, not narcolepsy. Classic symptoms of narcolepsy include excessive daytime sleepiness, sleep paralysis, and hallucinations
DIF: Cognitive Level: Application REF: Page 446
TOP: Nursing Process: Assessment
MSC: NCLEX: Patient Need: Physiological Integrity: Basic Care and Comfort: Rest and Sleep
| a. | The apnea will be lessened by this medication. |
| b. | It will help control the sporadic loss of muscle tone. |
| c. | This medication will minimize the daytime sleepiness. |
| d. | Dexedrine will manage the inflammation that causes the snoring. |
ANS: C
Central nervous system stimulants such as dextroamphetamine (Dexedrine, Dextrostat) may be prescribed to manage excessive daytime sleepiness. This medication has no affect on cataplexy, apnea, or snoring. Apnea and snoring are not symptoms of narcolepsy.
DIF: Cognitive Level: Application REF: Page 451
TOP: Nursing Process: Implementation
MSC: NCLEX: Patient Need: Physiological Integrity: Basic Care and Comfort: Rest and Sleep
| a. | Melatonin is not being released in sufficient quantity. |
| b. | This condition is often due to adenotonsillar hypertrophy. |
| c. | Children have a high ratio of REM sleep that can result in frequent gasping. |
| d. | This can be related to a sleep position which compromises chest movement. |
ANS: B
When OSA is found in children, it is usually the result of adenotonsillar hypertrophy, craniofacial abnormalities, and neuromuscular conditions, all of which result in airway obstruction during sleep. There is no research on OSA related to melatonin insufficiency, dreaming, or a particular sleep position.
DIF: Cognitive Level: Application REF: Page 445 TOP: Nursing Process: Planning
MSC: NCLEX: Patient Need: Physiological Integrity: Basic Care and Comfort: Rest and Sleep
| a. | Demonstrate an understanding of the cerebral stimulants prescribed. |
| b. | Recognize that the prescribed flurazepam (Dalmane) can be used for up to 2 months. |
| c. | Demonstrate the proper use of continuous positive airway pressure (CPAP) ventilation. |
| d. | Recognize physical and psychosocial stressors that exacerbate the sleep disturbance. |
ANS: D
The patient should identify physical and psychosocial stressors that exacerbate the sleep disturbance in order to attempt successful self-management of the problem. Neither stimulants nor CPAP therapy are prescribed for this disorder. The duration of flurazepam therapy is considerably shorter.
DIF: Cognitive Level: Application REF: Page 448 TOP: Nursing Process: Planning
MSC: NCLEX: Patient Need: Physiological Integrity: Basic Care and Comfort: Rest and Sleep
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