ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 33 : Nursing Care of Persons with Insomnia and Sleep Problems Questions
Question 1 of 5
The sleep history of a client experiencing sleep problems reveals that the client ingests a significant amount of caffeine each day. When reviewing the effect of caffeine on sleep with the client, which of the following would the nurse incorporate into the discussion as a caffeine effect?
Correct Answer: C
Rationale: Caffeine, a stimulant, decreases REM sleep (
C) by increasing arousal, disrupting sleep quality. It increases sleep latency (
A), decreases total sleep time (
B), and does not enhance slow-wave sleep (
D).
Question 2 of 5
A client with insomnia is taught to avoid watching television, eating, and doing work in the bedroom. Which technique is being used?
Correct Answer: D
Rationale: Avoiding non-sleep activities in the bedroom is a stimulus control technique (
D), strengthening the bed-sleep association. Sleep restriction (
A) limits time in bed, relaxation training (
B) focuses on calming techniques, and cognitive behavior therapy (
C) is broader.
Question 3 of 5
A client with insomnia is prescribed zolpidem. When describing the action of this medication to the client, the nurse would incorporate information related to the medication?s effect on which of the following?
Correct Answer: A
Rationale: Zolpidem, a non-benzodiazepine hypnotic, enhances GABA (
A) activity to promote sleep. It does not primarily affect serotonin (
B), dopamine (
C), or norepinephrine (
D).
Question 4 of 5
A group of nursing students is reviewing the various agents used to treat insomnia. The students demonstrate an understanding of the information when they identify which agent as a melatonin receptor agonist?
Correct Answer: D
Rationale: Ramelteon (
D) is a melatonin receptor agonist used for insomnia. Trazodone (
A) and mirtazapine (
C) are antidepressants, and estazolam (
B) is a benzodiazepine.
Question 5 of 5
A nursing instructor is describing the prevalence of obstructive sleep apnea (OSA) as being greater in individuals with mental health disorders. Which disorders would the instructor include as being associated with OSA? Select all that apply.
Correct Answer: A,D,E
Rationale: OSA is associated with depression (
A), PTSD (
D), and anxiety (E) due to shared physiological and psychological stressors. Borderline personality disorder (
B) and schizophrenia (
C) have weaker associations with OSA.