ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 33 : Nursing Care of Persons with Insomnia and Sleep Problems Questions
Question 1 of 5
A client with a mental disorder is being discharged from the inpatient unit. During the client?s stay in the hospital, the client eventually was able to get an adequate night?s sleep even though the client had experienced chronic insomnia over the years. The client?s spouse asks the nurse what the family can do in the client?s home environment to promote healthy sleep. Which response by the nurse would be most appropriate?
Correct Answer: C
Rationale: Minimizing stimulating activities before bed (
C) supports sleep hygiene by reducing arousal. Relying solely on the client (
A) dismisses family support, alcohol (
B) can disrupt sleep, and spicy snacks or tea (
D) may cause discomfort or contain caffeine.
Question 2 of 5
A client has been admitted to the psychiatric unit with a diagnosis of narcolepsy. Which client statement would the nurse interpret as reflecting this condition?
Correct Answer: A
Rationale: Hallucinations while falling asleep (
A) are hypnagogic hallucinations, a hallmark of narcolepsy. Restless legs (
B) suggest restless leg syndrome, worry (
C) indicates insomnia, and past sleeping pill use (
D) is unrelated to narcolepsy.
Question 3 of 5
A nurse is preparing a presentation on sleep disorders for a community group. Which of the following would the nurse include when explaining the differences between narcolepsy and obstructive sleep apnea syndrome?
Correct Answer: B
Rationale: Narcolepsy involves refreshing naps (
B), unlike obstructive sleep apnea (OS
A), where naps are non-restorative due to fragmented sleep. Symptoms differ significantly (
A), paralysis is specific to narcolepsy (
C), and naps are beneficial for narcolepsy (
D).
Question 4 of 5
A nurse is working with a client diagnosed with insomnia. When developing a teaching plan for the client, which sleep promotion intervention would the nurse implement first?
Correct Answer: B
Rationale: Establishing regular bedtimes and rising times (
B) is the first-line intervention for insomnia to stabilize circadian rhythms. Stopping smoking (
A) is secondary, frequent naps (
C) can worsen insomnia, and medications (
D) are not first-line.
Question 5 of 5
A nurse is obtaining information about a client?s sleep patterns and asks him about the total amount of sleep time compared with the amount of time spent in bed. The nurse is assessing which of the following?
Correct Answer: C
Rationale: Sleep efficiency (
C) is the ratio of total sleep time to time spent in bed, directly assessed by this question. Sleep latency (
A) is the time to fall asleep, architecture (
B) refers to sleep stages, and sleep-wake cycle (
D) is broader.