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 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 2 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 3 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 4 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.
Question 5 of 5
After teaching a class about circadian rhythm disorders, a nursing instructor determines that the teaching was successful when the class identifies which of the following as a subtype? Select all that apply.
Correct Answer: A,D,E
Rationale: Circadian rhythm disorders include delayed sleep phase (
A), jet lag (
D), and shift work (E) disorders, which disrupt sleep-wake timing. Nightmare (
B) and sleep terror (
C) are parasomnias, not circadian disorders.