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 group of nursing students is reviewing information about factors affecting the pattern and quality of sleep. The students demonstrate a need for additional review when they identify which of the following?
Correct Answer: A
Rationale: Sleep patterns change across the lifespan (
A), with aging affecting sleep duration and quality, indicating a need for review. Women reporting more sleep issues (
B), night shifts (
C), and environmental influences (
D) are accurate.
Question 2 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 3 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 4 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 5 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.