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 nurse is giving a presentation to a community group about sleep and its relationship to health. In explaining the relationship between REM sleep and body temperature, which statement by the nurse would be most appropriate?
Correct Answer: C
Rationale: Body temperature decreases during REM sleep due to reduced thermoregulation, making the cycles inversely related (
C). No relationship (
A) is incorrect, higher REM with higher temperatures (
B) and direct proportionality (
D) contradict physiological evidence.
Question 2 of 5
The nurse is assessing the sleep patterns of a 70-year-old female client with a mental disorder. Based on the knowledge of circadian rhythms and the influence of age, which of the following would the nurse anticipate that the client would report about her sleep pattern?
Correct Answer: B
Rationale: Aging shifts circadian rhythms, often leading to earlier sleepiness and morning alertness (
B), a pattern known as advanced sleep phase syndrome. Options (
A), (
C), and (
D) do not reflect typical age-related changes in circadian rhythms.
Question 3 of 5
A student nurse is preparing a nursing care plan for a client who has insomnia and is experiencing sleep deprivation. Which nursing diagnosis would the nurse most likely identify as reflecting a priority care issue?
Correct Answer: A
Rationale: Sleep deprivation increases the risk for injury (
A) due to impaired coordination and cognition, making it a priority. Ineffective coping (
B), deficient knowledge (
C), and anxiety (
D) are secondary concerns compared to safety risks.
Question 4 of 5
A female client who is receiving counseling at a community health center has complained about being unable to sleep at each of the last three weekly sessions. The nurse interviews the family members to determine the effect of the client?s problem on them. Which response would the nurse most likely expect to hear?
Correct Answer: D
Rationale: Chronic insomnia can strain family dynamics, leading to exhaustion (
D) due to disrupted routines or irritability. Minimal impact (
A), no change in relationships (
B), or positive effects (
C) are less likely given insomnia?s negative effects.
Question 5 of 5
The nurse is discussing sleep enhancing strategies with a client who is experiencing insomnia. Which of the following would be most appropriate for the nurse to suggest?
Correct Answer: D
Rationale: Establishing a regular sleep schedule (
D) promotes circadian rhythm stability, a key strategy for insomnia. Eating before bed (
A) can disrupt sleep, exercise close to bedtime (
B) may increase arousal, and tea (
C) may contain caffeine, worsening insomnia.