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 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 2 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 3 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.
Question 4 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 5 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).