RPSGT EXAM 3 QUESTIONS- SOLVED

The following symptoms are representative of Insomnia Disorder: - ANSWER-Early morning awakenings without returning the sleep, Prolonged resistance to going to bed, Non-restorative sleep. When pain is present, it impacts sleep and causes these changes: - ANSWER-hyperalgesia, Exacerbated pain The psychiatric impact of insomnia increases the incidence for these disorders: - ANSWER-Drug and alcohol use, Major depression. Sleep aids have a special risks for older adults. Some of these risks are: - ANSWER-Confusion and memory problems The effectiveness of CBT-I use in patients with insomnia is characterized by: - ANSWER-78% of patients successfully discontinued use of sleep medications When integrating behavioral education, these are the goals that a practitioner seeks to achieve: - ANSWER-What are the factors that perpetuate the sleep problem? Are there other co-existing medical conditions that are untreated? What factors trigger the onset of the symptoms? CBT-I uses these behavioral and cognitive approaches to reset the mental processes that regulate sleep: - ANSWER-Sleep scheduling, Sleep hygiene education, Stimulus control therapy. A patient with REM related apnea, snoring on PAP, and increased weight gain is likely related to: - ANSWER-Inadequate PAP Setting Respiratory events appearing in clusters and worsening as night progresses are likely caused by: - ANSWER-REM related apnea At a community health fair, a concerned patient describes their child's recurring screaming outbursts. The best next question for the sleep health specialist to ask is: - ANSWER-What time of the night do the screams occur? A 43-year-old with a complaint of insomnia, witnessed apneas, increased difficulty falling asleep, increased awakening after sleep onset, and increased EDS, has ocular nerve damage due to an explosion in combat. He has a Mallampati of II/IV hottie of 2/5, moderate drinking of 2-3 12 ounce beers nightly, a 15 to 18 pound weight gain in the