NSG 357 Test 3 JMU Questions With Complete Solutions

How many hours of sleep does an 1. infant need 2. teenager 3. adults correct answer: 16, 9, 7-8 Insomnia correct answer: a lack of sleep due to insufficient sleep quality or quantity. major complaints - awakening during sleep, followed by difficulty falling asleep insomnia correct answer: The most common sleep disorder in the US (affects 1/3 of adults at some point) DSM - 5 major criteria for dx of insomnia correct answer: dissatisfaction (cant initiate sleep, cant maintain sleep, early-morning awakening), sleep disturbance that causes impairment in areas of functioning, sleep difficulty persisting at least 3 nights/week present for at least 3 months, does not occur with another sleep disorder or condition Hypnotics (type of sedative meds) usually perscribed correct answer: tx for insomnia Cognitive behavioral therapy correct answer: most popular nonmed tx for insomnia Hypersomnolence (hypersomnia) correct answer: recurrent episodes of excessive daytime sleep or prolonged nighttime sleep hypersomnolence correct answer: compelled to nap repeatedly during inappropriate times, these naps don't relieve sx Dx criteria for hypersomnolence correct answer: excessive sleepiness for at least 1 month, causes clinically significant distress in areas of functioning, no other disorder, cannot be accounted for by lack of sleep, not due to a substance Tx for hypersomnolence correct answer: stimulants can be perscribed, change in behavior may help (avoid alc, caffeine, etc) Narcolepsy correct answer: irresistible attacks of refreshing sleep that occur almost daily (minimum 3x week), over at least 3 months Cataplexy correct answer: common in narcolepsy, brief episodes of sudden bilateral loss of mm tone (precipitated by emotions like laughing/joking) pt is awake and aware during this narcolepsy correct answer: loss of mm control with strong emotions can be a warning sign of Sleep apnea correct answer: breathing stops and starts multiple times when sleeping, pauses in breathing trigger deep - light sleep, sleepy during day, sores snorts gasps CPAP (continuous positive airway pressure) correct answer: tx