NR547 Week 4 questions with verified answers
5Ps to collect a client's sexual history: Ans✓✓✓ Partners
Practices
Protection from STDs
Past History of STDs
Prevention of Pregnancy
*may consider adding another P for pleasure
armodafinil (Nuvigil) Ans✓✓✓ FDA Indications:
-excessive sleepiness (OSA, narcolepsy, shift-work)
RX Status: Schedule IV
Normal Dosage: 150-250 mg/daily
Benzodiazepines Ans✓✓✓ approved for use with insomnia
-not considered a first-line treatment due to the potential for misuse
• when first-line agents fail, benzodiazepines may be used with caution for
insomnia.
Breathing-related sleep disorders Ans✓✓✓ obstructive sleep apnea (OSA)
-most common
-caused by upper airway obstruction during sleep
,• leads to periods of apnea and heavy snoring
-commonly diagnosed in adults aged 40-60
-Risk factors: obesity and family hx
central sleep apnea (CSA)
sleep-related hypoventilation
Breathing-related sleep disorders
-typically present with excessive daytime sleepiness
-trouble concentrating during the day, mood changes, awakening with a dry
mouth or sore throat, morning headaches, or decreased libido
-Partners may endorse snoring, apneic periods, and abrupt awakenings
accompanied by gasping or choking.
CDC recommends that adults sleep ____ hours per night Ans✓✓✓ 7-9
Circadian Rhythm Sleep-Wake Disorders Ans✓✓✓ occurs when this endogenous,
24-hour cycle is disrupted, causing excessive daytime sleepiness, insomnia, or
both
-Disruptions in sleep schedule due to illness or shift work may cause transient
disorder, while non-24-hour sleep-wake disorder may cause chronic disturbances
in sleep
-common disorder of clients with blindness due to their inability to see light.
Erectile dysfunction Ans✓✓✓ AKA impotence
, -the inability to get and/or maintain a penile erection that is firm enough for
sexual relations
-can be due to physical or psychological causes
• affect any of the areas of the brain, reproductive hormones, emotions, nerves,
muscles, and/or blood vessels that are involved with the phenomenon of erection
• most common physical causes include heart disease, atherosclerosis (clogged
blood vessels), high blood pressure, nerve damage, and stroke
• most common psychological causes include stress, anxiety, depression, or
communication issues with the sexual partner
Excitatory vs sleep-promoting neurotransmitters Ans✓✓✓ Excitatory
-acetylcholine
-norepinephrine
-histamine
-serotonin
-orexin
-dopamine
Sleep-promoting
-GABA
-melatonin
-adenosine
Factors Affecting Sleep Ans✓✓✓ -Emotional stress
-Fatigue
-Use of drugs or other substance abuse
5Ps to collect a client's sexual history: Ans✓✓✓ Partners
Practices
Protection from STDs
Past History of STDs
Prevention of Pregnancy
*may consider adding another P for pleasure
armodafinil (Nuvigil) Ans✓✓✓ FDA Indications:
-excessive sleepiness (OSA, narcolepsy, shift-work)
RX Status: Schedule IV
Normal Dosage: 150-250 mg/daily
Benzodiazepines Ans✓✓✓ approved for use with insomnia
-not considered a first-line treatment due to the potential for misuse
• when first-line agents fail, benzodiazepines may be used with caution for
insomnia.
Breathing-related sleep disorders Ans✓✓✓ obstructive sleep apnea (OSA)
-most common
-caused by upper airway obstruction during sleep
,• leads to periods of apnea and heavy snoring
-commonly diagnosed in adults aged 40-60
-Risk factors: obesity and family hx
central sleep apnea (CSA)
sleep-related hypoventilation
Breathing-related sleep disorders
-typically present with excessive daytime sleepiness
-trouble concentrating during the day, mood changes, awakening with a dry
mouth or sore throat, morning headaches, or decreased libido
-Partners may endorse snoring, apneic periods, and abrupt awakenings
accompanied by gasping or choking.
CDC recommends that adults sleep ____ hours per night Ans✓✓✓ 7-9
Circadian Rhythm Sleep-Wake Disorders Ans✓✓✓ occurs when this endogenous,
24-hour cycle is disrupted, causing excessive daytime sleepiness, insomnia, or
both
-Disruptions in sleep schedule due to illness or shift work may cause transient
disorder, while non-24-hour sleep-wake disorder may cause chronic disturbances
in sleep
-common disorder of clients with blindness due to their inability to see light.
Erectile dysfunction Ans✓✓✓ AKA impotence
, -the inability to get and/or maintain a penile erection that is firm enough for
sexual relations
-can be due to physical or psychological causes
• affect any of the areas of the brain, reproductive hormones, emotions, nerves,
muscles, and/or blood vessels that are involved with the phenomenon of erection
• most common physical causes include heart disease, atherosclerosis (clogged
blood vessels), high blood pressure, nerve damage, and stroke
• most common psychological causes include stress, anxiety, depression, or
communication issues with the sexual partner
Excitatory vs sleep-promoting neurotransmitters Ans✓✓✓ Excitatory
-acetylcholine
-norepinephrine
-histamine
-serotonin
-orexin
-dopamine
Sleep-promoting
-GABA
-melatonin
-adenosine
Factors Affecting Sleep Ans✓✓✓ -Emotional stress
-Fatigue
-Use of drugs or other substance abuse
