Psychology | Portage Learning | Q & A | 2026 Edition
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1. According to the DSM-5, which of the following is a key criterion for a diagnosis of insomnia disorder?
A) Difficulty initiating or maintaining sleep occurring at least three nights per week for at least one
month
B) Difficulty initiating or maintaining sleep occurring at least three nights per week for at least three
months
C) Difficulty initiating or maintaining sleep occurring at least five nights per week for at least six months
D) Difficulty initiating or maintaining sleep occurring at least one night per week for at least two weeks
Correct Answer: Difficulty initiating or maintaining sleep occurring at least three nights per week for at
least three months
Rationale: The DSM-5 requires sleep difficulty to occur at least three nights per week for a minimum of
three months for a diagnosis of insomnia disorder. The one-month duration is for acute insomnia. The
other options do not match the DSM-5 duration and frequency criteria.
2. Which of the following is an example of a behavioral recommendation typically suggested to combat
insomnia?
A) Increasing caffeine intake in the evening to promote alertness
B) Establishing a consistent routine for going to bed and waking up
C) Engaging in vigorous exercise immediately before bedtime
D) Taking long naps during the day to compensate for lost sleep
Correct Answer: Establishing a consistent routine for going to bed and waking up
Rationale: Establishing a consistent sleep-wake schedule is a key behavioral recommendation for
insomnia. Reducing caffeine and alcohol, improving the sleep environment, and learning relaxation
techniques are also recommended.
,3. Which of the following statements is true regarding insomnia?
A) Insomnia is always diagnosed as a distinct condition and never co-occurs with other disorders
B) Insomnia can either be a distinct condition or comorbid with another disorder
C) Insomnia is not a distinct condition; it is always comorbid with another disorder
D) Insomnia is primarily caused by a lack of physical activity and poor diet
Correct Answer: Insomnia can either be a distinct condition or comorbid with another disorder
Rationale: Insomnia can be diagnosed as a primary condition (insomnia disorder) or can occur
comorbidly with other mental or medical disorders. It is not always comorbid, nor is it always a distinct
condition.
4. According to the module, which of the following medical conditions can lead to insomnia?
A) Seasonal allergies only
B) Chronic pain conditions
C) Hypertension only
D) Diabetes only
Correct Answer: Chronic pain conditions
Rationale: Some medical conditions, particularly those involving chronic pain, can lead to insomnia.
Other sleep disorders are also often linked to insomnia.
5. True or False: Other sleep disorders are often linked to insomnia.
A) True
B) False
Correct Answer: True
, Rationale: Insomnia frequently co-occurs with other sleep disorders, such as sleep apnea and restless leg
syndrome. This comorbidity is important for accurate diagnosis and treatment.
6. In narcolepsy, which of the following occurs earlier than is normal?
A) Non-REM sleep
B) REM sleep
C) Deep sleep
D) Light sleep
Correct Answer: REM sleep
Rationale: For many people with narcolepsy, REM sleep begins earlier than is normal, often within 15
minutes of falling asleep. This early onset of REM sleep is a key feature of the disorder.
7. Which of the following is a common symptom associated with narcolepsy?
A) Hypnogogic hallucinations
B) Insomnia
C) Sleep apnea
D) Restless leg syndrome
Correct Answer: Hypnogogic hallucinations
Rationale: Hypnogogic hallucinations—vivid, dream-like experiences occurring at sleep onset—are often
associated with narcolepsy. Other symptoms include cataplexy, sleep paralysis, and excessive daytime
sleepiness.
8. Which of the following is a medical treatment commonly used for narcolepsy?
A) Antidepressants
B) Antipsychotics
C) Mood stabilizers