• Motivation
• Culture
• Lifestyle.,and.,habits
• Environmental.,factors
• Psychological., stress
• Illness
• Medications
2. What. , are. , two. , common. , sleep. , disorders?:. , dyssomnia,.,parasomnia
3. Dyssomnia. , is. , characterized. , by. , :.,insomnia.,or.,excessive.,sleepiness
4. Parasomnias. , are. , patterns. , of. , :.,Waking.,behavior.,that.,appears.,during.,sleep
5. Dyssomnias. , characteristics:. , •Insomnia
• Hypersomnia
• Narcolepsy
• Sleep.,apnea
• Restless.,leg.,syndrome
• Sleep.,deprivation
6. a.,condition.,characterized.,by.,an.,uncontrollable.,desire.,to.,sleep.:.,Narcolepsy
7. characterized. , by. , difficulty. , falling. , asleep,. , intermittent. , sleep,. , or. , early. , aw
ak-ening.,from.,sleep..,It.,is.,the.,most.,common.,of.,all.,sleep.,disorders.:.,Insomnia
8. Parasomnia. , characteristic:. , •Somnambulism
• REM.,behavior.,disorder.,(RBD)
• Sleep.,terrors
• Nightmares
• Bruxism
• Enuresis
• Sleep-related. , eating. , disorder
9. Sleep.,terrors.,are.,more.,common.,in.,
and.,occur.,during.,the.,deepest.,stages.,of.,sleep:.,children
10. characterized.,by.,"acting.,out".,dreams.,while.,asleep..,While.,experiencing.,the.,d
ream.,episode,.,the.,sleeper.,can.,moan.,and.,thrash.,around.,in.,the.,bed,.,possibly.,ca
using.,harm.,to.,a.,bed.,partner.,or.,oneself:.,REM.,Behavior.,Disorder.,(RBD
, 11. is.,grinding.,of.,one's.,teeth.,and.,frequently.,is.,an.,indicator.,of.,stress:.,Brux-ism
12. may.,range.,from.,sitting.,up.,in.,bed.,to.,walking.,around.,the.,room.,or.,
the.,house.,to.,walking.,outside.,the.,house..,The.,sleepwalker.,is.,unaware.,of.,his.,enviro
nment.
• REM.,Behavior.,Disorder.,(RBD).,is.,characterized.,by.,"acting.,out".,dreams:.,Somnam-
bulism.,or.,sleepwalking
13. is.,urinating.,during.,sleep.,or.,bedwetting..,It.,occurs.,most.,commonly.,i
n.,males.,who.,are.,over.,three.,years.,of.,age.:.,Enuresis
14. What.,are.,some.,illnesses.,associated.,with.,sleep.,disturbances?:.,•Gastroesophageal.,r
eflux
• Coronary.,artery.,diseases
• Epilepsy
• Liver.,failure.,and.,encephalitis
• Hypothyroidism
• End-stage.,renal.,disease
15. Gastric.,secretions., during.,REM.,sleep:.,increase
16. •.,Epilepsy.,seizures.,are.,most.,likely.,to.,occur.,during.,
sleep.,and.,appear.,to.,be.,depressed.,by.,REM.,sleep.:.,NREM
17. pharmacologic. , therapy. , for. , dyssomnias:. , •Sedatives
• Hypnotics
18. nonpharmacologic.,therapy.,for.,dyssomnias:.,•Cognitive.,Behavioral.,Therapy.,(CBT)
• Progressive. , muscle. , relaxation. , measures
• Stimulus.,control
• Sleep.,restriction;.,sleep.,hygiene.,measures
• Biofeedback., and., relaxation., therapy
19. What.,questions.,would.,you.,ask.,when.,obtaining.,a.,sleep.,history?:.,•Nature.,of.,
problem
• Cause.,of.,problem
• Related.,signs.,and.,symptoms
• When.,the.,problem.,began.,and.,how.,often.,it.,occurs
• How.,the.,problem.,attects.,everyday.,living