NSG 357 Exam 3 Questions with Correct Answers

NSG 357 Exam 3 Questions with Correct Answers How many hours of sleep do babies need - Answer-16 hours How many hours of sleep do teenagers need - Answer-9 hours How many hours of sleep do adults need - Answer-7-8 What S/S are common to most sleep disorders - Answer--Feel very sleepy during the day -Have trouble falling asleep or staying asleep -Stop breathing briefly and often while asleep -Have uncomfortable feelings in your legs and the urge to move them What two disorders often accompany sleep disorders? - Answer-Depression/anxiety Sleep disorders risk for mental illness - Answer-Increase Sleep disorders can indicate what? - Answer-Medical and neurological disorders that often coexist with depression and other common mental disorders, sleep-wake complaints could indicate breathing-related sleep disorders, disorders of heart/lungs, neurodegenerative disorders, musculoskeletal system. Insomniac's major complaint - Answer-Awakening during sleep, difficulty falling asleep, early morning awakenings Non-restorative sleep - Answer-Sleep but of poor quality. Insomniacs can experience this. 3 types of insomnia - Answer-1) difficulty falling asleep 2) sleep Maintenance 3) late insomnia (early morning awakening) How long does episodic insomnia last? - Answer-1-3 months How long does persistent insomnia last? - Answer-Greater than 3 months Criteria for recurrent insomnia - Answer-Two or more episodes in a year DSM-5 criteria for insomnia - Answer--dissatisfaction w/ sleep quality or quantity AND one of the following s/s -difficulty initialing sleep -difficulty maintaining sleep -early morning awakening -Sleep disturbance causes significant distress or impairment in important areas of functioning -Sleep difficulty occurs at least 3 nights a week for at least 3 months despite adequate sleep opportunity -The insomnia does not cooccur with another sleep disorder and is not explained by coexisting mental disorders or medical conditions What can trigger insomnia? - Answer-Illness, disorders, physical or psychological distress Age of onset of insomnia - Answer-Any age but most often in early adulthood What does insomnia look like in children? - Answer-Irregular sleep schedules bad habits before bed that may cause insomnia - Answer--Coffee in the afternoon or evening -smoke at night -eat heavy foods at night -going to bed at a different time each night -falling asleep with the tv on What is insomnia a risk factor for? - Answer-Depression anxiety suicide How long should an insomniac expect disturbances to their daily functioning? - Answer- Long term, 45-75% of cases are chronic How do insomniacs tend to feel emotionally? - Answer-Worry too much/emotional— contributing to sleep related stress Sleep deprivation may increase risk for what? - Answer--car accidents -relationship troubles -poor job performance -job-related injuries -memory problems -mood disorders -heart disease -obesity -diabetes First line treatment for insomnia - Answer-NON DRUG APPROACH FIRST -Cognitive Behavioral Therapy (most popular) -more effective than medication in long term treatment (medication may have stronger short term effects) -Treats underlying cause of disorder -mind relaxation techniques -avoiding stimulants before bed, such as caffeine What medications can be used to treat insomnia? - Answer--Hypnotics (class of sedatives) -Benzodiazepines (short term) -Nonbenzodiazepines -Trazadone -Vistaril