Varcarolis Chapter 19: Sleep-Wake Disorders Exam Questions With 100% Correct Answers

Varcarolis Chapter 19: Sleep-Wake Disorders Exam Questions With 100% Correct Answers A client who travels often and therefore experiences jet lag regularly reports the use of over-the- counter (OTC) melatonin supplements. The nurse responds by informing the client that melatonin is a naturally secreted hormone and thus is a safe supplement. research has supported the effectiveness of using melatonin supplements for jet lag. currently, no standardized, safe therapeutic dosage range for melatonin supplements has been established. hypertension is a common side effect of melatonin supplement therapy. - answercurrently, no standardized, safe therapeutic dosage range for melatonin supplements has been established. Because melatonin is an OTC product, the FDA has no input on the identification of effective dosage ranges or standardization of nutraceutical ingredients. REF: 376 A non-habit-forming melatonin receptor agonist often prescribed for insomnia is zolpidem (Ambien). ramelteon (Rozerem). eszopiclone (Lunesta). zaleplon (Sonata). - answerramelteon (Rozerem). Ramelteon (Rozerem) is a short-acting melatonin receptor agonist that has been approved by the FDA for insomnia and is not habit forming. REF: 376; Table 19-2 According to the National Sleep Foundation, which condition is an example of a social problem that may be a result of sleepiness? Narcolepsy Road rage Alcohol abuse Insomnia - answerRoad rage Social problems such as road rage may be caused, in part, by a national epidemic of sleepiness. REF: 365-366 A client tells the nurse, "I just don't sleep more than 5 hours at night." The nurse responds best by asking "Are you aware that some people require less sleep than others?" "When did this pattern of sleep start for you?" "Do you usually feel rested and alert when you get up?" "Are you taking any medication that could affect your sleep?" - answer"Do you usually feel rested and alert when you get up?" The most accurate way to determine an individual's sleep requirements is to ask if the person feels fully awake and functions effectively on the sleep he or she is getting. REF: 368-369 A depressed client is likely to report a sleep disorder that includes frequent awakenings during the night. nightmares. difficulty falling asleep. sleepwalking. - answerfrequent awakenings during the night. Depressed clients often report normal sleep onset, followed by repeated awakenings during the second half of the night. REF: 368-369 Medications to treat insomnia are usually prescribed for no longer than 1 to 2 days. 1 to 2 months. 3 weeks. 2 weeks. - answer2 weeks.