lOMoAR cPSD| 14985576
Chapter 11. Integrative Management of Sleep Disturbances
MULTIPLE CHOICE
1. Which assessment observation would not support a diagnosis of narcolepsy?
a. Sleep study reports excessive, loud snoring.
b. Sleep study shows evidence of sleep paralysis.
c. Patient reports needing to drink pots of coffee to stay awake at work.
d. Patient reports, When I get sleepy I actually see things that arent really there. ANS: A
Snoring is a characteristic obstructive sleep apnea, not narcolepsy. Classic symptoms of
narcolepsy include excessive daytime sleepiness, sleep paralysis, and hallucinations
2. An adult patient diagnosed with narcolepsy is being educated on the medication therapy
that is prescribed. Which explanation is provided for the central nervous system stimulant
dextroamphetamine (Dexedrine)?
a. The apnea will be lessened by this medication.
b. It will help control the sporadic loss of muscle tone.
c. This medication will minimize the daytime sleepiness.
d. Dexedrine will manage the inflammation that causes the snoring.
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ANS: C
Central nervous system stimulants such as dextroamphetamine (Dexedrine, Dextrostat) may
be prescribed to manage excessive daytime sleepiness. This medication has no affect on
cataplexy, apnea, or snoring. Apnea and snoring are not symptoms of narcolepsy.
3. A pediatric patient has been diagnosed with obstructive sleep apnea (OSA). Which
statement would the nurse use as a basis for explaining the etiology of this disorder?
a. Melatonin is not being released in sufficient quantity.
b. This condition is often due to adenotonsillar hypertrophy.
c. Children have a high ratio of REM sleep that can result in frequent gasping. d. This can
be related to a sleep position which compromises chest movement.
ANS: B
When OSA is found in children, it is usually the result of adenotonsillar hypertrophy,
craniofacial abnormalities, and neuromuscular conditions, all of which result in airway
obstruction during sleep. There is no research on OSA related to melatonin insufficiency,
dreaming, or a particular sleep position.
4. Which outcome is appropriate for an adult patient recently diagnosed with primary
insomnia?
a. Demonstrate an understanding of the cerebral stimulants prescribed.
b. Recognize that the prescribed flurazepam (Dalmane) can be used for up to 2 months.
c. Demonstrate the proper use of continuous positive airway pressure (CPAP)
ventilation.
d. Recognize physical and psychosocial stressors that exacerbate the sleep disturbance.
ANS: D
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Chapter 11. Integrative Management of Sleep Disturbances
MULTIPLE CHOICE
1. Which assessment observation would not support a diagnosis of narcolepsy?
a. Sleep study reports excessive, loud snoring.
b. Sleep study shows evidence of sleep paralysis.
c. Patient reports needing to drink pots of coffee to stay awake at work.
d. Patient reports, When I get sleepy I actually see things that arent really there. ANS: A
Snoring is a characteristic obstructive sleep apnea, not narcolepsy. Classic symptoms of
narcolepsy include excessive daytime sleepiness, sleep paralysis, and hallucinations
2. An adult patient diagnosed with narcolepsy is being educated on the medication therapy
that is prescribed. Which explanation is provided for the central nervous system stimulant
dextroamphetamine (Dexedrine)?
a. The apnea will be lessened by this medication.
b. It will help control the sporadic loss of muscle tone.
c. This medication will minimize the daytime sleepiness.
d. Dexedrine will manage the inflammation that causes the snoring.
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edistbrib
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ismillye@
gaglmail.com) extra per year?
, lOMoAR cPSD| 14985576
ANS: C
Central nervous system stimulants such as dextroamphetamine (Dexedrine, Dextrostat) may
be prescribed to manage excessive daytime sleepiness. This medication has no affect on
cataplexy, apnea, or snoring. Apnea and snoring are not symptoms of narcolepsy.
3. A pediatric patient has been diagnosed with obstructive sleep apnea (OSA). Which
statement would the nurse use as a basis for explaining the etiology of this disorder?
a. Melatonin is not being released in sufficient quantity.
b. This condition is often due to adenotonsillar hypertrophy.
c. Children have a high ratio of REM sleep that can result in frequent gasping. d. This can
be related to a sleep position which compromises chest movement.
ANS: B
When OSA is found in children, it is usually the result of adenotonsillar hypertrophy,
craniofacial abnormalities, and neuromuscular conditions, all of which result in airway
obstruction during sleep. There is no research on OSA related to melatonin insufficiency,
dreaming, or a particular sleep position.
4. Which outcome is appropriate for an adult patient recently diagnosed with primary
insomnia?
a. Demonstrate an understanding of the cerebral stimulants prescribed.
b. Recognize that the prescribed flurazepam (Dalmane) can be used for up to 2 months.
c. Demonstrate the proper use of continuous positive airway pressure (CPAP)
ventilation.
d. Recognize physical and psychosocial stressors that exacerbate the sleep disturbance.
ANS: D
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