NURS 663 MAIN CORE 2026 QUESTIONS AND
ANSWERS SURE A+
✔✔Idiopathic, amnesia, 15, 30 - ✔✔In ____________ hypersomnia: Unlike a sleep-
deprived individual, the sleep pattern continues in this profile even after several nights
of extended sleep. Lifelong problem. Associated with non-refreshing naps, difficulty
awakening, sleep drunkenness, and automatic behaviors w/ ___________. Onset b/w
_______ to _______ y/o. Course is persistent and unremitting.
✔✔migraine, fainting, Raynaud - ✔✔Other s/s of Idiopathic hypersomnia include
____________-like headaches, ____________ spells, syncope, orthostatic
hypotension, and ____________-type phenomena.
✔✔stimulus control therapy - ✔✔what type of treatment is aimed to break the cycle of
problems commonly associated with difficulty initiating sleep
✔✔4 rules - ✔✔How many rules of stimulus control therapy
✔✔Sleepy, another room, non arousing, same time - ✔✔4 rules of stimulus control
therapy:
-1. Go to bed only when __________ to maximize success.
-2. Use the bed only for sleeping. Do not watch television in bed, do not read, do not
eat, and do not talk on the telephone while in bed.
-3. Do not lie in bed and become frustrated if unable to sleep. After a few minutes (do
not watch the clock), get up, go to ____________ ____________, and do something
___________________ until sleepiness returns. The goal is to associate the bed with
rapid sleep onset. Rule three should be repeated as often as needed.
-4. Attempts to enhance the mechanisms underlying the circadian and sleep-wake
cycles—that is, awaken at the ___________ ____________ every morning (regardless
of bedtime, total sleep time, or day of week) and totally avoid napping.
✔✔stimulus control therapy, sleep restriction therapy - ✔✔Avoid napping in
___________ and ______________ (besides elderly who can nap 30 min).
, ✔✔Sleep restriction therapy - ✔✔If a patient wakes up and can't go back to sleep after
20 min, you want to do _________________________. You don't want them in bed if
not sleeping. Get out of bed, then try and go back to sleep once sleepy.
✔✔reduce, bed - ✔✔In sleep restriction therapy, if the patient reports sleeping only 5
hours of a scheduled 8-hour time in bed, ________ the time in ______.
✔✔sleep efficiency, 85, 15 - ✔✔In sleep restriction therapy, the clinician then monitors
__________ _____________ (time asleep as a percentage of the time in bed).
When ______(same as above) _____ reaches ____ percent (averaged over five
nights), time in bed is increased by ____ minutes.
✔✔nocturnal wakefulness - ✔✔Sleep restriction therapy produces a gradual and steady
decline in ___________ ______________.
✔✔sexual, appetite - ✔✔In the elderly, sleep/_________/___________ issues might
already be there and not be a sign of depression.
✔✔IH - ✔✔Which sleep issue is persistent and unremitting? Idiopathic hypersomnia or
Kliene Levin syndrome?
✔✔KLS - ✔✔Which sleep issue usually last a few days up to several weeks and appear
1-10 times per year. Once the episode subsides, normal sleep/wake cycles occur; until
next episode. Idiopathic hypersomnia or Kliene Levin syndrome?
✔✔sleeping issues - ✔✔Idiopathic hypersomnia and Kliene Levin syndrome are both
types of
✔✔Frontotemporal dementia - ✔✔Which disease often responds adversely to
cholinesterase inhibitors with increased agitation and insomnia.
✔✔Frontotemporal - ✔✔This dementia: One form of this condition is Pick's disease
✔✔Aphasia, Apraxia, Agnosia - ✔✔3 A's of Alzheimer's disease
✔✔downs, AA, depression - ✔✔Alzheimer's disease may be genetic. Common in
____________ Syndrome, more common in ________, females and those with DM
type 2, HTN, high cholesterol, and ______________.
✔✔1, 4 - ✔✔Vascular dementia prevalence in aged 65+ is __% to ___%.
✔✔Ramelteon - ✔✔BEST SLEEP MED FOR ELDERLY- more natural, least
interactions
ANSWERS SURE A+
✔✔Idiopathic, amnesia, 15, 30 - ✔✔In ____________ hypersomnia: Unlike a sleep-
deprived individual, the sleep pattern continues in this profile even after several nights
of extended sleep. Lifelong problem. Associated with non-refreshing naps, difficulty
awakening, sleep drunkenness, and automatic behaviors w/ ___________. Onset b/w
_______ to _______ y/o. Course is persistent and unremitting.
✔✔migraine, fainting, Raynaud - ✔✔Other s/s of Idiopathic hypersomnia include
____________-like headaches, ____________ spells, syncope, orthostatic
hypotension, and ____________-type phenomena.
✔✔stimulus control therapy - ✔✔what type of treatment is aimed to break the cycle of
problems commonly associated with difficulty initiating sleep
✔✔4 rules - ✔✔How many rules of stimulus control therapy
✔✔Sleepy, another room, non arousing, same time - ✔✔4 rules of stimulus control
therapy:
-1. Go to bed only when __________ to maximize success.
-2. Use the bed only for sleeping. Do not watch television in bed, do not read, do not
eat, and do not talk on the telephone while in bed.
-3. Do not lie in bed and become frustrated if unable to sleep. After a few minutes (do
not watch the clock), get up, go to ____________ ____________, and do something
___________________ until sleepiness returns. The goal is to associate the bed with
rapid sleep onset. Rule three should be repeated as often as needed.
-4. Attempts to enhance the mechanisms underlying the circadian and sleep-wake
cycles—that is, awaken at the ___________ ____________ every morning (regardless
of bedtime, total sleep time, or day of week) and totally avoid napping.
✔✔stimulus control therapy, sleep restriction therapy - ✔✔Avoid napping in
___________ and ______________ (besides elderly who can nap 30 min).
, ✔✔Sleep restriction therapy - ✔✔If a patient wakes up and can't go back to sleep after
20 min, you want to do _________________________. You don't want them in bed if
not sleeping. Get out of bed, then try and go back to sleep once sleepy.
✔✔reduce, bed - ✔✔In sleep restriction therapy, if the patient reports sleeping only 5
hours of a scheduled 8-hour time in bed, ________ the time in ______.
✔✔sleep efficiency, 85, 15 - ✔✔In sleep restriction therapy, the clinician then monitors
__________ _____________ (time asleep as a percentage of the time in bed).
When ______(same as above) _____ reaches ____ percent (averaged over five
nights), time in bed is increased by ____ minutes.
✔✔nocturnal wakefulness - ✔✔Sleep restriction therapy produces a gradual and steady
decline in ___________ ______________.
✔✔sexual, appetite - ✔✔In the elderly, sleep/_________/___________ issues might
already be there and not be a sign of depression.
✔✔IH - ✔✔Which sleep issue is persistent and unremitting? Idiopathic hypersomnia or
Kliene Levin syndrome?
✔✔KLS - ✔✔Which sleep issue usually last a few days up to several weeks and appear
1-10 times per year. Once the episode subsides, normal sleep/wake cycles occur; until
next episode. Idiopathic hypersomnia or Kliene Levin syndrome?
✔✔sleeping issues - ✔✔Idiopathic hypersomnia and Kliene Levin syndrome are both
types of
✔✔Frontotemporal dementia - ✔✔Which disease often responds adversely to
cholinesterase inhibitors with increased agitation and insomnia.
✔✔Frontotemporal - ✔✔This dementia: One form of this condition is Pick's disease
✔✔Aphasia, Apraxia, Agnosia - ✔✔3 A's of Alzheimer's disease
✔✔downs, AA, depression - ✔✔Alzheimer's disease may be genetic. Common in
____________ Syndrome, more common in ________, females and those with DM
type 2, HTN, high cholesterol, and ______________.
✔✔1, 4 - ✔✔Vascular dementia prevalence in aged 65+ is __% to ___%.
✔✔Ramelteon - ✔✔BEST SLEEP MED FOR ELDERLY- more natural, least
interactions
