Test 3 Sleep-Wake Disorders DSM-5
Self-Exam Questions with complete
answers passed
Ans: B.
Explanation: Individuals with insomnia disorder typically present with sleep-wake
complaints of dissatisfaction regarding the quality, timing, or amount of sleep. Resulting distress
and impairment are core features. - correct answer ✔✔Which of the following is a core feature
of insomnia disorder?
A. Depressed mood.
B. Dissatisfaction with sleep quantity or quality.
C. Cognitive impairment.
D. Abnormal behaviors during sleep.
E. Daytime fatigue.
Ans: B
Explanation: The key features of insomnia disorder in DSM-5 are dissatisfaction with sleep
quality, trouble initiating or maintaining sleep, or early-morning awakening or, in children,
resistance to going to bed, and distress or
impairment in daytime functioning, despite adequate opportunity to sleep, with the problem
occurring frequently and persisting for at least 3 months. An important change from DSM-IV is
the possibility of making an independent diagnosis of insomnia disorder even when another
disorder such as major depressive
,disorder might include sleep disturbance as a diagnostic feature. In such a case, both diagnoses
would be appropriate, and the comorbid psychiatric disorder listed as a clinical comorbid
condition specifier (i.e., "With non-
sleep disorder mental comorbidity"). - correct answer ✔✔Which of the following is necessary to
make a diagnosis of insomnia disorder?
A. Difficulty being fully awake after awakening.
B. Difficulty with sleep initiation or sleep maintenance, or early-morning
awakening with inability to return to sleep.
C. Absence of a coexisting mental disorder.
D. Documented insufficient opportunity for sleep.
E. Persistence of sleep difficulties despite use of sedative-hypnotic agents.
Ans: E
Explanation: Although he complains about his sleep timing and endorses early awakening as a
complaint, this man has no other features of impairment to justify a diagnosis of insomnia
disorder. Many older adults are short sleepers.
This man has no evidence of functional impairment such as excessive daytime sleepiness
interfering with activities. - correct answer ✔✔An 80-year-old man has a history of myocardial
infarction and had coronary
artery bypass graft surgery 8 years ago. He plays tennis three times a week, takes care of his
grandchildren 2 afternoons each week, generally enjoys life, and manages all of his activities of
daily living independently; however, he complains of excessively early morning awakening. He
goes to sleep at 9:00
P.M. and sleeps well, with nocturia once nightly, but wakes at 3:30 A.M. although
he would like to rise at 5:00 A.M. He does not endorse daytime sleepiness as a problem. His
physical examination, mental status, and cognitive function are normal. What is the most likely
sleep-wake disorder diagnosis?
, A. Insomnia disorder.
B. Rapid eye movement (REM) sleep behavior disorder.
C. Restless legs syndrome.
D. Obstructive sleep apnea hypopnea.
E. The man is a short sleeper, which is not a DSM-5 diagnosis.
Ans: A
Explanation: Sleep inertia is a period of impaired performance and reduced
vigilance, following waking from the main episode of sleep or from a nap that persists for
several minutes or more. Although some patients with hypersomnolence disorder have one or
more of the other symptoms listed, these symptoms are not as specific to hypersomnolence
disorder as is sleep inertia. - correct answer ✔✔Which of the following symptoms is most likely
to indicate the presence of hypersomnolence
disorder?
A. Sleep inertia.
B. Non-refreshing sleep in main sleep episode.
C. Automatic behavior.
D. Frequent napping.
E. Headache.
Ans: A
Explanation: The definition of cataplexy differs according to patient characteristics. In individuals
with long-standing narcolepsy, cataplexy is defined as brief (seconds to minutes) episodes of
sudden bilateral loss of muscle tone with
Self-Exam Questions with complete
answers passed
Ans: B.
Explanation: Individuals with insomnia disorder typically present with sleep-wake
complaints of dissatisfaction regarding the quality, timing, or amount of sleep. Resulting distress
and impairment are core features. - correct answer ✔✔Which of the following is a core feature
of insomnia disorder?
A. Depressed mood.
B. Dissatisfaction with sleep quantity or quality.
C. Cognitive impairment.
D. Abnormal behaviors during sleep.
E. Daytime fatigue.
Ans: B
Explanation: The key features of insomnia disorder in DSM-5 are dissatisfaction with sleep
quality, trouble initiating or maintaining sleep, or early-morning awakening or, in children,
resistance to going to bed, and distress or
impairment in daytime functioning, despite adequate opportunity to sleep, with the problem
occurring frequently and persisting for at least 3 months. An important change from DSM-IV is
the possibility of making an independent diagnosis of insomnia disorder even when another
disorder such as major depressive
,disorder might include sleep disturbance as a diagnostic feature. In such a case, both diagnoses
would be appropriate, and the comorbid psychiatric disorder listed as a clinical comorbid
condition specifier (i.e., "With non-
sleep disorder mental comorbidity"). - correct answer ✔✔Which of the following is necessary to
make a diagnosis of insomnia disorder?
A. Difficulty being fully awake after awakening.
B. Difficulty with sleep initiation or sleep maintenance, or early-morning
awakening with inability to return to sleep.
C. Absence of a coexisting mental disorder.
D. Documented insufficient opportunity for sleep.
E. Persistence of sleep difficulties despite use of sedative-hypnotic agents.
Ans: E
Explanation: Although he complains about his sleep timing and endorses early awakening as a
complaint, this man has no other features of impairment to justify a diagnosis of insomnia
disorder. Many older adults are short sleepers.
This man has no evidence of functional impairment such as excessive daytime sleepiness
interfering with activities. - correct answer ✔✔An 80-year-old man has a history of myocardial
infarction and had coronary
artery bypass graft surgery 8 years ago. He plays tennis three times a week, takes care of his
grandchildren 2 afternoons each week, generally enjoys life, and manages all of his activities of
daily living independently; however, he complains of excessively early morning awakening. He
goes to sleep at 9:00
P.M. and sleeps well, with nocturia once nightly, but wakes at 3:30 A.M. although
he would like to rise at 5:00 A.M. He does not endorse daytime sleepiness as a problem. His
physical examination, mental status, and cognitive function are normal. What is the most likely
sleep-wake disorder diagnosis?
, A. Insomnia disorder.
B. Rapid eye movement (REM) sleep behavior disorder.
C. Restless legs syndrome.
D. Obstructive sleep apnea hypopnea.
E. The man is a short sleeper, which is not a DSM-5 diagnosis.
Ans: A
Explanation: Sleep inertia is a period of impaired performance and reduced
vigilance, following waking from the main episode of sleep or from a nap that persists for
several minutes or more. Although some patients with hypersomnolence disorder have one or
more of the other symptoms listed, these symptoms are not as specific to hypersomnolence
disorder as is sleep inertia. - correct answer ✔✔Which of the following symptoms is most likely
to indicate the presence of hypersomnolence
disorder?
A. Sleep inertia.
B. Non-refreshing sleep in main sleep episode.
C. Automatic behavior.
D. Frequent napping.
E. Headache.
Ans: A
Explanation: The definition of cataplexy differs according to patient characteristics. In individuals
with long-standing narcolepsy, cataplexy is defined as brief (seconds to minutes) episodes of
sudden bilateral loss of muscle tone with
