Nokea
A nursing instructor is describing the prevalence of obstructive sleep apnea (OSA) as being greater in individuals with mental health disorders. Which disorders would the instructor include as being associated with OSA? Select all that apply.
- A. Depression
- B. Borderline personality disorder
- C. Schizophrenia
- D. Posttraumatic stress disorder
- E. Anxiety
Correct Answer: A,D,E
Rationale: OSA is associated with depression (A), PTSD (D), and anxiety (E) due to shared physiological and psychological stressors. Borderline personality disorder (B) and schizophrenia (C) have weaker associations with OSA.
You may also like to solve these questions
A client with insomnia is prescribed zolpidem. When describing the action of this medication to the client, the nurse would incorporate information related to the medication?s effect on which of the following?
- A. GABA
- B. Serotonin
- C. Dopamine
- D. Norepinephrine
Correct Answer: A
Rationale: Zolpidem, a non-benzodiazepine hypnotic, enhances GABA (A) activity to promote sleep. It does not primarily affect serotonin (B), dopamine (C), or norepinephrine (D).
A nurse is working with a psychiatric client who was admitted to the inpatient facility and is being discharged. The client asks the nurse what he should do when he goes home to promote getting adequate sleep. Which response by the nurse would be most appropriate?
- A. Go to bed at the same time every night and watch a television show that relaxes you.
- B. Save your bedroom for sleeping; that means no work and no TV in the bedroom.
- C. Why don?t you ask your psychiatrist for a prescription for a sleeping pill?
- D. Make sure to keep the bedroom warm and toasty.
Correct Answer: B
Rationale: Reserving the bedroom for sleep (B) is a stimulus control technique that strengthens the association between the bedroom and sleep. TV watching (A) can disrupt sleep, sleeping pills (C) are not a first-line recommendation, and a warm bedroom (D) may interfere with sleep.
A student nurse is preparing a nursing care plan for a client who has insomnia and is experiencing sleep deprivation. Which nursing diagnosis would the nurse most likely identify as reflecting a priority care issue?
- A. Risk for Injury
- B. Ineffective Coping
- C. Deficient Knowledge
- D. Anxiety
Correct Answer: A
Rationale: Sleep deprivation increases the risk for injury (A) due to impaired coordination and cognition, making it a priority. Ineffective coping (B), deficient knowledge (C), and anxiety (D) are secondary concerns compared to safety risks.
A client with insomnia is taught to avoid watching television, eating, and doing work in the bedroom. Which technique is being used?
- A. Sleep restriction
- B. Relaxation training
- C. Cognitive behavior therapy
- D. Stimulus control
Correct Answer: D
Rationale: Avoiding non-sleep activities in the bedroom is a stimulus control technique (D), strengthening the bed-sleep association. Sleep restriction (A) limits time in bed, relaxation training (B) focuses on calming techniques, and cognitive behavior therapy (C) is broader.
A nurse is giving a presentation to a community group about sleep and its relationship to health. In explaining the relationship between REM sleep and body temperature, which statement by the nurse would be most appropriate?
- A. There is no observable relationship between REM sleep and body temperature.
- B. With higher levels of REM sleep, we also experience higher body temperatures.
- C. Our REM sleep and body temperature cycles are inversely related.
- D. The extent of our experience of REM sleep is directly proportional to a rise in body temperature.
Correct Answer: C
Rationale: Body temperature decreases during REM sleep due to reduced thermoregulation, making the cycles inversely related (C). No relationship (A) is incorrect, higher REM with higher temperatures (B) and direct proportionality (D) contradict physiological evidence.