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Chapter 9. Sleep and Sleep Disorders
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Chapter 9. Sleep and Sleep Disorders
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Chapter 9: Sleep and Sleep DisordersTest Bank
MULTIPLE CHOICE
1. To assist in determining whether a patient seen in the ambulatory care setting has chronic
insomnia, the nurse will initially
a. schedule a polysomnography (PSG) study.
b. arrange for the patient to have a sleep study.
c. ask the patient to keep a 2-week sleep diary.
d. teach the patient about the use of an actigraph.
ANS: C
The diagnosis of insomnia is made on the basis of subjective complaints and an evaluation of
a 1- to 2-week sleep diary completed by the patient. Actigraphy and PSG studies/sleep studies
may be used for determining specific sleep disorders, but are not necessary to make an initial
insomnia diagnosis.
DIF: Cognitive Level: Application TOP: Nursing Process: Implementation
MSC: NCLEX: Health Promotion and Maintenance
2. Which instruction will the nurse include when teaching a patient with chronic insomnia about
ways to improve sleep quality?
a. Avoid aerobic exercise during the day.
b. Read in bed for a few minutes each night.
c. Keep the bedroom temperature slightly warm.
d. Try to go to bed at the same time every evening.
ANS: D
A regular evening schedule is recommended to improve sleep time and quality. Aerobic
exercise may improve sleep quality, but should occur at least 6 hours before bedtime. Reading
in bed is discouraged for patients with insomnia. The bedroom temperature should be slightly
cool.
DIF: Cognitive Level: Application TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity
3. After the nurse has taught a patient about the use of extended-release zolpidem (Ambien CR)
for insomnia, which patient statement indicates a need for further teaching?
a. “I will take the medication an hour before bedtime.”
b. “I should take the medication on an empty stomach.”
c. “I should not take this medication unless I can sleep for at least 6 hours.”
d. “I will schedule activities that require mental alertness for later in the day.”
ANS: A
Benzodiazepine receptor agonists such as zolpidem work quickly and should be taken
immediately before bedtime. The other patient statements are correct.
DIF: Cognitive Level: Application TOP: Nursing Process: Evaluation
MSC: NCLEX: Physiological Integrity
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