DONE Sleep Disorders (5)

Question 1

Priority assessment for Clients Experiencing Insomnia

be sure to?
assess?
identify?

Answer 1

Be sure to ask clients - many don’t tell their HCP about sleep problems

Assess diet and caffeine intake

Identify sleep aids being used - OTC and prescription

Sleep diary

Question 2

Nursing Actions to Treat Insomnia

Education?
for chronic insomnia?
Decrease?
Reduce?
Teach?

Answer 2

Client education on sleep hygiene may be helpful but is inadequate for chronic insomnia

CBT-I for chronic insomnia

Decrease caffeine intake

Reduce light and noise
avoid looking at the clock
keep bedroom temperatures cooler

Teach safe use of sleep medications/aids

Question 3

Expected findings of Narcolepsy

no?
sudden?
will be in?

Answer 3

no hallucinations

sudden spells of falling asleep
Will be in REM sleep

no movement of bodies because in rem

Causes uncontrollable urges to sleep

Often go directly into REM sleep; have fragmented and disturbed nighttime sleep)

Question 4

Clinical Manifestations of Obstructive Sleep Apnea

morning headaches are related to?

Answer 4

*Frequent arousals during sleep
*Insomnia
*Excessive daytime sleepiness
*Witnessed apneic episodes
*Snoring
*Morning headache
*Irritability
*Personality changes

**Morning headaches are related to hypocapnia or increased BP that causes vasodilation of cerebral blood vessels.

Question 5

Evaluating Understanding of Obstructive Sleep Apnea

Positional therapy?
Elevate?
What else?
Avoid?

Answer 5

Positional therapy: Sleeping on one’s side

Elevating head of bed

Weight loss

Avoiding sedatives and alcohol 3 to 4 hours before sleep