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Sleep DisordersPsychiatric Nursing: Contemporary Practice

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What is the most common site of airway obstruction with obstructive sleep apnea?
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The supraglottic airway in the pharyngeal area
What is the most common treatment for obstructive sleep apnea?
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A uvulopalatopharyngoplasty which removes redundant soft palate tissue, the uvula and the tonsillar pillars
What sleeping position can help control the severity of OSA?
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Changing from supine to lateral
What are the most prevalent complaints of people with a curcadian rhythm sleep disorder?
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Insomnia at particular times in the day and excessive sleepiness at others. They must present with a marked sleep disturbance that impacts social or occupational function.
A person who is unable to fall asleep before 2-6:00 AM has the __________ type of circadian sleep disorder.
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Delayed sleep phase type (owls)
_________ type circadian sleep disorder occurs when traveling across tie zones, usually eastward.
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Jet lag type
What tpe of circadian sleep disorder are nurses most likely to experience?
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Shift work type, caused by a mismatched sleep cycle and imposed hours of shift work
____________ is a form of therapy that manipulates the sleep schedule by progressively delaying bedtime until an acceptable bedtime is attained. It involves a 27-hour day by delaying bedtime and rising time by three hours.
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Chronotherapy
__________ is used to manipulate the circadian system using 2,500-10,000 lux of light.
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Luminotherapy
The use of short acting hypnotics to reset the biologic clock is referred to as _________.
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Chronopharmacotherapy
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________, taken by shift workers while working at night, improves alertness and performance. Tolerance develops within a few nights.
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Caffeine
Nightmare disorder, sleep terror disorder and sleepwalking are all examples of ____________ disorders.
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Parasomnia
Parasomnias involve activation of what systems during sleep or sleep-wake transitions?
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The autonomic nervous system, motor system or cognitive processes
When do nightmares/nightmare disorders typically develop?
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In children aged 3-6
Which parts of the brain are involved in nightmares?
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The paralimbic and limbic regions
Which stage of sleep does nightmares occur in?
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REM, during the second half of the night
How are patients with nightmare disorder treated?
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Teaching patients to visualize and change their remembered nightmares and rehearse similar scenarios, a form of CBT.
When do sleep terrors normally occur and how long do they last?
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They normally occur in the first third of the night and last 1-10 minutes.
T/F Efforts to wake a person having a sleep terror may cause the episode to last longer.
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TRUE
What age group is most likely to experience sleep terrors?
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Children aged 5-7
What two factors can increase the frequency of sleep terror episodes?
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Fear and sleep deprivation
  
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