INSTRUCTIONS Treatment options for insomnia
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Treatment options for insomnia
General Purpose: To provide the NP with information about insomnia. Learning Objectives: After reading the article and taking this test, the NP will be able to: 1. Define causes of insomnia, comorbidities, and sleep cycle changes. 2. Describe the prevalence of insomnia, consequences, and assessment tools. 3.Identify various options for insomnia treatment.
- Chronic insomnia is reported by approximately
- 10% adults.
- 20% adults.
- 30% adults.
- 50% adults.
- The definition of insomnia includes
- inadequate opportunities for sleep.
- occurrence at least one time per month.
- difficulty initiating and maintaining sleep.
- final awakenings that occur later than desired.
- Transient insomnia lasts for
- less than 1 week.
- 1 to 4 weeks.
- 6 to 8 weeks.
- longer than 3 months.
- Insomnia occurs more frequently in
- young adult women.
- young adult men.
- older adult women.
- middle-aged adult men.
- The most common comorbidity that occurs with insomnia is
- sleep apnea.
- psychiatric disorders.
- gastroesophageal reflux disease.
- Which of the following prescription drugs is least likely to cause insomnia?
- OTC medications associated with insomnia include
- stool softeners.
- weight-loss products.
- Alcohol initially helps to cause sleepiness
- and is an effective insomnia treatment.
- but the person wakes a few hours later.
- and helps with inducing REM sleep cycles.
- and assists with remaining asleep without waking.
- Which external condition is least likely to cause insomnia?
- temperate environment
- acute hospitalization
- jet lag
- shift work
- Sleep changes that occur in healthy older adults include
- decreased sleep latency.
- increased WASO.
- decreased stages 1 and 2 of NREM sleep.
- increased stages 3 and 4 of NREM sleep.
- Which of the following drugs is a melatonin receptor agonist used for insomnia?
- Which is not an example of CBTs for insomnia?
- light therapy
- massage therapy
- guided imagery
- Good sleep hygiene techniques to use within an hour of falling asleep include
- exercising for minutes.
- drinking a glass of wine.
- drinking a cup of hot tea.
- keeping bedroom climate slightly cool.
- Which class of medication used for insomnia has rapid onset with less risk ofdependency?
- A benzodiazepine used for insomnia associated with anxiety is
- For treatment of insomnia, research studies have found that valerian
- is a short-acting hypnotic.
- helps with delayed sleep phase syndrome.
- has no benefit beyond placebo effect.
- is useful in patients diagnosed with depression.
- If insomnia persists, behavioral therapy should be initiated for a period of
- 2 weeks.
- 6 weeks.