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Treatment options for Insomnia

doi: 10.1097/01.NPR.0000410656.55255.1c
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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.

  1. Chronic insomnia is reported by approximately
    1. 10% adults.
    2. 20% adults.
    3. 30% adults.
    4. 50% adults.
  2. The definition of insomnia includes
    1. inadequate opportunities for sleep.
    2. occurrence at least one time per month.
    3. difficulty initiating and maintaining sleep.
    4. final awakenings that occur later than desired.
  3. Transient insomnia lasts for
    1. less than 1 week.
    2. 1 to 4 weeks.
    3. 6 to 8 weeks.
    4. longer than 3 months.
  4. Insomnia occurs more frequently in
    1. young adult women.
    2. young adult men.
    3. older adult women.
    4. middle-aged adult men.
  5. The most common comorbidity that occurs with insomnia is
    1. sleep apnea.
    2. hyperthyroidism.
    3. psychiatric disorders.
    4. gastroesophageal reflux disease.
  6. Which of the following prescription drugs is least likely to cause insomnia?
    1. sertraline
    2. metformin
    3. methylphenidate
    4. metoprolol
  7. OTC medications associated with insomnia include
    1. aspirin.
    2. antacids.
    3. stool softeners.
    4. weight-loss products.
  8. Alcohol initially helps to cause sleepiness
    1. and is an effective insomnia treatment.
    2. but the person wakes a few hours later.
    3. and helps with inducing REM sleep cycles.
    4. and assists with remaining asleep without waking.
  9. Which external condition is least likely to cause insomnia?
    1. temperate environment
    2. acute hospitalization
    3. jet lag
    4. shift work
  10. Sleep changes that occur in healthy older adults include
    1. decreased sleep latency.
    2. increased WASO.
    3. decreased stages 1 and 2 of NREM sleep.
    4. increased stages 3 and 4 of NREM sleep.
  11. Which of the following drugs is a melatonin receptor agonist used for insomnia?
    1. zaleplon
    2. eszopiclone
    3. temazepam
    4. ramelteon
  12. Which is not an example of CBTs for insomnia?
    1. light therapy
    2. chronotherapy
    3. massage therapy
    4. guided imagery
  13. Good sleep hygiene techniques to use within an hour of falling asleep include
    1. exercising for minutes.
    2. drinking a glass of wine.
    3. drinking a cup of hot tea.
    4. keeping bedroom climate slightly cool.
  14. Which class of medication used for insomnia has rapid onset with less risk ofdependency?
    1. antihistamines
    2. antidepressants
    3. benzodiazepines
    4. non-benzodiazepines
  15. A benzodiazepine used for insomnia associated with anxiety is
    1. flurazepam.
    2. lorazepam.
    3. quazepam.
    4. triazolam.
  16. For treatment of insomnia, research studies have found that valerian
    1. is a short-acting hypnotic.
    2. helps with delayed sleep phase syndrome.
    3. has no benefit beyond placebo effect.
    4. is useful in patients diagnosed with depression.
  17. If insomnia persists, behavioral therapy should be initiated for a period of
    1. 2 weeks.
    2. 6 weeks.
    3. weeks.
    4. weeks.


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