Sleep Disorders and Treatments Quiz
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Questions and Answers

What is the primary purpose of a polysomnography (sleep study)?

  • To diagnose and evaluate sleep disorders. (correct)
  • To measure the effectiveness of sleep medications.
  • To track sleep patterns over an extended period.
  • To monitor brain activity during wakefulness.
  • Which of the following is a non-invasive method used to assess sleep patterns and potentially diagnose insomnia?

  • CPAP therapy
  • Actigraphy (correct)
  • Polysomnography
  • Cognitive Behavioral Therapy for Insomnia (CBT-I)
  • What is a key component of Cognitive Behavioral Therapy for Insomnia (CBT-I)?

  • Increasing the use of stimulants.
  • Administering sleep medications.
  • Focusing on relaxation techniques and sleep restriction. (correct)
  • Monitoring brain activity during sleep.
  • Which of the following is NOT a recommended lifestyle modification for improving sleep quality?

    <p>Consuming caffeine and nicotine in the evening. (D)</p> Signup and view all the answers

    What is the primary treatment approach for sleep apnea?

    <p>CPAP therapy (D)</p> Signup and view all the answers

    Which of these are examples of pharmacological interventions for insomnia?

    <p>Benzodiazepines and melatonin receptor agonists. (C)</p> Signup and view all the answers

    What is the primary goal of client education regarding sleep disorders?

    <p>To empower clients to manage their sleep patterns and improve sleep hygiene. (A)</p> Signup and view all the answers

    Which of the following is a potential benefit of engaging in regular physical activity for improving sleep quality?

    <p>It reduces muscle tension and promotes relaxation. (B)</p> Signup and view all the answers

    Which class of medications is primarily used to treat anxiety?

    <p>Sedative Drugs (D)</p> Signup and view all the answers

    What is a common adverse effect associated with the use of valproic acid?

    <p>Weight Gain (A)</p> Signup and view all the answers

    Which of the following medications belongs to the benzodiazepine class?

    <p>Diazepam (D)</p> Signup and view all the answers

    Which neurotransmitter is primarily affected by benzodiazepines?

    <p>GABA (D)</p> Signup and view all the answers

    What is a potential adverse effect of non-benzodiazepine sedative-hypnotics like zolpidem?

    <p>Amnesia (C)</p> Signup and view all the answers

    What is a crucial nursing consideration for patients taking lithium?

    <p>Monitor therapeutic drug levels (D)</p> Signup and view all the answers

    Which of the following is a potential contributing factor to depression?

    <p>Family history of depression (A)</p> Signup and view all the answers

    What is the primary mechanism of action for antipsychotics like olanzapine in treating mania?

    <p>Block dopamine receptors (C)</p> Signup and view all the answers

    Which of the following medications is NOT a tricyclic antidepressant?

    <p>Bupropion (C)</p> Signup and view all the answers

    What is a potential adverse effect of tricyclic antidepressants?

    <p>Orthostatic hypotension (D)</p> Signup and view all the answers

    A patient taking a monoamine oxidase inhibitor (MAOI) should avoid consuming foods high in which of the following?

    <p>Tyramine (A)</p> Signup and view all the answers

    What is the therapeutic range for lithium?

    <p>0.6-1.2 mEq/L (B)</p> Signup and view all the answers

    Which of the following is a common symptom of bipolar disorder?

    <p>Manic episodes (C)</p> Signup and view all the answers

    Which of the following medications is an anticonvulsant used to treat bipolar disorder?

    <p>Lamotrigine (D)</p> Signup and view all the answers

    What is a potential adverse effect of lithium?

    <p>Hypothyroidism (C)</p> Signup and view all the answers

    When providing nursing care to a patient taking an antidepressant, what is an important assessment to perform?

    <p>Assess for suicidal ideation (B)</p> Signup and view all the answers

    Which of the following accurately describes the difference between Major Depressive Disorder (MDD) and Dysthymia?

    <p>Dysthymia is a less severe form of depression than MDD, but it can be much more persistent. (B), Dysthymia is a chronic condition, while MDD is characterized by distinct episodes of depression. (D)</p> Signup and view all the answers

    What is the primary purpose of using structured screening tools like the PHQ-9 or Beck Depression Inventory in depression assessment?

    <p>To provide a standardized measurement of the severity of depressive symptoms. (D)</p> Signup and view all the answers

    In a mental status exam for a patient with depression, which element is particularly important to assess?

    <p>The patient's thoughts and feelings, including any suicidal ideation. (A)</p> Signup and view all the answers

    What is a key element of self-care that nurses should prioritize when working with patients with depression?

    <p>Engaging in regular physical activity and relaxation techniques to prevent burnout. (C)</p> Signup and view all the answers

    Which of the following is NOT a common co-morbidity that may occur alongside depression?

    <p>Cardiovascular disease. (A)</p> Signup and view all the answers

    Why is it important for nurses to avoid personalizing a patient's symptoms and behaviors when working with someone experiencing depression?

    <p>It can make the patient feel judged and misunderstood, further isolating them. (B)</p> Signup and view all the answers

    Which type of antidepressant is generally considered first-line treatment for MDD?

    <p>Selective serotonin reuptake inhibitors (SSRIs). (B)</p> Signup and view all the answers

    What is a significant factor to consider when prescribing antidepressants for patients with MDD?

    <p>The potential for interactions with other medications the patient is taking. (A)</p> Signup and view all the answers

    How does Interpersonal Therapy (IPT) specifically help patients with depression?

    <p>By focusing on improving communication and relationships that may be impacted by depression. (D)</p> Signup and view all the answers

    Which of the following is NOT a benefit of group therapy for individuals with Major Depressive Disorder (MDD)?

    <p>Develops new social skills for interaction with diverse individuals. (A)</p> Signup and view all the answers

    Which of the following risk factors is commonly associated with both substance abuse and suicidal behaviors?

    <p>Reduced inhibitions and impaired judgment (C)</p> Signup and view all the answers

    What is the primary goal of Mindfulness-Based Cognitive Therapy (MBCT) in treating MDD?

    <p>To reduce rumination and focus on the present moment. (D)</p> Signup and view all the answers

    What is a key characteristic of traumatic brain injury (TBI) that contributes to increased suicide risk?

    <p>Potential for mood changes and depression (A)</p> Signup and view all the answers

    Which therapy approach emphasizes the importance of engaging in enjoyable activities, even when motivation is low, as a way to improve mood?

    <p>Behavioral Activation (A)</p> Signup and view all the answers

    Which therapy approach seeks to provide a structured and supportive atmosphere for patients to interact and engage with one another?

    <p>Milieu Therapy (C)</p> Signup and view all the answers

    Which of these groups is particularly susceptible to suicide risk due to factors like chronic illness, social isolation, and loss of independence?

    <p>Older adults (A)</p> Signup and view all the answers

    Which of the following is NOT a risk factor commonly associated with suicidal behavior in adolescents?

    <p>Strong support systems (A)</p> Signup and view all the answers

    What is the primary benefit of Supportive Psychotherapy for those struggling with MDD?

    <p>Providing a safe space for clients to express their emotions and receive empathy. (D)</p> Signup and view all the answers

    How does cognitive behavioral therapy (CBT) help individuals with MDD?

    <p>By teaching them to identify and challenge negative thought patterns. (D)</p> Signup and view all the answers

    Which of these factors is NOT considered when assessing suicide risk using the SAD PERSONS scale?

    <p>Marital status (D)</p> Signup and view all the answers

    Which of the following contributes to the effectiveness of Milieu therapy in treating MDD?

    <p>Providing a supportive and structured environment where patients interact. (D)</p> Signup and view all the answers

    What is the primary function of the SAD PERSONS scale?

    <p>Determining the risk of suicidal behavior (D)</p> Signup and view all the answers

    Which of the following is considered a significant risk factor for suicidal behavior?

    <p>Recent trauma or loss (A)</p> Signup and view all the answers

    Which of these individuals is MOST likely to be at an increased risk for suicide?

    <p>An older adult with a history of substance abuse and recent bereavement. (C)</p> Signup and view all the answers

    Flashcards

    Polysomnography

    An overnight test monitoring brain, heart, and respiratory activity during sleep.

    Actigraphy

    A wrist device used to monitor sleep-wake cycles and movement over time.

    Sleep Hygiene

    Practices to promote better sleep quality and schedule consistency.

    Cognitive Behavioral Therapy for Insomnia (CBT-I)

    Therapeutic approach focusing on cognitive restructuring and relaxation for insomnia.

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    CPAP Therapy

    A treatment for sleep apnea using a machine to maintain airflow during sleep.

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    Melatonin Receptor Agonists

    Medication like ramelteon that mimics melatonin to aid sleep.

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    Dopamine Agonists

    Medications like pramipexole that help treat Restless Legs Syndrome.

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    Lifestyle Modifications

    Changes to daily habits promoting better sleep quality and relaxation.

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    Tricyclic Antidepressants (TCAs)

    A class of antidepressants that inhibit serotonin and norepinephrine reuptake.

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    Monoamine Oxidase Inhibitors (MAOIs)

    Antidepressants that inhibit the breakdown of serotonin, norepinephrine, and dopamine.

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    Adverse Effects of TCAs

    Side effects include dry mouth, constipation, orthostatic hypotension, and possible cardiac toxicity.

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    Bipolar Disorder

    Mood disorder marked by alternating periods of mania and depression.

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    Lithium

    A medication used for treating bipolar disorder by modulating neurotransmitters.

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    Atypical Antidepressants

    Antidepressants with varied mechanisms; examples are bupropion and mirtazapine.

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    Nursing Considerations for Antidepressants

    Assess for suicidal ideation, monitor side effects, and educate about delayed effects.

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    Therapeutic Range for Lithium

    The effective concentration for lithium is 0.6-1.2 mEq/L.

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    Cognitive Behavioral Therapy (CBT)

    A psychotherapy that changes negative thought patterns contributing to depression.

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    Interpersonal Therapy (IPT)

    A therapy that improves relationships and communication affected by depression.

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    Psychodynamic Therapy

    Explores past experiences and unconscious processes linked to depressive feelings.

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    Behavioral Activation

    Encourages patients to engage in pleasurable activities to combat depression.

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    Mindfulness-Based Cognitive Therapy (MBCT)

    Combines mindfulness with cognitive therapy to reduce rumination and prevent relapse.

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    Milieu Therapy

    Provides a supportive environment for patients to interact and engage with each other.

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    Suicide Prevention

    Assess risk, develop safety plans, and monitor patients with suicidal thoughts.

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    Dysthymia

    A chronic state of low mood lasting for years, unlike episodic Major Depressive Disorder (MDD).

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    Double Depression

    A condition where an individual experiences both dysthymia and episodes of major depression.

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    PHQ-9

    A structured tool used for screening and assessing the severity of depression symptoms.

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    Clinical Interviews

    Conversations with patients to assess mood, sleep, and history of depression.

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    Mental Status Exam (MSE)

    An evaluation of cognitive functions and emotional state during a clinical assessment.

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    Self-Awareness in Nursing

    Recognizing personal emotional reactions to patients and their impact on care.

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    Antidepressants

    Medications that help balance neurotransmitters like serotonin and norepinephrine in depression treatment.

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    Risk Assessment for Depression

    Identifying factors such as family history, substance use, and trauma that increase depression risk.

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    Substance Abuse Risk

    Substance abuse can lead to impaired judgment and depression, increasing suicide risk.

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    Traumatic Brain Injury (TBI)

    TBI can cause mood changes and depression, elevating suicide risk.

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    Chronic Illness Impact

    Chronic medical conditions can cause depression and increase suicide risk.

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    Older Adults Risk Factors

    Risk factors for older adults include chronic illness, isolation, and bereavement.

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    Adolescents' Vulnerability

    Adolescents face risks like family issues and peer pressure leading to suicide.

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    SAD PERSONS Scale

    A scoring tool that assesses various factors to evaluate suicide risk.

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    Access to Means

    Having access to lethal means increases the risk of suicide.

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    Social Isolation Effects

    Lack of support systems and social connections can elevate suicide risk.

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    GABA modulation

    Mechanism to stabilize mood by enhancing the effect of GABA.

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    Adverse effects of valproic acid

    Weight gain is a common adverse effect of valproic acid.

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    Antipsychotics for mania

    Medications like olanzapine and quetiapine block dopamine receptors.

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    Sedative drugs

    Drugs used to relax the patient without inducing sleep.

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    Benzodiazepines

    Class of sedative drugs enhancing GABA's effect; risk for dependence.

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    Non-Benzodiazepine hypnotics

    Sedatives that bind selectively to GABA receptors.

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    Biological factors of depression

    Includes genetics, neurotransmitter imbalances, and hormonal changes.

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    Tapering off medications

    Gradually reducing dosage to avoid withdrawal symptoms.

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    Study Notes

    Mood Disorders

    • Mood disorders encompass depressive disorders (major depressive disorder, persistent depressive disorder) and bipolar disorder.
    • Major depression affects approximately 7-10% of adults annually.
    • Bipolar disorder affects about 2.8% of the population.
    • Women are twice as likely as men to develop depressive disorders, while bipolar disorder is equally distributed by gender.
    • Mood disorders commonly begin in adolescence or early adulthood.
    • Certain ethnic and cultural groups may experience higher or lower rates of diagnosis.

    Biological and Psychosocial Theories

    • Genetics plays a role in mood disorders, often hereditary.
    • Neurotransmitter imbalances (low serotonin, norepinephrine, dopamine) correlate with depression.
    • Brain structure and function abnormalities in the prefrontal cortex and limbic system contribute to mood disorders.
    • Hormonal dysregulation (e.g., thyroid dysfunction, cortisol levels) impacts mood.
    • Stress and negative thinking patterns contribute to depression.
    • Early attachment issues increase vulnerability to mood disorders.

    Comparison of Depressive and Bipolar Disorders

    • Depressive Disorders: Types include Major Depressive Disorder (MDD) and Persistent Depressive Disorder (PDD).
    • Bipolar Disorders: Types include Bipolar I, Bipolar II, and Cyclothymic Disorder.
    • Mood Episodes: Depressive episodes involve depressed mood and loss of interest/pleasure. Bipolar episodes include manic/hypomanic episodes and depressive episodes.
    • Duration of Symptoms: Depressive episodes last at least two weeks; manic episodes, at least a week; hypomanic, at least four days.

    Epidemiology and Life Course

    • Depressive disorders often begin in adolescence or early adulthood and can be recurrent.
    • Bipolar disorders typically emerge between 15 and 30.
    • Cycling of mood episodes in bipolar disorder can vary (rapid cycling or long periods of stability).
    • Mood disorders can lead to functional impairment in work, relationships, and self-care.

    Nursing Process

    • Assessment: Evaluate mood, behavior, cognitive patterns, physical health, risk for suicide, and family dynamics.
    • Diagnosis: Identify nursing diagnoses such as Risk for Suicide, Ineffective Coping, and Imbalanced Nutrition.
    • Planning: Develop realistic goals for improving mood, promoting self-care, and enhancing coping mechanisms.
    • Intervention: Provide supportive therapy, encourage communication, assess safety, and educate about medications.
    • Evaluation: Monitor progress towards goals, reassess mood, and evaluate treatment effectiveness.

    Collaborative Interventions

    • Medication management includes antidepressants and mood stabilizers (prescribed by physicians).
    • Psychotherapy options include CBT, IPT, and family therapy.
    • Social support includes support groups and family therapy to improve interpersonal relationships.
    • Hospitalization may be needed for stabilization in severe cases, particularly for suicidal ideation.

    Other Aspects of Mood Disorders

    • Examining personal feelings and reactions is part of the therapeutic relationship.
    • Nurses need to recognize personal biases and emotional responses.
    • Prevalence of suicide in the U.S. is high, with over 48,000 deaths per year.
    • Increased suicide risk in older adults, adolescents, and vulnerable populations.
    • Specific risk factors should be considered for each population, including mental illness, history of suicide attempts, chronic pain, substance abuse, social isolation, family history of suicide, and trauma.

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    Description

    Test your knowledge on sleep disorders, their assessments, and treatment strategies. This quiz covers polysomnography, Cognitive Behavioral Therapy for Insomnia, and pharmacological interventions. Enhance your understanding of sleep quality and related medical treatments.

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