The nurse is caring for a patient with a circadian rhythm sleep ...

[notis]

The nurse is caring for a patient with a circadian rhythm sleep disorder. The patient expresses a desire to try complementary and alternative medicine (CAM) and the use of melatonin for the treatment of the condition.
 
  How does melatonin work for circadian rhythm sleep disorders?
  1. It works by helping the individual stay asleep.
  2. It works by helping the individual fall asleep.
  3. It works by stimulating the pineal gland to improve sleep.
  4. It work by suppressing the pineal gland to improve sleep.

Question 2

The nurse refers a patient for acupuncture. What conditions has acupuncture been shown effective in treating? Select all that apply.
 
  1. Personality disorder
  2. Insomnia
  3. Anxiety
  4. Depression
  5. Schizophrenia

[emilymalinowski12]

Answer to Question 1

Answer: 2
Explanation: Melatonin, a hormone found naturally in the body, is produced by the pineal gland, which regulates circadian rhythm and sleep-wake cycles. As darkness falls, endogenous melatonin levels rise, sending signals to the body to sleep. Light reduces melatonin production and signals the body to awaken. When taken at night, melatonin may decrease the time it takes to fall asleep (sleep latency) in circadian rhythm sleep disorders, but it does not help the individual stay asleep. Though melatonin is produced by the pineal gland, taking a supplement of melatonin does not stimulate or suppress the pineal gland.

Answer to Question 2

Answer: 3, 4
Explanation: Acupuncture has been proven beneficial in the treatment of anxiety and depression. While acupuncture may help a patient with insomnia relax, it has not been proven effective in treating the disorder. Acupuncture has not been shown effective in the treatment of personality disorder or schizophrenia.