A 10-year-old is diagnosed with somnambulism as a result of ...

[@Brianna17]

A 10-year-old is diagnosed with somnambulism as a result of frequent episodes of sleep-walking. Which topic should be included when considering patient and family education?
 
  a. Medication therapy seldom prescribed for this disorder
  b. Safety issues such as sleeping in the ground level bedroom
  c. The likely connection between sleepwalking and narcolepsy
  d. The need for short-term cognitive and behavioral therapy

Question 2

Which patient statement would support a diagnosis of a circadian rhythm sleep disturb-ance?
 
  a. I just started on the night shift at work.
  b. My mother was seriously depressed for years.
  c. I wake up gasping for breath, and it is really scary.
  d. I don't think I drink any more than my buddies do.

[Jevvish]

Answer to Question 1

ANS: B
Safety is a primary concern when managing sleepwalking since injury is quite likely as a result of the patient's inability to be aware of danger. Drugs that suppress stages 3 and 4 sleep, such as benzodiazepine hypnotics, have been used for the management of this disorder. There is no research to support a connection between this disorder and narcolepsy. This disorder is not treated with either of these therapies.

Answer to Question 2

ANS: A
The shift worktype of circadian sleep disorder is usually the result of night shift work or frequently rotating shift work. Depression, breathing problems, and drinking indicate other types of sleep disturbances.