A client with insomnia is taught to avoid watching television, ...

[Medesa]

A client with insomnia is taught to avoid watching television, eating, and doing work in the bedroom. Which technique is being used?
 
  A) Sleep restriction
  B) Relaxation training
  C) Cognitive-behavioral therapy
  D) Stimulus control

Question 2

A group of nursing students is reviewing the various agents used to treat insomnia. The students demonstrate an understanding of the information when they identify which agent as a melatonin receptor agonist?
 
  A) Trazodone
  B) Estazolam
  C) Mirtazapine
  D) Ramelteon

[Brenm]

Answer to Question 1

Ans: D
Stimulus control is a technique used when the bedroom environment no longer provides cues for sleep, but has become the cue for wakefulness. Clients are instructed to avoid behaviors in the bedroom that are incompatible with sleep, including watching television, doing homework, and eating. This allows the bedroom to be reestablished as a stimulus for sleep. Clients often increase their time in bed to provide more opportunity for sleep, resulting in fragmented sleep and irregular sleep schedules. With sleep restriction, clients are instructed to spend less time in bed and to avoid napping. Relaxation training involves the use of progressive relaxation, autogenic training, and biofeedback to relieve physical or emotional distress affecting sleep. Cognitive-behavioral therapy identifies the maladaptive behavior, bringing the distortions to the client's attention and extinguishing the association between effort to sleep and increased arousals.

Answer to Question 2

Ans: D
Ramelteon is a melatonin receptor agonist. Trazodone and mirtazapine are sedating antidepressants. Estazolam is a benzodiazepine classified as a benzodiazepine receptor agonist.

[Medesa]

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