A patient experiencing primary insomnia asks the nurse, I take a ...

[j.rubin]

A patient experiencing primary insomnia asks the nurse, I take a nap during the day. Doesn't that make up for a lost night's sleep? Select the nurse's best reply.
 
  a. Circadian drives give daytime naps a structure different from nighttime sleep.
  b. The body clock operates on a 24-hour cycle, making nap effectiveness unpredictable.
  c. It is a matter of habit and expectation. We expect to be more refreshed from a night's sleep.
  d. Sleep restores homeostasis but works more efficiently when aided by melatonin secreted at night.

Question 2

A young adult says to the nurse, I go to sleep without any problem, but I often wake up during the night because it feels like there are rubber bands in my legs. Which assessment question should the nurse ask to assess for restless legs syndrome (RLS)?
 
  a. What type of birth control do you use?
  b. How much caffeine do you use every day?
  c. How much exercise do you get in a typical day?
  d. Does anyone else in your family have this problem?

[trog]

Answer to Question 1

ANS: A
Regular sleep cycles occur with nighttime sleep, with progression through two distinct physiological states: four stages of non-rapid eye movement and a period of REM sleep. Naps often contain different amounts of REM sleep, thus changing the physiology of sleep as well as the psychological and behavioral effects of sleep.

Answer to Question 2

ANS: D
Restless legs syndrome (RLS) is a sensory and movement disorder characterized by an unpleasant, uncomfortable sensation in the legs accompanied by an urge to move. Symptoms begin or worsen during periods of inactivity, such as sleep. Symptoms can have a significant impact on the individual's ability to fall asleep and stay asleep. There is likely to be a strong genetic component, especially when seen in individuals less than 40 years old.