A nurse assesses a 40-year-old man for a complaint of sleep ...

[torybrooks]

A nurse assesses a 40-year-old man for a complaint of sleep problems. Which of the statements made by the client would be most indicative of obstructive sleep apnea (OSA)?
 
  1. I think I am seeing things when I wake up.
  2. My wife says I snore and even stop breathing.
  3. I go to sleep okay but then wake up several times at night.
  4. My wife says I sit straight up in bed at 2 a.m. and then say strange things.

Question 2

When the family of a child diagnosed with a nightmare disorder asks the nurse about prognosis, the nurse replies with the knowledge that:
 
  1. The disorder is frequently self-limiting in children
  2. With the use of antipsychotic medication, the disorder will not progress
  3. High doses of diazepam (Valium) are needed to cure the disorder
  4. If the child is obese, it is likely the nightmares will continue indefinitely

[at]

Answer to Question 1

ANS: 2
A person with obstructive sleep apnea displays symptoms related to a narrowing of the upper airway, so option 2 is correct. Option 1 describes hypnagogic hallucinations, and option 3 de-scribes a type of insomnia. Option 4 might describe dreaming behavior.

Answer to Question 2

ANS: 1
Nightmare disorder is often managed with psychotherapy and desensitization, so options 2 and 3 are incorrect. Obesity has not been connected to nightmare disorder, so option 4 is incorrect.

[torybrooks]

Excellent

[laurnthompson]

TYSM