QUESTIONS AND SOLUTIONS
▶ wake promotor Answer: histamine
▶ hormone that makes you want to be awake; sunlight signals this Answer:
OREXIN
▶ Homeostatic sleep drive vs Circadian wake drive Answer: Adenosine
Suprachiasmatic Nucleus (SCN) and Orexin and Melatonin ????
▶ Sleep Assessment - ask pt what Answer: Hours of hours a sleep vs
number of hours in bed
▶ sleep education tips Answer: Sleep hygiene
Avoid caffeine
Limit screens
Exercise (during the day)
Relaxation routine
CBT
Cool environment
Dark room
No disturbances
▶ Medications for Insomnia - Answer: Benzodiazepine
Ramelteon
Suvorexant
Use short term only
▶ insomnia meds - Benzodiazepine Answer: Benzodiazepine receptor
agonists → sedation
▶ insomnia meds - Ramelteon Answer: melatonin agonist (makes you fat)
▶ insomnia meds - Suvorexant Answer: orexin antagonist
, ▶ Hypersomnolence & how do u treat Answer: Excessive daytime
sleepiness
Treated with stimulants (modafinil, amphetamines)
▶ Narcolepsy Answer: Cataplexy + sleep attacks; Sleep paralysis &
hallucinations
▶ Cataplexy Answer: sudden loss of muscle control
▶ who experiences sleep paralysis the most Answer: see these in
trauma/PTSD pts
▶ how do you treat sleep paralysis & hallucinations ***** Answer: Prazosin
▶ Obstructive Sleep Apnea - risk and treatment Answer: Snoring + apnea
episodes
Risk: obesity
Treatment: CPAP (preferred); weight loss
▶ Sleepwalking and sleep terrors occur in ___ Answer: NREM
▶ Nightmares occur in Answer: REM
▶ Sexuality = Answer: identity, intimacy, pleasure, relationships
▶ sexuality influences what Answer: self-concept and interpersonal
functioning; holistic concept across lifespan
▶ Biosexual identity = Answer: anatomy/physiology
▶ Gender identity = Answer: psychological sense of gender
▶ Sexual orientation = Answer: attraction
▶ Sexuality - Child & Adolescent Sexual Behavior: exploration common in
what ages Answer: ages 2-5
▶ Sexuality - Child & Adolescent Sexual Behavior: decreases as Answer:
Decreases as social norms develop