NURS 661 MARYVILLE EXAM 2 LEARNING
WORKBOOK 2026 PATIENT ASSESSMENT AND
DIAGNOSTIC REASONING SKILLS
◉ Sleep Hygiene-what to avoid
Answer: Naps
Watching the clock
Exercising right before bed
Watching TV
Eating a heavy meal
Drink caffeine late in the day
Smoking
Alcohol
Eat or talk on the phone in bed
◉ Stimulus Control
Answer: Go to bed only when sleepy
Use bed only for sleep and sex
If unable to fall asleep (usually after 20 minutes) get up and do
something relaxing
Get up at the same time every day
,◉ Sleep Restriction
Answer: Stay in bed only when sleeping
If you sleep 5 hours a night, only be in bed for that time
◉ Pharmacology of Sleep
Answer: Primary insomnia: benzodiazepines, zolpidem, eszopicone
(Lunesta), zaleplon (Sonata), Belsomra
◉ Remeron
Answer: helps with sleep and depression
◉ Trazodone
Answer: Commonly used
Warn male patients of priapism
Good for patients who need help falling asleep
◉ Sleep Apnea
Answer: Medication is not recommended for sleep apnea
◉ Modafinil
,Answer: Only FDA approved medication to help with wakefulness
during the day
◉ Prazosin
Answer: Used for nightmares
◉ Sleep Interview
Answer: How many hours a night of sleep are you getting?
How long does it take before you fall asleep?
Do you wake frequently during the night?
Any nightmares or night terrors?
Do you snore?
Do you have any episodes of apnea?
Any current stressors or worries?
Do you take any over the counter medications?
What have you tried in the past?
Do you drink alcohol?
Do you drink caffeine?
◉ Cluster A Personality Disorders
Answer: Schizotypal
Schizoid
, Paranoid
◉ Cluster B Personality Disorders
Answer: Antisocial
Borderline
Histrionic
Narcissistic
◉ Cluster C Personality Disorders
Answer: OCD
Avoidant
Dependant
◉ DSM-5 Paranoid Personality Disorders
Answer: Pervasive distrust and suspiciousness of others such that
their motives are interpreted as malevolent. 4 or more of the
following
1. Suspects, without sufficient basis, that others are exploiting,
harming, or deceiving him or her
2. Is preoccupied with unjustified doubts about the loyalty of
trustworthiness of friends or associates
3. Is reluctant to confide in others because of unwarranted fear that
the information will be used maliciously against him or her
WORKBOOK 2026 PATIENT ASSESSMENT AND
DIAGNOSTIC REASONING SKILLS
◉ Sleep Hygiene-what to avoid
Answer: Naps
Watching the clock
Exercising right before bed
Watching TV
Eating a heavy meal
Drink caffeine late in the day
Smoking
Alcohol
Eat or talk on the phone in bed
◉ Stimulus Control
Answer: Go to bed only when sleepy
Use bed only for sleep and sex
If unable to fall asleep (usually after 20 minutes) get up and do
something relaxing
Get up at the same time every day
,◉ Sleep Restriction
Answer: Stay in bed only when sleeping
If you sleep 5 hours a night, only be in bed for that time
◉ Pharmacology of Sleep
Answer: Primary insomnia: benzodiazepines, zolpidem, eszopicone
(Lunesta), zaleplon (Sonata), Belsomra
◉ Remeron
Answer: helps with sleep and depression
◉ Trazodone
Answer: Commonly used
Warn male patients of priapism
Good for patients who need help falling asleep
◉ Sleep Apnea
Answer: Medication is not recommended for sleep apnea
◉ Modafinil
,Answer: Only FDA approved medication to help with wakefulness
during the day
◉ Prazosin
Answer: Used for nightmares
◉ Sleep Interview
Answer: How many hours a night of sleep are you getting?
How long does it take before you fall asleep?
Do you wake frequently during the night?
Any nightmares or night terrors?
Do you snore?
Do you have any episodes of apnea?
Any current stressors or worries?
Do you take any over the counter medications?
What have you tried in the past?
Do you drink alcohol?
Do you drink caffeine?
◉ Cluster A Personality Disorders
Answer: Schizotypal
Schizoid
, Paranoid
◉ Cluster B Personality Disorders
Answer: Antisocial
Borderline
Histrionic
Narcissistic
◉ Cluster C Personality Disorders
Answer: OCD
Avoidant
Dependant
◉ DSM-5 Paranoid Personality Disorders
Answer: Pervasive distrust and suspiciousness of others such that
their motives are interpreted as malevolent. 4 or more of the
following
1. Suspects, without sufficient basis, that others are exploiting,
harming, or deceiving him or her
2. Is preoccupied with unjustified doubts about the loyalty of
trustworthiness of friends or associates
3. Is reluctant to confide in others because of unwarranted fear that
the information will be used maliciously against him or her
