4/12/25, 8:14 NR547 from SI PPT Flashcards |
PM
NR547 FROM SI PPT EXAM QUESTIONS AND
ANDWERS WITH COMPLETE SOLUTIONS VERIFIED
LATEST UPDATE
5.0 (1 review)
Save
Terms in this set (72)
The PMHNP is providing Stage 3 to 4 3 multiple choice options
psychoeducation and anticipatory
guidance to concerned parents regarding
their child's night terrors. At which
stage of sleep is this most likely to
occur?
What criteria must be present to confirm 3 nights a week for 3 months or more + causing clinically significant distress in
a diagnosis of insomnia? important areas of functioning
What are some long term effects Major depressive disorder, HTN, diabetes, stroke, obesity, memory loss,
persistent insomnia is associated with? weakened immune system, and MI
Signs and symptoms include daytime naps, unintentionally falling sleep
Hypersomnolence Disorder during activities such as reading, confusion and memory impairment upon
awakening, excessive daytime sleepiness, impairment in occupational
functioning
Narcolepsy may be accompanied by cataplexy
______-the bilateral loss of muscle tone
triggered by emotions, particularly
laughter or excitement
What deficiency might be seen in a Hypocretin (orexin) deficiency
patient with narcolepsy?
Which type of diagnostic testing should cerebrospinal fluid analysis, nocturnal polysomnography (PSG), and a multiple
be performed in order to make a sleep latency test (MSLT)
narcolepsy diagnosis?
What are risk factors of OSA? Risk factors= ages 40-60, obesity, and family history
A 48 year old obese woman Airway obstruction 3 multiple choice options
experiences excessive daytime
sleepiness, fatigue,
anhedonia, and apathy. Her husband
reports that she snores loudly when
sleeping and often wakes up drenched
inn sweat. The patient has no prior
psychiatric history and denies substance
abuse. Which of the following in the most
likely cause of her symptoms?
Circadian rhythm sleep-wake disorders Physical and behavioral changes related to responses to light and dark
When do Circadian rhythm sleep-wake Occurs when endogenous, 24-hour cycle is disrupted
disorder occur?
Those at risk for circadian risk disorder medical illnesses, those who work night shift, those who are blind
Parasomnias may be diagnosed when the episodes cause clinically significant distress or impairment
1/
7
, 4/12/25, 8:14 NR547 from SI PPT Flashcards |
PM
Non-REM sleep arousal disorders: sleep walking and sleep terrors
Parasomnia examples
Nightmare disorder: repeated, vivid dreams
REM sleep behavior disorders- vocalizations and complex motor behaviors
Clients are more likely to recall nightmares. After these episodes, clients may way
Are clients more likely to remember night
wake up and they will be alert and oriented. Nightmare themes may relate to
terrors or nightmare disorders?
threats to the client's safety/ survival
What are REEM sleep disorders often a Parkinson's or Lewy body dementia
precursor of?
urges to move the legs to reduce unpleasant sensations, such as itching or
Restless leg syndrome
tingling, during periods of rest
Restless leg syndrome TX pramiprexol, ropinirole, iron supplements, gabapentin or pregabalin if painful
A 25 year old woman reports Narcolepsy 3 multiple choice options
frequently falling asleep during the day
for the last 6 months. This has been
affecting her work as a computer help
desk agent, noting she sometimes
nods off during calls but also during
times of high volume. When
her head hits the back of the chai she
wakes up and realizes what happened.
She insists she consistently sleeps 8 hours
each night. This is most consistent with
which if the following?
John is a 22-year-old RN who has started Circadian rhythm sleep disorder 3 multiple choice options
his first job in the cardiothoracic ICU.
After his orientation, he began his
full- time position working three 12-hour
night shifts per week. On his days off,
he reports excessive fatigue during the
day with periods of falling asleep
while driving. He also reports difficulty
staying awake at work during his first
night back to work. Which of the
following is the most likely
diagnosis?
A male patient reports difficulty falling Administer Patient Health Questionnaire (PHQ-9) 3 multiple choice options
asleep and early morning awakening. He
reports excessive daytime sleepiness as a
result of his unrestful sleep. What should
the PMHNP do first?
The PMHNP is conducting a follow up Difficulty falling asleep 3 multiple choice options
exam with a 24 year old male patient
diagnosed with major depressive disorder
who is on sertraline 50mg daily. Which of
the following sleep patterns may the
patient report while on this medication?
2/
7
PM
NR547 FROM SI PPT EXAM QUESTIONS AND
ANDWERS WITH COMPLETE SOLUTIONS VERIFIED
LATEST UPDATE
5.0 (1 review)
Save
Terms in this set (72)
The PMHNP is providing Stage 3 to 4 3 multiple choice options
psychoeducation and anticipatory
guidance to concerned parents regarding
their child's night terrors. At which
stage of sleep is this most likely to
occur?
What criteria must be present to confirm 3 nights a week for 3 months or more + causing clinically significant distress in
a diagnosis of insomnia? important areas of functioning
What are some long term effects Major depressive disorder, HTN, diabetes, stroke, obesity, memory loss,
persistent insomnia is associated with? weakened immune system, and MI
Signs and symptoms include daytime naps, unintentionally falling sleep
Hypersomnolence Disorder during activities such as reading, confusion and memory impairment upon
awakening, excessive daytime sleepiness, impairment in occupational
functioning
Narcolepsy may be accompanied by cataplexy
______-the bilateral loss of muscle tone
triggered by emotions, particularly
laughter or excitement
What deficiency might be seen in a Hypocretin (orexin) deficiency
patient with narcolepsy?
Which type of diagnostic testing should cerebrospinal fluid analysis, nocturnal polysomnography (PSG), and a multiple
be performed in order to make a sleep latency test (MSLT)
narcolepsy diagnosis?
What are risk factors of OSA? Risk factors= ages 40-60, obesity, and family history
A 48 year old obese woman Airway obstruction 3 multiple choice options
experiences excessive daytime
sleepiness, fatigue,
anhedonia, and apathy. Her husband
reports that she snores loudly when
sleeping and often wakes up drenched
inn sweat. The patient has no prior
psychiatric history and denies substance
abuse. Which of the following in the most
likely cause of her symptoms?
Circadian rhythm sleep-wake disorders Physical and behavioral changes related to responses to light and dark
When do Circadian rhythm sleep-wake Occurs when endogenous, 24-hour cycle is disrupted
disorder occur?
Those at risk for circadian risk disorder medical illnesses, those who work night shift, those who are blind
Parasomnias may be diagnosed when the episodes cause clinically significant distress or impairment
1/
7
, 4/12/25, 8:14 NR547 from SI PPT Flashcards |
PM
Non-REM sleep arousal disorders: sleep walking and sleep terrors
Parasomnia examples
Nightmare disorder: repeated, vivid dreams
REM sleep behavior disorders- vocalizations and complex motor behaviors
Clients are more likely to recall nightmares. After these episodes, clients may way
Are clients more likely to remember night
wake up and they will be alert and oriented. Nightmare themes may relate to
terrors or nightmare disorders?
threats to the client's safety/ survival
What are REEM sleep disorders often a Parkinson's or Lewy body dementia
precursor of?
urges to move the legs to reduce unpleasant sensations, such as itching or
Restless leg syndrome
tingling, during periods of rest
Restless leg syndrome TX pramiprexol, ropinirole, iron supplements, gabapentin or pregabalin if painful
A 25 year old woman reports Narcolepsy 3 multiple choice options
frequently falling asleep during the day
for the last 6 months. This has been
affecting her work as a computer help
desk agent, noting she sometimes
nods off during calls but also during
times of high volume. When
her head hits the back of the chai she
wakes up and realizes what happened.
She insists she consistently sleeps 8 hours
each night. This is most consistent with
which if the following?
John is a 22-year-old RN who has started Circadian rhythm sleep disorder 3 multiple choice options
his first job in the cardiothoracic ICU.
After his orientation, he began his
full- time position working three 12-hour
night shifts per week. On his days off,
he reports excessive fatigue during the
day with periods of falling asleep
while driving. He also reports difficulty
staying awake at work during his first
night back to work. Which of the
following is the most likely
diagnosis?
A male patient reports difficulty falling Administer Patient Health Questionnaire (PHQ-9) 3 multiple choice options
asleep and early morning awakening. He
reports excessive daytime sleepiness as a
result of his unrestful sleep. What should
the PMHNP do first?
The PMHNP is conducting a follow up Difficulty falling asleep 3 multiple choice options
exam with a 24 year old male patient
diagnosed with major depressive disorder
who is on sertraline 50mg daily. Which of
the following sleep patterns may the
patient report while on this medication?
2/
7
