ANSWERS
CHAP c10 cQUESTIONS
6. cElla cis ctrying cto chelp cher c3-year-old cson csleep cthrough cthe cnight cbut
creports crecently c
he chas chad cthree cepisodes cof cwaking cup cwithin c3 chours cof cfalling
casleep cwith c
inconsolable cscreaming cand ccrying. cHe cthen cfalls cback casleep con chis
cown cand chas cno c
memory cof cwhat chappened. cWhat cwould cbe cthe cbest cintervention? c
A. cRecommend cdiphenhydramine c12.5 cmg cat cbedtime c
B. cCreate cand cmaintain cbedtime croutine cand creduce cstimuli c
C. cOrder cpolysomnography cand cEEG c
D. cPrescribe cdesmopressin cnasal cspray
, 7. cA c45-year-old cman creports cdifficulty cfalling casleep cand cearly cmorning
cawakening. cHe c
reports cexcessive cdaytime csleepiness cas ca cresult cof chis cunrestful csleep.
cWhat cshould cthe c
PMHNP cdo cfirst? c
A. cPrescribe ctrazadone c100 cmg cat cbedtime c
B. cAdminister cPatient cHealth cQuestionnaire c(PHQ)-9 c
C. cOrder ca csleep cstudy c
D. cHave cthe cpatient ccomplete ca csleep cdiary
8. cA c22-year-old cmale chas cbeen creferred cby cthe cemployee cassistance
cprogram cat chis cjob c
for cpoor cwork cperformance. cThe cpatient creports cthat cno cmatter chow
cmuch ccoffee che c
drinks che cremains csleepy cthroughout cthe cday cand cwill cdoze coff cat
cmeetings. cHe cnotes c
that che cwill coften cawake cwhen chis chead chits cthe cback cof chis cchair cwhen
cat ca cmeeting. cOn c
occasion che chas cdropped chis ccup cof ccoffee cin cfront cof ceveryone cand
cnow che cfeels che cis c
under cconstant cscrutiny cand cthinks cpeople care cspeculating che cis cusing
cdrugs. cWhat cis c
the cmost clikely cdiagnosis? c
A. cPrimary chypersomnia c
B. cHypnagogic challucinations c
C. cHypnopompic challucinations c
D. cNarcolepsy