Deck 13: Sleep-Wake Disorders

Question 1

All of the following could apply to the diagnosis of insomnia disorder EXCEPT:

A) Difficulty falling asleep.
B) Difficulty staying asleep.
C) Early-morning awakenings without being able to return to sleep.
D) If insomnia is due to a medical condition or illness, then both diagnoses are given.

Answer 1

If insomnia is due to a medical condition or illness, then both diagnoses are given.

Question 2

All of the following could apply to the diagnosis of hypersomnolence disorder EXCEPT:

A) Excessive sleepiness during the day following little sleep the night before.
B) Repeated periods of falling asleep during the day.
C) Not feeling fully alert on awakening.
D) Still feeling tired after 9 hours or more of sleep.

Answer 2

Excessive sleepiness during the day following little sleep the night before.

Question 3

Multiple nightly episodes of pauses in breathing (due to blockage of airflow) during sleep accompanied by snoring/gasping at night or daytime fatigue is characteristic of:

A) Narcolepsy.
B) Obstructive sleep apnea hypopnea.
C) Sleep-related hyperventilation
D) Sleep-related hypoventilation

Answer 3

Obstructive sleep apnea hypopnea.

Question 4

Awakening from dreams with a loud cry/scream along with a sense of disorientation and lack of memory of the dream is characteristic of nightmare disorder.

Question 5

Feeling as if one's natural clock is out of balance resulting in difficulties falling asleep at night or excessive sleepiness is characteristic of "biological clock sleep-wake disorder."

Question 6

To diagnose a sleep disorder, DSM-5 requires that subjective assessments (self-report) are used because they have been found to be more accurate than objective assessments.

Question 7

All of the following are a part of good sleep hygiene habits for adults EXCEPT:

A) Go to bed at night when tired.
B) Only sleep in your bedroom.
C) If unable to fall asleep after 20 minutes, get up and turn on the light but remain in the bedroom.
D) Wake up at the same time each morning.

Question 8

Which of the following is part of the first-line treatment for childhood sleep disorders?

A) Parent education about sleep hygiene for children.
B) Behavioral strategies to help encourage appropriate bedtime behavior.
C) Age appropriate sleep-wake schedules.
D) All of the above.

Question 9

Using a CPAP machine is a strategy often used for the treatment of:

A) Rapid eye movement sleep disorder.
B) Breathing-related sleep disorders (e.g., sleep apnea).
C) Restless leg syndrome.
D) Insomnia disorder.

Question 10

Children are likely to outgrow most parasomnias (e.g., nightmares, sleep terrors, sleepwalking) with few that persist into adulthood.