Question 1

You are working with a client who reports difficulty sleeping. It has gotten so bad that he dreads bedtime because he knows he will toss and turn for an hour before he falls asleep and wake up a few hours later, unable to fall back to sleep. He states he knows these feelings of dread and the anxiety associated with it is further complicating his ability to fall asleep. You decide to use an intervention that incorporates mindfulness and education about sleep and sleep hygiene in the hopes that your client will begin to see sleep as a positive activity. Which approach to sleep disorders does this best represent?

A) Pharmacological
B) Cognitive therapy
C) Environmental adaptations
D) Bedtime routine

B

Accepted Answer

This intervention represents a cognitive therapy approach as it addresses the client's negative thoughts and beliefs about sleep, and educates them on healthy sleep habits. Mindfulness can also help the client to become more aware of their thoughts and feelings towards sleep, and learn to manage them effectively.

Question 2

Sensations of falling just before falling asleep and the experience of dreams when an individual is awake are symptoms of which of the following?&#10;A) REM sleep debt&#10;B) NREM sleep debt&#10;C) Hypnic myoclonia sleep debt&#10;D) Hypnagogic sleep debt

Accepted Answer

A

Question 3

You are working with an adult whose family is concerned he is sleeping too much. You want to use an assessment to gather information on the individual's perspective and satisfaction on his sleep patterns. Which assessment would you choose?

A) Insomnia Severity Index
B) Oviedo Sleep Questionnaire
C) Patient Health Questionnaire
D) Sleep Disturbance Scale for Children

B

Accepted Answer

The Oviedo Sleep Questionnaire is a self-reported assessment that includes questions about subjective sleep quality, satisfaction with sleep, and sleep duration. It is specifically designed to gather information on an individual's perspectives and satisfaction on their sleep patterns, making it the best choice for this situation. The other assessments listed may be useful for measuring insomnia or sleep disturbance, but they do not target the specific information needed in this case.

Question 4

Increased sleep debt can impact which of the following?&#10;A) Melatonin production&#10;B) Circadian rhythm&#10;C) Cognition&#10;D) Zeitgebers

Accepted Answer

Cognition is the mental process of acquiring knowledge and understanding. Sleep debt can impact cognition by impairing attention, memory, and decision-making.

Question 5

You are working with a client diagnosed with dementia who functions best in the morning. Staff complains that in the evening your client demonstrates increased confusion and anxiety, resulting in her pacing throughout the evening and making it difficult for the staff to assist her to bed. Which of the following does this best represent?

A) Insomnia
B) Parasomnias
C) Circadian rhythm sleep disorders
D) Sundowning

Accepted Answer

Sundowning is a term used to describe the onset of confusion and agitation in the late afternoon or early evening, often seen in individuals with dementia. It is thought to be related to the disruption of their circadian rhythm and increased fatigue later in the day. This can make it difficult for staff to assist the individual to bed as they may be restless and agitated.

Question 6

The introduction of lifestyle changes, such as decreased nicotine and caffeine intake in the evening, maintaining a regular bedtime routine, and maintaining an effective sleep environment are examples of which of the following?

A) NREM sleep
B) REM sleep
C) Spatial contexts of sleep
D) Temporal contexts of sleep

Accepted Answer

The introduction of lifestyle changes to improve sleep quality, such as maintaining a regular bedtime routine and an effective sleep environment, relates to the temporal contexts of sleep, which refer to the timing and duration of sleep. NREM and REM sleep are different stages of the sleep cycle. Spatial contexts of sleep relate to the physical environment and location where someone sleeps.

Question 7

The gradual accumulation of a lack of sleep is called _____________.&#10;A) Sleep apnea&#10;B) Insomnia&#10;C) Sleep disorder&#10;D) Sleep debt

Accepted Answer

Sleep debt is the gradual accumulation of a lack of sleep, caused by consistently getting less sleep than the body needs. Sleep apnea and insomnia are specific sleep disorders, but do not encompass the overall concept of sleep debt.

Question 8

Which of the following best describes children experiencing increased sleep debt?&#10;A) Increased drowsiness&#10;B) Increased hyperactivity&#10;C) Decreased REM sleep&#10;D) Increased NREM sleep

Accepted Answer

The answer of Which of the following best describes children...

Question 9

When working with a client experiencing sleep disturbances, you want to make sure that she has a good pillow and mattress, as well as recommend the use of a sleep mask to block out light. Which approach to sleep disorders does this best represent?

A) Pharmacological
B) Cognitive therapy
C) Environmental adaptations
D) Bedtime routine

Accepted Answer

The approach of recommending a good pillow and mattress, as well as a sleep mask to block out light, involves environmental adaptations to create a more conducive sleep environment for the client.

Question 10

Which of the following best describes the importance of sleep for occupational participation?&#10;A) It is the foundation for all our waking occupations.&#10;B) It is a shared construct.&#10;C) It is a repeatable experience.&#10;D) It has cultural meaning.

Accepted Answer

Sleep is crucial for allowing our bodies and minds to rest and recharge, which in turn enables us to engage in our daily occupations effectively. It is the foundation for our waking occupations, as it directly impacts our energy levels, mood, cognitive function, and physical abilities. Without sufficient sleep, our ability to participate in meaningful work and leisure activities can be severely impacted.

Question 11

Extreme sleep debt in children displays the same symptoms as _____________.&#10;A) Cognitive delay&#10;B) Hyperactivity&#10;C) Insomnia&#10;D) Night terrors

Accepted Answer

The answer of Extreme sleep debt in children displays the...

Deck 56: Rest and Sleep