The care plan for a newly admitted patient includes orders for stimulant medication and two scheduled naps per day. The nurse knows these are standard treatments for which sleep-wake disorder?

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3. Hypersomnolence disorder is excessive daytime sleepiness in the presence of at least 7 hours of nighttime sleep and is a diagnosis of exclusion. It is treated with stimulants and naps. Narcolepsy is excessive daytime sleepiness that often results in loss of muscle tone as REM sleep intrudes on wakefulness and is treated pharmacologically, often with antidepressants to suppress REM sleep. Central sleep apnea occurs with 5 or more apneic periods in an hour with loss of ventilatory effort. It may be treated with CPAP or by discontinuing medications that contribute to decreased respiratory effort. Circadian rhythm disorders are a group of sleep problems resulting from variations in light, physical activity, work schedules and the effects of aging. These are often treated with melatonin or changes to sleep hygiene.

The Care Plan for a Newly Admitted Patient Includes Orders