Question 1

Treatment for chronic insomnia usually begins with a careful analysis of all of the following EXCEPT a patient's
A) sleep habits.
B) lifestyle and stress levels.
C) lucid dreaming.
D) medical problems.

Accepted Answer

Lucid dreaming, while related to sleep, is not necessarily relevant in determining the most effective treatment for chronic insomnia. Instead, analysis of sleep habits, lifestyle and stress levels, and medical problems are all crucial factors in developing a treatment plan.

Question 2

Side effects of the newer sleep medications, such as Ambien and Lunesta, include all of the following EXCEPT for
A) amnesia and impaired judgment.
B) depression, increased appetite, and decreased sex drive.
C) sleepwalking and rebound insomnia.
D) sleep apnea and restless legs.

Accepted Answer

Sleep apnea and restless legs are not typical side effects of newer sleep medications like Ambien and Lunesta.

Question 3

Your friend Anna is suffering from insomnia.Which of the following would help Anna get a good night's sleep?
A) nonprescription sleeping pills
B) barbiturates
C) alcohol
D) none of these

Accepted Answer

Nonprescription sleeping pills, barbiturates, and alcohol can all be potentially dangerous and addictive substances that can impair sleep quality and have negative health consequences. It is recommended that individuals suffering from insomnia try non-pharmacological approaches such as establishing a regular sleep routine, creating a relaxing sleep environment, avoiding stimulants before bedtime, and practicing relaxation techniques. It is always best to consult with a healthcare professional before starting any new sleep regimen or taking medication for sleep.

Question 4

Temporary insomnia is most often caused by
A) the use of non-prescription sleeping pills.
B) worry, stress, and excitement.
C) the use of prescribed sedatives.
D) eating starchy foods before going to bed.

Accepted Answer

Temporary insomnia is often caused by worry, stress, and excitement which can create an alert state of mind that makes it difficult to fall asleep. The use of non-prescription sleeping pills or prescribed sedatives may lead to rebound insomnia, making it harder to fall asleep in the future. Eating starchy foods before going to bed may lead to indigestion and discomfort, but it is not a common cause of temporary insomnia.

Question 5

At a sleep lab, you learn to utilize sleep restriction and stimulus control techniques.You are most likely being treated for
A) insomnia.
B) somnambulism.
C) narcolepsy.
D) REM sleep behavior disorder.

Accepted Answer

Sleep restriction and stimulus control techniques are commonly used in the treatment of insomnia.

Question 6

A treatment based on weaning someone off their prescription sleeping pills is designed for persons having which type of insomnia?
A) temporary insomnia
B) chronic insomnia
C) somatic insomnia
D) drug-dependency insomnia

Accepted Answer

The treatment based on weaning someone off their prescription sleeping pills is designed for persons having drug-dependency insomnia, which is a type of insomnia that occurs as a result of withdrawal from sleeping pill addiction or dependence. Temporary insomnia is a short-term sleep disturbance, chronic insomnia is insomnia that lasts for more than three months, and somatic insomnia is a type of insomnia that is caused by medical or physical conditions.

Question 7

Prescription sedatives tend to reduce the quality of sleep because they
A) create paradoxical sleep.
B) suppress peripheral neurological activity.
C) decrease Stage 4 and REM sleep.
D) eliminate Stage 2 sleep.

Accepted Answer

Prescription sedatives tend to decrease the amount of Stage 4 (deep) and REM sleep, which are critical for restorative sleep. This reduction in the amount of restorative sleep can lead to feeling groggy, drowsy, and unfocused the next day, which can negatively impact one's overall well-being and ability to function properly.

Question 8

Which of the following conditions involves sleep loss caused by a withdrawal from prescription sleeping pills, resulting in terrible nightmares and "rebound insomnia" unless the person starts taking the sleeping pills again?
A) narcolepsy
B) drug-dependency insomnia
C) sleep narcosis
D) sleep drunkenness

Accepted Answer

This condition is known as drug-dependency insomnia, which occurs when someone becomes dependent on prescription sleeping pills and experiences withdrawal symptoms when they try to stop taking them. These symptoms can include nightmares and rebound insomnia, making it difficult to sleep without the aid of the sleeping pills.

Question 9

According to research on the use of sleeping pills to treat insomnia, which of the following statements is FALSE?
A) Nonprescription sleeping pills have little sleep-inducing effects.
B) Prescription sedatives increase Stage 4 sleep and REM sleep.
C) The use of prescription sedatives can lead to drug-dependency insomnia.
D) Newer drugs, such as Ambien and Lunesta, can induce sleep but can also cause amnesia, depression, and sleepwalking.

Accepted Answer

Prescription sedatives typically reduce the amount of time spent in REM sleep and deep (Stage 4) sleep rather than increasing it. This alteration in sleep architecture is one of the reasons why the use of these drugs can sometimes lead to a feeling of unrefreshed sleep despite an increase in total sleep time.

Question 10

Using your bedroom for sleeping (instead of for studying, paying bills, etc.)is an example of the use of which of the following methods for combating insomnia?
A) sleep restriction
B) relaxation
C) stimulus control
D) paradoxical intention

Accepted Answer

Stimulus control is a method for combating insomnia that involves creating an association between the bedroom and sleep. Using the bedroom only for sleeping (and not for other activities like studying or paying bills) is one of the key strategies of stimulus control. This helps to concentrate the mind on sleep when in the bedroom, making it easier to fall asleep and stay asleep.

Question 11

Your friend tells you that his doctor has just prescribed a sedative to combat persistent insomnia.He asks for your opinion about taking the sedative.You should advise him to
A) take nonprescription sleeping pills instead.
B) be aware of the danger of drug-dependency insomnia.
C) expect occasional paradoxical sleep if he takes the sedative for an extended period.
D) tell him to expect to act out some very bizarre dreams since sedatives can cause narcolepsy.

Accepted Answer

Advising someone to take nonprescription sleeping pills is not a responsible or safe recommendation as these products can have serious side effects and interactions with other medications. The danger of drug-dependency insomnia is a valid concern as sedatives can be habit-forming and lead to a cycle of needing the medication to fall asleep. Therefore, it is important for your friend to discuss the risks and benefits with his doctor and explore alternative treatments before resorting to medication. Expecting occasional paradoxical sleep or bizarre dreams is possible side effects, but not the most important or relevant to consider when deciding whether or not to take a sedative.

Question 12

The continued use of barbiturates to treat insomnia tends to cause
A) a reduction in insomnia episodes.
B) an increase in narcolepsy.
C) a dependency on the barbiturates.
D) an increase in nocturnal enuresis.

Accepted Answer

Barbiturates can lead to tolerance and dependency, which can make it difficult for an individual to sleep without the drug. The continued use of barbiturates to treat insomnia can lead to addiction and withdrawal symptoms if discontinued.

Question 13

The newer sleep medications, such as Ambien and Lunesta, should be considered
A) ineffective in the treatment of insomnia.
B) very effective in the treatment of insomnia with only minor side effects.
C) a temporary remedy for insomnia.
D) very effective but with potential life-threatening side effects, such as reduced red blood cell production.

Accepted Answer

Newer sleep medications like Ambien and Lunesta are generally considered effective for short-term treatment of insomnia, but they are typically recommended as temporary solutions due to potential side effects and the risk of dependency.

Question 14

Taking nonprescription drugs to fight insomnia is probably not a good idea because they
A) have little or no sleep-inducing effect.
B) suppress Stage 4 and dream sleep.
C) interfere with normal sleep cycles.
D) increase the frequency of microsleeps.

Accepted Answer

The answer of Taking nonprescription drugs to fight insomnia is...

Question 15

Ever since Agnes lost her husband six months ago, she has been unable to sleep through the night even though she is tired when she goes to bed.This type of insomnia is called __________ insomnia.
A) rebound
B) chronic
C) transient
D) temporary

Accepted Answer

Chronic insomnia is when a person has difficulty falling asleep or staying asleep at least three nights a week for three months or longer. Agnes has been experiencing sleep disturbances for six months, making it a chronic issue. Transient insomnia is short-term and usually caused by stress, while rebound insomnia occurs when a person stops taking sleep medications and their insomnia returns. Temporary insomnia is also short-term but can be caused by factors such as jet lag or a temporary change in work schedule.

Question 16

Getting up and doing something useful works best in combating __________ insomnia.
A) temporary
B) chronic
C) cyclic
D) drug-dependency

Accepted Answer

Temporary insomnia is often caused by stress or changes in routine, and getting up to do something productive can help to break the cycle of wakefulness and encourage sleep. However, this may not be as effective for chronic insomnia, which often requires more comprehensive treatment. Cyclic insomnia refers to intermittent bouts of insomnia, and drug-dependency insomnia is caused by reliance on sleep medications, neither of which benefits from simply getting up and doing something useful.

Question 17

Establishing a regular sleep schedule, eliminating caffeine, and treating depression (if present)would most likely be used to combat
A) temporary insomnia.
B) chronic insomnia.
C) narcolepsy.
D) cataplexy.

Accepted Answer

Chronic insomnia often requires a comprehensive approach that addresses lifestyle factors and underlying conditions. Establishing a regular sleep schedule and eliminating caffeine can help regulate the body's sleep-wake cycle, while treating depression addresses a common psychological cause of insomnia. Temporary insomnia might resolve without such extensive measures, and narcolepsy and cataplexy are sleep disorders with different underlying mechanisms that typically require specific treatments beyond lifestyle adjustments.

Question 18

Which type of insomnia is caused by worry, stress, or excitement; is characterized by excess mental activity and heightened arousal leading to frustration; and is best dealt with by getting up and doing something useful or satisfying?
A) cyclic insomnia
B) temporary insomnia
C) chronic insomnia
D) drug-dependency insomnia

Accepted Answer

Temporary insomnia, also known as acute insomnia, is caused by stressful or exciting events and is characterized by excess mental activity and heightened arousal leading to frustration. The best way to deal with it is to get up and do something useful or satisfying.

Question 19

Sleep specialists prefer to treat insomnia with
A) lifestyle changes and behavioral techniques.
B) nonprescription sleeping pills such as Sominex, Nytol, and Sleep-Eze.
C) barbiturates or other prescription sedatives.
D) newer drugs, such as Ambien and Lunesta.

Accepted Answer

Sleep specialists typically prefer to treat insomnia with lifestyle changes and behavioral techniques, such as establishing a regular sleep schedule, avoiding caffeine and nicotine, getting regular exercise, and practicing relaxation techniques. These methods have been shown to be effective in improving sleep quality without the potential risks and side effects of prescription medication.

Question 20

When a person has sleeping difficulties that last for more than three weeks, this person's insomnia is referred to as __________ insomnia.
A) temporary
B) chronic
C) drug-dependency
D) stimulus-control

Accepted Answer

Chronic insomnia is defined as difficulty falling asleep or staying asleep that lasts more than three weeks. Temporary insomnia lasts for a short period of time and may be due to a specific event or situation, while drug-dependency and stimulus-control are specific types of insomnia that do not apply to all cases.

Quiz 5: States of Consciousness.

Treatment for chronic insomnia usually begins with a careful analysis of all of the following EXCEPT a patient's

Side effects of the newer sleep medications, such as Ambien and Lunesta, include all of the following EXCEPT for

Your friend Anna is suffering from insomnia.Which of the following would help Anna get a good night's sleep?

Temporary insomnia is most often caused by

At a sleep lab, you learn to utilize sleep restriction and stimulus control techniques.You are most likely being treated for

A treatment based on weaning someone off their prescription sleeping pills is designed for persons having which type of insomnia?

Prescription sedatives tend to reduce the quality of sleep because they

Which of the following conditions involves sleep loss caused by a withdrawal from prescription sleeping pills, resulting in terrible nightmares and "rebound insomnia" unless the person starts taking the sleeping pills again?

According to research on the use of sleeping pills to treat insomnia, which of the following statements is FALSE?

Using your bedroom for sleeping (instead of for studying, paying bills, etc.) is an example of the use of which of the following methods for combating insomnia?

Your friend tells you that his doctor has just prescribed a sedative to combat persistent insomnia.He asks for your opinion about taking the sedative.You should advise him to

The continued use of barbiturates to treat insomnia tends to cause

The newer sleep medications, such as Ambien and Lunesta, should be considered

Taking nonprescription drugs to fight insomnia is probably not a good idea because they

Ever since Agnes lost her husband six months ago, she has been unable to sleep through the night even though she is tired when she goes to bed.This type of insomnia is called __________ insomnia.

Getting up and doing something useful works best in combating __________ insomnia.

Establishing a regular sleep schedule, eliminating caffeine, and treating depression (if present) would most likely be used to combat

Which type of insomnia is caused by worry, stress, or excitement; is characterized by excess mental activity and heightened arousal leading to frustration; and is best dealt with by getting up and doing something useful or satisfying?

Sleep specialists prefer to treat insomnia with

When a person has sleeping difficulties that last for more than three weeks, this person's insomnia is referred to as __________ insomnia.