Sleeping Disorders (chapter 4)

Question 1

Insomnia

Answer 1

Consistent difficulty in falling or staying asleep

Question 2

Treatment of insomnia

Answer 2

Limit use of stimulant drugs, increase physical activity, medication, cognitive behavioral therapy

Question 3

Symptoms of insomnia

Answer 3

Anxiety about inability to fall asleep, overtired, depression

Question 4

Cognitive-behavioral therapy

Answer 4

Psychotherapy that focuses on cognitive processes and problem behaviors

Question 5

Parasomnia

Answer 5

Unwanted, disruptive motor activity - sleepwalking, restless leg syndrome, night terrors, RBD

Question 6

Sleepwalking/somnambulism

Answer 6

Sleeper engages in complex behaviors and are not responsive to attempts to communicate

Question 7

Treatment of sleepwalking

Answer 7

Pharmacotherapies

Question 8

REM Sleep Behavior DIsorder

Answer 8

Muscle paralysis during REM sleep does not occur

Question 9

Symptoms of REM Sleep Behavior Disorder

Answer 9

High levels of physical activity during REM sleep (kicking, punching, scratching, yelling)

Question 10

Treatment of RBD

Answer 10

Anti-anxiety medication, safe sleeping environment * used in diagnosis and treatment of neurodegenerative diseases such as Parkinson’s

Question 11

Restless leg syndrome

Answer 11

Uncomfortable sensations in legs during periods of inactivity (ie, sleep)

Question 12

Treatment of restless leg syndrome

Answer 12

Medication

Question 13

Night terrors

Answer 13

Sense of panic, screams, attempt to escape the immediate environment

Question 14

Treatment of night terrors

Answer 14

Usually unnecessary unless there is an underlying medical or psychological condition

Question 15

Sleep apnea

Answer 15

Sleeper’s breathing stops

Question 16

Symptoms of sleep apnea

Answer 16

Fatigue, cardiovascular disease

Question 17

Treatment of sleep apnea

Answer 17

Continuous positive airway pressure device - pumps air into airways to keep them open

Question 18

Obstructive sleep apnea

Answer 18

Airway becomes blocked during sleep

Question 19

Central sleep apnea

Answer 19

Disruption in signals sent from brain that regulate breathing cause periods of interrupted breathing

Question 20

Sudden infant death syndrome (SIDS)

Answer 20

Infant stops breathing and dies

Question 21

Recommendations to prevent SIDS

Answer 21

Place infants on back, cribs should not contain suffocation threats, caps should not be placed on head (to prevent overheating), abstain from smoking

Question 22

Narcolepsy

Answer 22

A person cannot resist falling asleep at inopportune times

Question 23

Cataplexy

Answer 23

Lack of muscle tone or muscle weakness, sometimes complete paralysis of voluntary muscles

Question 24

Treatment of narcolepsy

Answer 24

Psychomotor stimulant drugs that promote neural activity