A 76-year-old man tells the nurse at the sleep disorder clinic, "I awaken almost nightly in the midst of violent dreams in which I am defending myself against multiple attackers. Then I realize I have been hitting and kicking my wife
She has bruises.". Which health problem is most likely? a. Sleep paralysis
b. Night terror disorder
c. Sleep-related bruxism
d. REM sleep behavior disorder
D
The scenario describes REM sleep behavior disorder in which the patient engages in violent and complex behaviors during REM sleep as though acting out his dreams. Older men have a higher incidence of this problem. Sleep paralysis refers to the sudden inability to perform voluntary movement at either sleep onset or awakening from sleep. Bruxism refers to grinding teeth during stage 2 sleep. Night terror disorder occurs as arousal in the first third of the night during non-REM sleep, accompanied by feelings of panic.
You might also like to view...
Identify the nurse who is acting as a community health nurse. Select all that apply
a. School nurse who provides screening and direct care in the elementary school b. Parish nurse who offers health education after services each Sunday c. Nurse who works for the Red Cross by providing disaster relief d. A nurse administering vaccines to inmates in a correctional facility
The nurse explains that the device that measures the pressure and volume of the urine stream is called the _________________
ANS:
Which therapeutic option would be the best treatment for osteomalacia?
1. Calcitonin 2. Alendronate 3. Plicamycin 4. Vitamin D
A patient's mental state is an important factor in the success or failure of drug therapy. This is an example of the effect ________ have on drug action.
What will be an ideal response?