A client with anxiety reports difficulty sleeping and waking up several times throughout the night. The nurse is concerned that the client can develop imbalances in which neurotransmitters?
Standard Text: Select all that apply.
1. Acetylcholine
2. Serotonin
3. Norepinephrine
4. Dopamine
5. Gamma-aminobutyric acid
Correct Answer: 1,2,3
Rationale 1: When moving from non-REM to REM sleep, there is an increase of acetylcholine. If either sleep stage is interrupted, an imbalance in the amount of acetylcholine could occur.
Rationale 2: In REM sleep, the body increases the levels of serotonin. In the absence of REM sleep, an imbalance in the amount of serotonin may occur.
Rationale 3: In REM sleep, the body increases the levels of norepinephrine. In the absence of REM sleep, an imbalance in the amount of norepinephrine may occur.
Rationale 4: Dopamine is not impacted by the amount of non-REM or REM sleep.
Rationale 5: Gamma-aminobutyric acid is not impacted by the amount of non-REM or REM sleep.
Global Rationale: When moving from non-REM to REM sleep, there is an increase of acetylcholine. If either sleep stage is interrupted, an imbalance in the amount of acetylcholine could occur. In REM sleep, the body increases the levels of serotonin and norepinephrine. In the absence of REM sleep, an imbalance in the amount of serotonin and norepinephrine may occur. Dopamine and gamma-aminobutyric acid is not impacted by the amount of non-REM or REM sleep.
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