The nurse is caring for a patient with a circadian rhythm sleep disorder. The patient expresses a desire to try complementary and alternative medicine (CAM) and the use of melatonin for the treatment of the condition

Question

How does melatonin work for circadian rhythm sleep disorders?
1. It works by helping the individual stay asleep.
2. It works by helping the individual fall asleep.
3. It works by stimulating the pineal gland to improve sleep.
4. It work by suppressing the pineal gland to improve sleep.

Answer 1

Answer: 2
Explanation: Melatonin, a hormone found naturally in the body, is produced by the pineal gland, which regulates circadian rhythm and sleep-wake cycles. As darkness falls, endogenous melatonin levels rise, sending signals to the body to sleep. Light reduces melatonin production and signals the body to awaken. When taken at night, melatonin may decrease the time it takes to fall asleep (sleep latency) in circadian rhythm sleep disorders, but it does not help the individual stay asleep. Though melatonin is produced by the pineal gland, taking a supplement of melatonin does not stimulate or suppress the pineal gland.