TEST BANK for Kaplan and Sadock’s Synopsis of Psychiatry 11th Ed All 37 Chapters. 443 Pages

Chapter 16: Normal Sleep and Sleep-Wake Disorders Test Bank MULTIPLE CHOICE 1. Which assessment observation would not support a diagnosis of narcolepsy? a. Sleep study reports excessive, loud snoring. b. Sleep study shows evidence of sleep paralysis. c. Patient reports needing to drink pots of coffee to stay awake at work. d. Patient reports, When I get sleepy I actually see things that arent really there.

ANS: A Snoring is a characteristic obstructive sleep apnea, not narcolepsy. Classic symptoms of narcolepsy include excessive daytime sleepiness, sleep paralysis, and hallucinations 2. An adult patient diagnosed with narcolepsy is being educated on the medication therapy that is prescribed. Which explanation is provided for the central nervous system stimulant dextroamphetamine (Dexedrine)? a. The apnea will be lessened by this medication. b. It will help control the sporadic loss of muscle tone. c. This medication will minimize the daytime sleepiness. d. Dexedrine will manage the inflammation that causes the snoring.

ANS: C Central nervous system stimulants such as dextroamphetamine (Dexedrine, Dextrostat) may be prescribed to manage excessive daytime sleepiness. This medication has no affect on cataplexy, apnea, or snoring. Apnea and snoring are not symptoms of narcolepsy.