Discuss excessive arousal at nighttime

Discussion: PMHNP caring for an excessive arousal at nighttime

Question 40

The PMHNP is caring for a patient who reports excessive arousal at nighttime. What could the PMHNP use for a time-limited duration to shift the patient’s brain from a hyperactive state to a sleep state?

a) Histamine 2 receptor antagonist

b) Benzodiazepines

c) Stimulants

d) Caffeine

Question 41

The PMHNP is caring for a patient who experiences too much overstimulation and anxiety during daytime hours. The patient agrees to a pharmacological treatment but states, “I don’t want to feel sedated or drowsy from the medicine.” Which decision made by the PMHNP demonstrates proper knowledge of this patient’s symptoms and appropriate treatment options?

a) Avoiding prescribing the patient a drug that blocks H1 receptors

b) Prescribing the patient a drug that acts on H2 receptors

c) Stopping the patient from taking medicine that unblocks H1 receptors

d) None of the above

Astronaut Images/Getty Images. Arousal is an abrupt change in the pattern of brain wave activity, as measured by an EEG. Arousal typically represents a shift from deepsleep, which is commonly known as REM sleep, to light sleep, known as NREMsleep, or from sleep to wakefulness.Nov 9, 2018

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