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Tripura CHO - 2021
Medical Surgical Nursing
Easy

A patient is diagnosed to have insomnia. The term insomnia means?

Appeared in: Tripura CHO - 2021

Explanation

  • Insomnia is a sleep disorder defined by a persistent inability to fall asleep, stay asleep, or achieve restorative sleep, despite having the opportunity to do so.
  • The diagnosis requires the presence of sleep difficulties along with associated daytime impairments such as fatigue, mood disturbances, and concentration problems.
  • The term directly translates to 'inability to sleep' or 'sleeplessness,' making it the most accurate definition among the options.
  • According to diagnostic criteria (DSM-5-TR, ICSD-3), key features are difficulty initiating sleep, difficulty maintaining sleep, or early-morning awakenings.

Why Other Options Were Wrong

  • Option A: This describes cognitive dysfunction (e.g., confusion, amnesia). While insomnia can cause difficulty with concentration and thinking, it is a consequence of the sleep disturbance, not the definition of the disorder itself.
  • Option B: This describes paralysis or a severe motor impairment (akinesia). It is related to neurological or musculoskeletal conditions, not a sleep disorder.
  • Option C: This describes anorexia (loss of appetite) or dysphagia (difficulty swallowing). It is related to eating disorders or gastrointestinal/neurological conditions.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: Use the key finding related to Definition of Insomnia to guide bedside assessment, documentation, and the next nursing action.
  • Nurses play a crucial role in identifying insomnia by assessing patients' sleep patterns and educating them on sleep hygiene principles, which is a first-line, non-pharmacological treatment.
  • Chronic insomnia is a significant risk factor for developing or worsening other conditions, including hypertension, depression, anxiety, and impaired immune function. It also increases the risk of falls, especially in older adults.
  • What if a patient reports sleeping for 8 hours but still feels exhausted? This suggests non-restorative sleep, which is also a feature of insomnia. The nurse should investigate further for other potential sleep disorders like sleep apnea, where sleep quality is poor despite adequate duration.
How to Approach the Question
  • This is a factual recall question that tests the definition of a medical term.
  • First, identify the key term in the question, which is 'insomnia'.
  • Recall or deduce the direct meaning of this term. The prefix 'in-' often means 'not' or 'without,' and 'somnus' is Latin for sleep.
  • Evaluate each option to see which one provides the most accurate and direct definition.
  • Option A, B, and C describe conditions related to thinking, moving, and eating, respectively, which are distinct from a sleep disorder.
  • Option D, 'Inability to sleep,' is the direct definition of insomnia.
Concept Tested & Keywords
  • Concept Tested: Definition of Insomnia
  • Stem keywords: insomnia, diagnosed
  • Lead-in keywords: means
  • Negative lead-in flag: false

Question ID

qQkdYEdF_tLuCd0Kn5182

Reference Book

E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) pp. 6961-6963, 13675-13677, 6963-6965

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