WorksheetsParasomnias
Total questions: 30
Worksheet time: 15mins
Parasomnias are best described as:
Disorders of sleep duration
Disorders involving abnormal events during sleep
Disorders of breathing during sleep
Which type of parasomnia occurs during the first three stages of sleep?
NREM Parasomnia
REM Parasomnia
Narcolepsy
Sleepwalking is classified under:
NREM Parasomnia
REM Parasomnia
Dyssomnia
Nightmares usually occur during:
Stage 2 sleep
REM sleep
NREM stage 1
Which parasomnia involves partial arousals with confusion and disorientation?
Sleep terrors
Confusional arousals
Sleep-related eating disorder
Which is most common among older adults?
REM Sleep Behavior Disorder (RSBD)
Sleepwalking
Sleep terrors
Which of the following parasomnias is strongly associated with Parkinson’s disease?
Sleep paralysis
Sleep terrors
REM Sleep Behavior Disorder
A 10-year-old child is reported to wake up screaming, sweating, and with dilated pupils but has no memory of the event the next morning. This is most likely:
Nightmare disorder
Sleep terrors
REM sleep behavior disorder
A 45-year-old man acts out violent dreams and injures his bed partner. Which condition should be suspected?
REM sleep behavior disorder
Sleep paralysis
Confusional arousal
A patient presents with unexplained bruises upon waking. Which sleep disorder is most consistent?
Narcolepsy
Parasomnia
Insomnia
A teenager sleepwalks and tries to cook food. Which risk is greatest?
Nutritional deficiency
Accidental injury
Poor dream recall
In differentiating NREM from REM parasomnias, which feature is most helpful?
Dream recall
Presence of body movement
Occurrence at any age
Which diagnostic tool is most useful to distinguish parasomnia from seizure disorders?
CT scan
Polysomnography with EEG
Chest X-ray
A patient with parasomnia reports frequent episodes after stressful days. Which factor is most implicated?
Environmental noise
Emotional stress
Daytime naps
Why are NREM parasomnias more common in children?
They dream more vividly
Their sleep-wake cycle is immature
They sleep fewer hours
If a patient has recurrent sleep paralysis, which brain process is most likely dysfunctional?
Transition from NREM to REM
Termination of REM atonia upon waking
Initiation of slow-wave sleep
A nurse observes a child suddenly screaming at night with eyes wide open. What should be the first nursing action?
Wake the child immediately
Ensure the child’s safety without waking
Give the child water
A patient with REM sleep behavior disorder injures himself. Which intervention is most important?
Prescribe melatonin or clonazepam
Encourage napping during the day
Increase caffeine intake
Which recommendation would best prevent parasomnia episodes?
Maintain regular sleep schedule
Sleep in a bright environment
Avoid daytime activity
A patient reports sleep-related eating disorder. Which health risk is greatest?
Hyperthermia
Food poisoning
Anemia
A bed partner reports that a patient kicks and shouts during sleep. Which nursing intervention is priority?
Restrain the patient’s arms and legs
Place padding around the bed
Wake the patient immediately
A patient with recurrent nightmares after trauma should be referred to:
Psychiatry/psychology
Orthopedics
Dermatology
A child is sleepwalking. What should the parent do?
Shake the child awake
Gently guide the child back to bed
Lock the child’s bedroom door
A patient is diagnosed with parasomnia linked to depression. Which treatment approach is best?
Antidepressant therapy plus sleep hygiene
Only increase sleep hours
Ignore psychiatric symptoms
During health teaching, which is the best example of creating an optimal sleep environment?
Sleeping with TV on
Keeping room dark and cool
Checking phone before bed
Which is the safest intervention for recurrent sleepwalking in adults?
Install door alarms or locks
Provide sleeping pills
Ignore the episodes
A nurse finds a patient confused and disoriented upon waking at night. What is the best response?
Reassure and guide back to sleep
Force the patient to stay awake
Call emergency code
Which parasomnia is most dangerous if untreated?
REM sleep behavior disorder
Sleep paralysis
Nightmare disorder
A patient asks how to “stop clock watching” at night. What should the nurse suggest?
Turn the clock away from view
Keep checking the time to reduce worry
Set alarms every 2 hours
Which advice should be given to a patient with sleep paralysis?
Avoid regular sleep schedule
Reduce stress and maintain healthy sleep habits
Sleep fewer than 5 hours per night
