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What does a typical case of insomnia involve?


A) an individual who has difficulty initiating or maintaining sleep
B) an individual who does not sleep at all
C) an individual who sleeps all night but still feels like he or she has been awake for hours
D) an individual who frequently sleepwalks

E) B) and D)
F) B) and C)

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Given what we know about classical conditioning and learning through association, what do sleep experts generally recommend?


A) They recommend learning as much as possible about all the various sleep disorders.
B) They recommend spending a bit of time thinking about sleep before going to bed.
C) They recommend using the bed for sleep and sex only.
D) They recommend that patients reward themselves every time they sleep the recommended number of hours the previous night.

E) All of the above
F) C) and D)

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Which of the following is NOT something people with narcolepsy commonly experience?


A) cataplexy
B) hypnagogic hallucinations
C) hypnapompic hallucinations
D) sleep paralysis

E) A) and D)
F) A) and C)

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Jones is undergoing therapy for his sleep disorder.During therapy he is instructed to lie in bed and try to stay awake for as long as he can.Which type of therapy would employ this strategy?


A) cognitive relaxation
B) graduated extinction
C) paradoxical intention
D) progressive relaxation

E) B) and D)
F) C) and D)

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Jessie constantly grinds her teeth at night and her doctor is concerned she might be experiencing a sleep problem.What might her doctor suggest Jessie is dealing with?


A) a REM disorder
B) catalepsy
C) a parasomnia
D) a dyssomnia

E) A) and B)
F) All of the above

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Which of the following has NOT been implicated as a factor that may cause sleepwalking?


A) extreme fatigue
B) stress
C) sedative or hypnotic drugs
D) amphetamines

E) A) and C)
F) A) and B)

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According to Burkhalter and colleagues (2015) , what is a newer treatment that may help people with circadian rhythm problems readjust their sleep patterns?


A) bright light
B) Ritalin
C) Ambien
D) phase changes

E) A) and B)
F) B) and D)

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What does the term "primary" in the diagnosis of primary insomnia refer to?


A) the fact that two co-occurring disorders are not present
B) the fact that the sleep disorder is a major cause of other medical or psychiatric conditions that the individual is experiencing
C) the fact that the sleep disturbance is not due to another medical or psychiatric condition
D) the fact that the person has never been diagnosed with insomnia before

E) All of the above
F) C) and D)

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What did Kenneth Parks use as a defense in his trial for killing his mother-in-law and attempting to kill his father-in-law?


A) sleep terrors
B) sleepwalking
C) dyssomnia
D) parasomnia

E) None of the above
F) All of the above

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According to a study by Morin and colleagues (2011) , what was the estimated number of Canadians that had used prescribed medications to help them sleep?


A) 5 percent
B) 10 percent
C) 15 percent
D) 20 percent

E) All of the above
F) A) and C)

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Joan is a six-year-old child who cries out in the middle of the night, appearing frightened and inconsolable.Her parents are unable to comfort her during these episodes, and Joan has no memory of the event in the morning.What does Joan appear to be experiencing?


A) temporary amnesia
B) dyssomnia
C) sleep terrors
D) nightmares

E) A) and D)
F) A) and C)

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Bill suffers from narcolepsy.In which of the following situations is he is most likely to experience cataplexy?


A) when placed in a physical environment with little sun or light
B) immediately upon waking up after a long, restful sleep
C) while jumping up and cheering for his favourite team
D) under hypnosis

E) B) and C)
F) All of the above

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Professor Thompson is explaining how lack of sleep can contribute to obesity.In her explanation she discusses that the release of a specific hormone because of poor sleep can ultimately lead to weight gain.What hormone is she referring to?


A) growth hormone
B) testosterone
C) cortisol
D) estrogen

E) A) and C)
F) None of the above

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Why are antidepressant medications sometimes used to treat narcolepsy?


A) Antidepressant medications promote progressive muscle relaxation.
B) These medications suppress REM sleep, which can trigger cataplexy.
C) The anti-anxiety properties of these medications reduce narcolepsy.
D) Narcolepsy is often caused by depression.

E) None of the above
F) B) and C)

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While suddenly and unexpectedly falling asleep during normal waking hours, Sarah experiences vivid hallucinations of being in a horrible car crash.The experience is so realistic that she actually feels physical sensations as if the hallucination was real.What is Sarah's most likely diagnosis?


A) hypersomnia
B) sleep apnea
C) narcolepsy
D) a psychotic disorder

E) A) and B)
F) A) and C)

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Why are health problems arguably linked to sleep problems?


A) the number of accidents increases substantially
B) the loss of even a few hours of sleep reduces immune functioning
C) the loss of sleep causes heart irregularities over time
D) lack of sleep causes rapid weight loss

E) A) and C)
F) A) and B)

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Rose has been taking over-the-counter sleeping pills for several weeks because of the disrupted sleep patterns she experienced from frequent international travelling.When she stopped the medication, she experienced difficulty falling and staying asleep.What do we call this condition?


A) primary hypersomnia
B) primary insomnia
C) primary dyssomnia
D) rebound insomnia

E) A) and B)
F) C) and D)

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Which of the following is NOT a typical sign that someone may be experiencing breathing-related sleep problems?


A) heavy sweating during the night
B) morning headaches
C) sleep attacks
D) cataplexy

E) C) and D)
F) None of the above

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Compared to people who sleep normally, what are people who do not get enough sleep most likely to experience?


A) more health problems and more frequent hospitalization
B) a reduced number of hours of sleep per night in early adulthood and increases in hours of sleep in middle adulthood
C) more physical health problems but normal levels of productivity
D) weight loss

E) B) and D)
F) All of the above

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What are two factors that help regulate our natural sleep/wake cycles?


A) light and psychological factors
B) melatonin and light
C) psychological factors and melatonin
D) melatonin and serotonin

E) A) and C)
F) C) and D)

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