CBT-I CBT-I Sleep Hygiene & Lifestyle Factors 2

Question 1

Regular aerobic exercise has been shown to improve insomnia by:

Accepted Answer

Reducing anxiety, improving mood, and enhancing slow-wave sleep

Answer

Exercise reduces anxiety, improves mood, and increases slow-wave sleep, all of which benefit insomnia patients.

Question 2

What is the recommended timing of vigorous exercise relative to bedtime for patients with insomnia?

Accepted Answer

At least 2-4 hours before bedtime

Answer

Vigorous exercise raises core body temperature and arousal, which can interfere with sleep if done too close to bedtime; at least 2-4 hours of buffer is recommended.

Question 3

Napping guidelines in CBT-I generally recommend:

Accepted Answer

Avoiding naps during active treatment to preserve nighttime sleep drive

Answer

Daytime napping reduces homeostatic sleep pressure, undermining the sleep restriction component of CBT-I.

Question 4

Which dietary factor, besides caffeine and alcohol, is most associated with sleep disruption?

Accepted Answer

Large or spicy meals close to bedtime

Answer

Heavy, spicy, or large meals close to bedtime can cause discomfort, heartburn, and metabolic activation that disrupts sleep.

Question 5

Which statement about nicotine and sleep is correct?

Accepted Answer

Nicotine is a stimulant that can delay sleep onset and reduce sleep quality

Answer

Nicotine stimulates the nervous system and has been linked to longer sleep onset latency, more nighttime awakenings, and reduced slow-wave sleep.

(CBT-I) CBT Insomnia Certification Practice Test

(CBT-I) CBT Insomnia Certification Practice Test

CBT-I CBT-I Sleep Hygiene & Lifestyle Factors 2