Sleep Test 5

The nurse is conducting an interview with a patient who has a sleep problem. Which questions does the nurse ask the patient to determine the effect of sleep disturbance on the patient? 1 "Do you have trouble staying awake?" 2 "Do you have difficulty falling asleep?" 3 "Do you have headaches when awake?" 4 "Do you have a physical illness that affects your sleep?"

1 "Do you have trouble staying awake?"

What is the most common complaint by patients who have narcolepsy? 1 Sleep paralysis 2 Sudden muscle weakness 3 Excessive daytime sleepiness 4 Vivid dreams while falling asleep

3 Excessive daytime sleepiness

What is nocturia?

A condition in which you wake up during the night because you have to urinate. This condition becomes more common as people age and occurs in both men and women, sometimes for different reasons.

What does an EMG measure?

An EMG measures muscle tone.

Causes of CSA (central sleep apnea) are as follows_____

CSA involves dysfunction in the respiratory control center of the brain. Patients with encephalitis and muscular dystrophy are at a risk for developing CSA due to a fall in oxygen saturation blood levels.

What is the function of L-tryptophan?

It controls sleep

What is the purpose of the circadian rhythm?

It influences the internal organization of sleep.

What is the purpose of the hypothalamus in regards to sleep?

It is the major sleep center of the body.

What is the purpose of the homeostatic process in sleep?

It regulates the length and depth of sleep.

Which questions should the nurse ask during the assessment phase of the nursing process when caring for a patient with suspected sleep apnea? Select all that apply. 1 "Do you snore loudly?" 2 "How easily do you fall asleep?" 3 "What do you do to prepare for sleep?" 4 "Do you fall asleep at inappropriate times?" 5 "Do you experience headaches after awakening?

1 "Do you snore loudly?" 5 "Do you experience headaches after awakening?

A nurse is teaching a patient who is sleep deprived about factors that can promote sleep. What statement if made by the nurse should be included in the teaching? 1 "Exercise 2 hours before bedtime to promote sleep." 2 "Consume chocolates in the evening to promote sleep." 3 "Have a large and heavy meal at night to promote sleep." 4 "Work until you are excessively fatigued to promote sleep."

1 "Exercise 2 hours before bedtime to promote sleep."

penia

"lack, deficiency,"

A patient reports difficulty falling asleep. The nurse asks questions to assess the symptoms of insomnia and analyzes the different stages of the patient's sleep cycle. What are the characteristics of stages 2 and 3 of nonrapid eye movement (NREM) sleep? Select all that apply. 1 Sleepwalking may occur. 2 Body functions become slow. 3 Arousal remains relatively easy. 4 Muscles are completely relaxed. 5 Vital signs are significantly lower than during waking hours.

2 Body functions become slow. 3 Arousal remains relatively easy. 4 Muscles are completely relaxed.

A patient informs a nurse about sleep disturbances caused by jet lag. What sleep disorder does the nurse suspect? 1 Inadequate sleep hygiene 2 Adjustment sleep disorder 3 Rapid eye movement (REM) sleep-behavior disorder 4 Behaviorally induced circadian rhythm sleep disorder

4 Behaviorally induced circadian rhythm sleep disorder

A nurse tells a patient to avoid exercising just before bedtime. How much time should be allowed between exercise and bedtime? Record your answer using whole number. _________ hour(s)

2

The nurse is conducting an interview with a patient who has a sleep problem. Which questions does the nurse ask the patient to determine the signs and symptoms of sleep disturbance on the patient? 1 "Do you have trouble staying awake?" 2 "Do you have difficulty falling asleep?" 3 "Do you have headaches when awake?" 4 "Do you have a physical illness that affects your sleep?"

2 "Do you have difficulty falling asleep?" 3 "Do you have headaches when awake?"

What question should the nurse ask during the assessment of a patient who is suspected of having insomnia? 1 "Do you snore loudly?" 2 "How easily do you fall asleep?" 3 "Do you fall asleep at inappropriate times?" 4 "Do you have episodes of falling to the floor?

2 "How easily do you fall asleep?"

What percentage of sleep time in young adults is rapid eye movement (REM) sleep? Record your answer using a whole number. _____________ %

20

The nurse is assessing the sleep of a patient with a sleep disorder by asking the patient to rate the severity of their daytime sleepiness. Which sleep assessment tool is the nurse using for sleep assessment? 1 Visual analog scale (VAS) 2 Numeric rating scale 3 Epworth Sleepiness Scale 4 Pittsburgh Sleep Quality Index

3 Epworth Sleepiness Scale

What nursing intervention should the nurse provide to a patient who has insomnia? 1 Encourage short naps if possible 2 Instruct the patient to keep an exercise log 3 Have the patient keep a sleep log for a week 4 Use active listening when talking to patient

3 Have the patient keep a sleep log for a week

Which is a neurohormone that promotes sleep? 1 Kava 2 Valerian 3 Melatonin 4 Ramelteon

3 Melatonin

A patient who has alcoholism complains of disturbed sleep and fatigue. Which statements should the nurse include when teaching the patient? Select all that apply. 1 "Alcohol causes nightmares." 2 "Alcohol prevents the onset of sleep." 3 "Alcohol causes awakening from sleep." 4 "Alcohol causes difficulty returning to sleep." 5 "Alcohol reduces rapid eye movement (REM) sleep."

3 "Alcohol causes awakening from sleep." 4 "Alcohol causes difficulty returning to sleep." 5 "Alcohol reduces rapid eye movement (REM) sleep."

What question/s should the nurse ask during the assessment of a patient who is suspected of having narcolepsy? 1 "Do you snore loudly?" 2 "How easily do you fall asleep?" 3 "Do you fall asleep at inappropriate times?" 4 "Do you have episodes of falling to the floor?

3 "Do you fall asleep at inappropriate times?" 4 "Do you have episodes of falling to the floor?

Which questions should the nurse ask during the assessment of a patient who is suspected of having narcolepsy? Select all that apply. 1 "Do you snore loudly?" 2 "What do you do to prepare for sleep?" 3 "Do you fall asleep at inappropriate times?" 4 "Do you have episodes of falling to the floor?" 5 "Do you experience headaches after awakening?

3 "Do you fall asleep at inappropriate times?" 4 "Do you have episodes of falling to the floor?"

The nurse works in a sleep clinic. The nurse understands that sleep medicines should be administered with caution in some patients. In which patient can benzodiazepines be given safely? 1 A 70-year-old patient with renal failure 2 A nursing mother 3 A 30-year-old patient 4 A pregnant patient

3 A 30-year-old patient

Which measure would the nurse suggest to the parents of an infant to promote safe sleeping? 1 Place pillows and stuffed toys in the crib 2 Give bottles to infants in bed during the night 3 Avoid using loose-fitting plastic mattresses 4 Make infants sleep on soft mattresses for comfort

3 Avoid using loose-fitting plastic mattresses

The nurse is attending to a patient diagnosed with restless leg syndrome (RLS). What are the characteristics of this syndrome? Select all that apply. 1 It is usually associated with nocturia. 2 It occurs immediately after waking up. 3 Patients have a continuous itching sensation. 4 It is more common in those having thrombocytopenia. 5 There is recurrent rhythmical movement of the feet and legs.

3 Patients have a continuous itching sensation. 5 There is recurrent rhythmical movement of the feet and legs.

What are the potential adverse effects of sleep medications? 1 Vomiting 2 Dehydration 3 Sleep driving 4 Allergic reactions 5 Severe facial swelling

3 Sleep driving 4 Allergic reactions 5 Severe facial swelling

Nonrapid eye movement (NREM) sleep is divided into how many stages? Record your answer using a whole number. _________

4

The total sleep time of a patient is 200 minutes. If 80% of sleep time is spent in nonrapid eye movement (NREM) sleep, how much time is spent in rapid eye movement (REM) sleep? Record your answer using a whole number. _________ minutes

40

What does an ECG measure?

An electrocardiogram (ECG) measures the electrical activity of the heart.

What does an EEG measure?

An electroencephalogram (EEG) measures electrical activity in the cerebral cortex.

What does an EOG measure?

An electrooculogram (EOG) measures eye movements.

What is ptosis

Drooping of the upper eyelid

Sleep deprivation

can result from sleep apnea; the condition of not having enough sleep. Effects: fatigue, daytime sleepiness, clumsiness and weight loss or weight gain. It adversely affects the brain and cognitive function.

Nightmare disorder is ________

classified as a parasomnia that is usually associated with rapid eye movement (REM) sleep.

Primary central sleep apnea is______

classified as a sleep-related breathing disorder

What is a cholecystectomy?

surgical removal of the gallbladder.

What is Narcolepsy

when a patient falls asleep unexpectedly, classified as a hypersomnia.

What is Paroxysmal nocturnal dyspnea

when a patient has shortness of breath during the night.

The nurse works in a sleep clinic. What instructions should the nurse provide to the older adults to enhance the quality of their sleep? Select all that apply. 1 Establish a fixed bedtime and stick to it. 2 Perform muscle relaxation before going to sleep. 3 Exercise an hour before bedtime to help induce sleep. 4 Watch a favorite movie or television program to relieve stress. 5 Drink a cup of coffee before bedtime to help induce sleep.

1 Establish a fixed bedtime and stick to it. 2 Perform muscle relaxation before going to sleep. 4 Watch a favorite movie or television program to relieve stress.

In which order should a nurse perform the steps of a sleep assessment of a patient using the visual analog scale? 1. Using the scale repeatedly to show change over time 2. Drawing a straight horizontal line 100 mm (3.9 in) long 3. Measuring the distances of the mark along the line in millimeters or inches 4. Marking one end of the line as "best night's sleep" and one end as "worst night's sleep" 5. Making the patient mark a point according to their sleep perception about the previous night

1. Drawing a straight horizontal line 100 mm (3.9 in) long 2. Marking one end of the line as "best night's sleep" and one end as "worst night's sleep" 3. Making the patient mark a point according to their sleep perception about the previous night 5. Measuring the distances of the mark along the line in millimeters or inches 4. Using the scale repeatedly to show change over time

Which is a melatonin receptor agonist that improves sleep by improving the circadian rhythm? 1 Kava 2 Valerian 3 Melatonin 4 Ramelteon

4 Ramelteon

What drug is used to increase a patient's total sleep time? 1 Nicotine 2 Stimulants 3 Antidepressants 4 Benzodiazepines

4 Benzodiazepines

A patient with iron deficiency anemia reports rhythmical movements of the feet and legs and an itching sensation in the muscles before sleep. Which condition is likely to be found in the patient? 1 Insomnia 2 Cataplexy 3 Narcolepsy 4 Restless legs syndrome

4 Restless legs syndrome

A patient has a hiatal hernia. Which position for sleeping is comfortable for the patient? 1 Side position 2 Prone position 3 Supine position 4 Semi-sitting position

4 Semi-sitting position

While monitoring a patient's vital signs, the nurse finds that the patient's pulse and respiration during sleep are significantly lower than during waking hours. The nurse also recalls that during this stage of sleep the body releases human growth hormone. The patient is in which nonrapid eye movement (NREM) stage of sleep? 1 Stage 1 2 Stage 2 3 Stage 3 4 Stage 4

4 Stage 4

In which stage of the sleep cycle does enuresis occur? 1 Stage 1 of nonrapid eye movement 2 Stage 2 of nonrapid eye movement 3 Stage 3 of nonrapid eye movement 4 Stage 4 of nonrapid eye movement

4 Stage 4 of nonrapid eye movement

Sleep Paralysis

A feeling of being conscious but unable to move. It occurs when a person passes between stages of wakefulness and sleep. During these transitions, you may be unable to move or speak for a few seconds up to a few minutes. Some people may also feel pressure or a sense of choking.

What happens to cell division during sleep?

Cell division increases during sleep and helps in the renewal of tissues.

Sleep-related bruxism is

classified as a sleep-related movement disorder.

cyto

of a cell or cells.

What is thrombocytopenia

deficiency of platelets in the blood. This causes bleeding into the tissues, bruising, and slow blood clotting after injury.

A patient reports daytime sleepiness. Which class of medication in the patient's prescription does the nurse expect to have caused this condition? 1 Diuretics 2 Hypnotics 3 Benzodiazepines 4 Beta-adrenergic blockers

3 Benzodiazepines

The nurse is learning about various stages of nonrapid eye movement (NREM) sleep. One particular stage of NREM lasts for 15 to 30 minutes. It is the deepest stage of sleep, and it is very difficult to arouse the sleeper from this stage. The vital signs are lower than during normal waking hours. To which stage of NREM sleep is the nurse referring? Record your answer using a whole number. Stage __________

NREM Stage 4

What happens to muscular contractions during sleep?

Muscular contractions decrease during sleep; this action preserves chemical energy for cellular processes.

What does NREM stand for?

Nonrapid eye movement sleep

What intervention should the nurse perform during the evaluation phase of a patient with a sleep disturbance? 1 Teach the patient sleep hygiene measures 2 Review factors affecting the patient's sleep 3 Assess the patient's response to his or her sleep level 4 Ask the patient if his or her expectations of care are being met

4 Ask the patient if his or her expectations of care are being met

Which activity is done during the implementation phase of the nursing process for a patient with sleep disturbances? 1 Instructing the patient to keep an exercise log 2 Determining the current sleep patterns of the patient 3 Asking the patient if expectations of care are being met 4 Reviewing the factors that promote sleep with the patient

1 Instructing the patient to keep an exercise log

Which are herbal products that promote sleep? Select all that apply. 1 Kava 2 Valerian 3 Melatonin 4 Ramelteon

1 Kava 2 Valerian

The nurse is assessing a patient who has sleep apnea. Which symptoms are likely to be found in the patient? Select all that apply. 1 Loud snoring 2 Muscle weakness 3 Decreased sex drive 4 Difficulty concentrating 5 Excessive urination during the night

1 Loud snoring 3 Decreased sex drive 4 Difficulty concentrating

For what does an electromyogram (EMG) monitor in a patient diagnosed with a sleep disorder? 1 Muscle tone 2 Eye movements 3 Electrical activity of the heart 4 Electrical activity in the cerebral cortex

1 Muscle tone

A patient reports disturbed sleep due to frequent voiding during the night. Which class of medication in the patient's prescription does the nurse expect to have caused this condition? 1 Diuretics 2 Hypnotics 3 Benzodiazepines 4 Beta-adrenergic blockers

1 Diuretics

A head nurse is teaching nursing students about the different phases of sleep. What information should the nurse include? Select all that apply. 1 Children experience more stage 4 nonrapid eye movement (NREM) sleep. 2 Dreams occur during rapid eye movement (REM) sleep only. 3 Personality has an influence on dreams. 4 Dreams occur during both NREM and REM sleep. 5 There is a decreased epinephrine release during REM sleep

1 Children experience more stage 4 nonrapid eye movement (NREM) sleep. 3 Personality has an influence on dreams. 4 Dreams occur during both NREM and REM sleep.

Which psychological symptoms may be found in a patient who has sleep deprivation? Select all that apply. 1 Confusion 2 Disorientation 3 Decreased motivation 4 Decrease in sleeping time 5 Decreased sensitivity to pain 6 Increases sensitivity to pain

1 Confusion 2 Disorientation 3 Decreased motivation 6 Increases sensitivity to pain

A nursing instructor asks a nursing student about sleep regulation. Which statements if made by the student indicate a need for further teaching? 1 "L-tryptophan controls wakefulness in the body." 2 "The hypothalamus is the major sleep center of the body." 3 "The circadian rhythm influences the internal organization of sleep." 4 "The homeostatic process regulates the length and depth of sleep.

1 "L-tryptophan controls wakefulness in the body."

A patient has been diagnosed with narcolepsy. What would the nurse teach the family caregivers about narcolepsy? Select all that apply. 1 "Sleep paralysis is usually present in patients who have narcolepsy." 2 "Symptoms of narcolepsy first appear in the adolescent stage." 3 "Patients who have narcolepsy are prescribed sleep-promoting medications." 4 "Narcolepsy is a dysfunction of mechanisms that regulate sleep and wake states." 5 "Excessive nighttime sleepiness is a common complaint associated with narcolepsy."

1 "Sleep paralysis is usually present in patients who have narcolepsy." 2 "Symptoms of narcolepsy first appear in the adolescent stage." 4 "Narcolepsy is a dysfunction of mechanisms that regulate sleep and wake states."

Which side effects of benzodiazepines are observed in older adults? Select all that apply. 1 Amnesia 2 Diarrhea 3 Vomiting 4 Rebound insomnia 5 Respiratory depression

1 Amnesia 4 Rebound insomnia 5 Respiratory depression

After assessing a patient, the nurse identifies that the patient is predisposed to central sleep apnea. What assessment findings would suggest this condition? Select all that apply. 1 Encephalitis 2 Nasal polyps 3 Enlarged tonsils 4 Brainstem injury 5 Deviated septum

1 Encephalitis 4 Brainstem injury

The nurse is explaining the physiology of sleep to the student nurses. What information should the nurse include? Select all that apply. 1 Prostaglandin D2 controls sleep. 2 The release of serotonin from the bulbar synchronizing region prevents sleep. 3 Major sleep center is located in the hypothalamus. 4 The ascending reticular activating system (RAS) maintains wakefulness. 5 Hypocretins promote nonrapid eye movement sleep

1 Prostaglandin D2 controls sleep. 3 Major sleep center is located in the hypothalamus. 4 The ascending reticular activating system (RAS) maintains wakefulness.

The nurse is teaching sleep-promoting activities to a patient. Which activities should the nurse include? Select all that apply. 1 Relaxation exercises and meditation 2 Reading a light novel in bed to get sleep 3 Eating dinner just 1 hour before bedtime 4 Eating a light snack before bedtime 5 Drinking 500 mL of water before going to bed

1 Relaxation exercises and meditation 4 Eating a light snack before bedtime

Which intervention should the nurse perform during the implementation phase of a patient with a sleep disturbance? 1 Teach the patient about sleep hygiene measures 2 Review factors affecting the patient's sleep 3 Ask the patient if expectations of care are being met 4 Involve the sleep partner in the selection of interventions

1 Teach the patient about sleep hygiene measures

What intervention should the nurse perform during the implementation phase of a patient with a sleep disturbance? 1 Teach the patient sleep hygiene measures 2 Review factors affecting the patient's sleep 3 Assess the patient's response to his or her sleep level 4 Ask the patient if his or her expectations of care are being met

1 Teach the patient sleep hygiene measures

A 40-year-old patient is hospitalized for insomnia. The nurse reviews his medical records. The nurse finds that the patient has had insomnia for 6 months, and that it started when he began working night shifts. After thoroughly questioning the patient, the nurse learns that the patient is stressed due to his workload. The nurse teaches him sleep hygiene habits and guidelines for promoting sleep. What do these primarily include? Select all that apply. 1 Try to avoid worrisome thinking when going to bed and to use relaxation exercises. 2 Use warm water to bathe before bedtime. 3 Avoid listening to music during bedtime. 4 Consume milk or a light snack before bedtime. 5 Get out of the bed if unable to fall asleep in 15 to 30 minutes.

1 Try to avoid worrisome thinking when going to bed and to use relaxation exercises. 2 Use warm water to bathe before bedtime. 4 Consume milk or a light snack before bedtime. 5 Get out of the bed if unable to fall asleep in 15 to 30 minutes.

A patient has a history of obstructive sleep apnea. Which postoperative care reduces the risk of any complications in the patient? Select all that apply. 1 Using an oral appliance 2 Monitoring the patient's airway 3 Avoiding the elevation of the head of the bed 4 Sleeping in the supine position 5 Using a nasal continuous positive airway pressure (CPAP) device 6 Sleeping in a prone position

1 Using an oral appliance 2 Monitoring the patient's airway 5 Using a nasal continuous positive airway pressure (CPAP) device 6 Sleeping in a prone position

The nurse is assessing the sleep of a patient with a sleep disorder by asking the patient to place a mark on a horizontal line at the point corresponding to his or her perceptions of the previous night's sleep. Which sleep assessment tool is the nurse using for sleep assessment? 1 Visual analog scale (VAS) 2 Numeric rating scale 3 Epworth Sleepiness Scale 4 Pittsburgh Sleep Quality Index

1 Visual analog scale (VAS)

A 49-year-old patient has undergone an elective cholecystectomy. The patient is also on treatment for sleep apnea. What actions should the nurse take to promote sleep in this patient? Select all that apply. 1 Elevate the foot end of the bed. 2 Elevate the head end of the bed. 3 Instruct the patient to sleep in a prone position. 4 Discourage the use of oral appliances. 5 Encourage the patient to use a nasal continuous-positive airway pressure device (CPAP) 6 Encourage the use of oral appliances.

2 Elevate the head end of the bed. 3 Instruct the patient to sleep in a prone position. 5 Encourage the patient to use a nasal continuous-positive airway pressure device (CPAP) 6 Encourage the use of oral appliances.

A patient reports excessive drowsiness, confusion and a hangover type feeling during the day. Which class of medication in the patient's prescription does the nurse expect to have caused this condition? 1 Diuretics 2 Hypnotics 3 Benzodiazepines 4 Beta-adrenergic blockers

2 Hypnotics

After assessing a patient, the nurse identifies that the patient is predisposed to obstructive sleep apnea. What assessment findings would suggest this condition? Select all that apply. 1 Encephalitis 2 Nasal polyps 3 Enlarged tonsils 4 Brainstem injury 5 Deviated septum

2 Nasal polyps 3 Enlarged tonsils 5 Deviated septum

The nurse is assessing the sleep of a patient with a sleep disorder by asking the patient to rate the quality and quantity of his or her sleep separately. Which sleep assessment tool is the nurse using for sleep assessment? 1 Visual analog scale (VAS) 2 Numeric rating scale 3 Epworth Sleepiness Scale 4 Pittsburgh Sleep Quality Index

2 Numeric rating scale

The nurse is assessing a patient who complains of sleep deprivation. Which physiological symptoms should the nurse expect to find in the patient? Select all that apply. 1 Increased response time 2 Ptosis or blurred vision 3 Cardiac arrhythmias 4 Diminished reflexes 5 Decreased hearing

2 Ptosis or blurred vision 3 Cardiac arrhythmias 4 Diminished reflexes 5 Decreased hearing

Which intervention should the nurse perform during the assessment phase of a patient with a sleep disturbance? 1 Teach the patient about sleep hygiene measures 2 Review factors affecting the patient's sleep 3 Ask the patient if expectations of care are being met 4 Involve the sleep partner in the selection of interventions

2 Review factors affecting the patient's sleep

What intervention should the nurse perform during the assessment phase of a patient with a sleep disturbance? 1 Teach the patient sleep hygiene measures 2 Review factors affecting the patient's sleep 3 Assess the patient's response to his or her sleep level 4 Ask the patient if his or her expectations of care are being met

2 Review factors affecting the patient's sleep 3 Assess the patient's response to his or her sleep level

The nurse is conducting an interview with a patient who has a sleep problem. Which questions does the nurse ask the patient to determine predisposing factors associated with the sleep problem? 1 "Do you have trouble staying awake?" 2 "Do you have difficulty falling asleep?" 3 "Do you have headaches when awake?" 4 "Do you have a physical illness that affects your sleep?"

4 "Do you have a physical illness that affects your sleep?"

A patient reports nightmares and difficulty sleeping. Which class of medication in the patient's prescription does the nurse expect to have caused this condition? 1 Diuretics 2 Hypnotics 3 Benzodiazepines 4 Beta-adrenergic blockers

4 Beta-adrenergic blockers

Which measures help to promote sleep in older adults? Select all that apply. 1 Having tea or coffee before bedtime 2 Encouraging naps as many times as possible 3 Performing stimulating exercise before bedtime 4 Decreasing fluid intake 2 to 4 hours before sleep 5 Increasing exposure to bright light during the day

4 Decreasing fluid intake 2 to 4 hours before sleep 5 Increasing exposure to bright light during the day

Which intervention should the nurse perform during the planning phase of a patient with a sleep disturbance? 1 Teach the patient about sleep hygiene measures 2 Review factors affecting the patient's sleep 3 Ask the patient if expectations of care are being met 4 Involve the sleep partner in the selection of interventions

4 Involve the sleep partner in the selection of interventions

The nurse is assessing the sleep of a patient with a sleep disorder by asking the patient to rate their sleep quality and pattern. Which sleep assessment tool is the nurse using for sleep assessment? 1 Visual analog scale (VAS) 2 Numeric rating scale 3 Epworth Sleepiness Scale 4 Pittsburgh Sleep Quality Index

4 Pittsburgh Sleep Quality Index

Cataplexy

A sudden, brief loss of voluntary muscle tone triggered by strong emotions such as laughter. The condition is most commonly associated with narcolepsy

What is the nurse least likely to ask parents while performing a sleep assessment of an infant? 1 To describe the infant's eating pattern 2 To describe the sleeping environment of the infant 3 To keep a sleep log of the infant's sleep behavior only at night 4 To evaluate the typical behavior patterns that foster or impair sleep

3 To keep a sleep log of the infant's sleep behavior only at night

Which statement made by a mother being discharged to home with her newborn infant indicates a need for further teaching? 1 "I won't put the baby to bed with a bottle." 2 "For the first few weeks we're putting the cradle in our room." 3 "My grandmother told me that babies sleep better on their stomachs." 4 "I know I'll have to get up during the night to feed the baby when he wakes up.

3 "My grandmother told me that babies sleep better on their stomachs."

A patient has narcolepsy. The nurse finds that the patient's drowsiness has increased. What advice does the nurse offer the patient to decrease drowsiness? Select all that apply. 1 "Avoid eating heavy meals." 2 "Avoid long-distance driving." 3 "Avoid the consumption of alcohol." 4 "Avoid eating a protein-rich diet." 5 "Avoid chewing gum."

1 "Avoid eating heavy meals." 2 "Avoid long-distance driving." 3 "Avoid the consumption of alcohol."

The nurse is taking a sleep history from a patient. Which statement made by the patient needs further follow-up? 1 "I always feel tired when I wake up in the morning." 2 "I go to bed at the same time each night." 3 "It takes me about 15 minutes to fall asleep." 4 "Sometimes, I have to get up during the night to urinate."

1 "I always feel tired when I wake up in the morning."

A patient questions the nurse about narcolepsy. Which response by the nurse is accurate? 1 "Narcolepsy is a dysfunction of mechanisms that regulate sleep and wake states." 2 "Narcolepsy is a disorder characterized by the lack of airflow through the nose and mouth." 3 "Narcolepsy is a symptom that patients experience when they have chronic difficulty falling asleep." 4 "Narcolepsy involves sudden muscle weakness during intense emotions such as anger, sadness, or laughter."

1 "Narcolepsy is a dysfunction of mechanisms that regulate sleep and wake states."

A nurse is teaching a patient about the major risk factors related to obstructive sleep apnea. What statement about risk factors if made by the nurse would be correct? 1 "Obesity and hypertension are major risk factors of obstructive sleep apnea (OSA)." 2 "Smoking and heart failure are major risk factors of obstructive sleep apnea." 3 "Alcohol and type II diabetes are major risk factors of obstructive sleep apnea." 4 "Smoking and a family history of obstructive sleep apnea are major risk factors of obstructive sleep apnea."

1 "Obesity and hypertension are major risk factors of obstructive sleep apnea (OSA)."

Which aspect of care should be included when teaching a patient with narcolepsy? 1 The need to perform strenuous exercise 2 The importance of avoiding caffeine 3 A recommendation to take regular naps of no more than 20 minutes 4 The proper method of using continuous positive airway pressure (CPAP)

3 A recommendation to take regular naps of no more than 20 minutes

A patient has been diagnosed with narcolepsy. What would the nurse teach the family caregivers about narcolepsy? Select all that apply. 1 "Sleep paralysis is usually present in patients who have narcolepsy." 2 "Symptoms of narcolepsy first appear in the adolescent stage." 3 "Patients who have narcolepsy are prescribed sleep-promoting medications." 4 "Narcolepsy is a dysfunction of mechanisms that regulate sleep and wake states." 5 "Excessive nighttime sleepiness is a common complaint associated with narcolepsy.

1 "Sleep paralysis is usually present in patients who have narcolepsy." 2 "Symptoms of narcolepsy first appear in the adolescent stage." 4 "Narcolepsy is a dysfunction of mechanisms that regulate sleep and wake states."

Which patients are at risk for developing central sleep apnea (CSA)? Select all that apply. 1 A patient with encephalitis 2 A patient with nasal polyps 3 A patient with enlarged tonsils 4 A patient with muscular dystrophy 5 A patient with a large neck circumference

1 A patient with encephalitis 4 A patient with muscular dystrophy

Which substances may produce insomnia if consumed in the evening? Select all that apply. 1 Alcohol 2 Nicotine 3 Caffeine 4 A light meal 5 A protein-rich diet

1 Alcohol 2 Nicotine 3 Caffeine

A patient reports difficulty falling asleep. Further assessment shows that the patient consumes alcohol. What are the effects of alcohol on sleep? Select all that apply. 1 Alcohol promotes sleep. 2 Alcohol prevents the patient from falling asleep. 3 Alcohol causes the patient to remain awake. 4 Alcohol awakens the patient early and causes difficulty in returning to sleep. 5 Alcohol reduces rapid eye movement (REM) sleep

1 Alcohol promotes sleep. 4 Alcohol awakens the patient early and causes difficulty in returning to sleep. 5 Alcohol reduces rapid eye movement (REM) sleep

A patient complains that he falls asleep uncontrollably at inappropriate times and has vivid dreams during such times. Which advice should the nurse give to the patient to avoid factors that increase drowsiness? Select all that apply. 1 Avoid alcohol 2 Avoid smoking 3 Avoid relaxing activities 4 Avoid heavy meals 5 Avoid long-distance driving

1 Avoid alcohol 4 Avoid heavy meals 5 Avoid long-distance driving

The nurse has a sleep disorder due to working rotating shifts. Which physiological symptoms are observed in the nurse? Select all that apply. 1 Blurred vision 2 Increased reflexes 3 Decreased judgment 4 Slowed response time 5 Increased visual alertness

1 Blurred vision 3 Decreased judgment 4 Slowed response time

Which psychological symptoms may be found in a patient who has sleep deprivation? Select all that apply. 1 Confusion 2 Disorientation 3 Decreased motivation 4 Decrease in sleeping time 5 Decreased sensitivity to pain

1 Confusion 2 Disorientation 3 Decreased motivation

Which intervention is appropriate to include on a care plan for improving sleep in the older adult? 1 Decrease fluids 2 to 4 hours before sleep. 2 Exercise in the evening to increase fatigue. 3 Allow the patient to sleep as late as possible. 4 Take a nap during the day to make up for lost sleep

1 Decrease fluids 2 to 4 hours before sleep.

The school nurse is teaching a group of high school students about health-promoting behaviors that improve sleep. Which points should be included in the education? Select all that apply. 1 Do not study in your bed. 2 Go to sleep each night whenever you feel tired. 3 Turn off your cell phone at bedtime. 4 Avoid drinking coffee or soda before bedtime. 5 Turn on the television to help you fall asleep.

1 Do not study in your bed. 3 Turn off your cell phone at bedtime. 4 Avoid drinking coffee or soda before bedtime.

What nursing intervention should the nurse provide to a patient who is diagnosed with fatigue? 1 Encourage short naps if possible 2 Instruct the patient to keep an exercise log 3 Have the patient keep a sleep log for a week 4 Use active listening when talking to patient

1 Encourage short naps if possible

The nurse is gathering a sleep history from a patient who is being evaluated for obstructive sleep apnea. Which common symptoms does the patient most likely report? Select all that apply. 1 Headache 2 Early wakening 3 Excessive daytime sleepiness 4 Difficulty falling asleep 5 Snoring

1 Headache 3 Excessive daytime sleepiness 5 Snoring

A 47-year-old man complains of sleep deprivation. What findings should the nurse expect on assessment? Select all that apply. 1 Ptosis 2 Nystagmus 3 Decreased reflexes 4 Fine-motor clumsiness 5 Gross-motor clumsiness

1 Ptosis 3 Decreased reflexes 4 Fine-motor clumsiness

Which physiological symptoms are associated with a sleep deprived patient? Select all that apply. 1 Ptosis 2 Agitation 3 Irritability 4 Disorientation 5 Cardiac arrhythmias

1 Ptosis 5 Cardiac arrhythmias

The patient reports vivid dreaming to the nurse. Through understanding of the sleep cycle, the nurse recognizes that vivid dreaming occurs during which sleep phase? 1 REM sleep 2 Stage 1 NREM sleep 3 Stage 4 NREM sleep 4 Transition period from NREM to REM sleep

1 REM sleep

A patient tells the nurse about a dream that was vivid and colorful. In which stage of sleep does such a dream occur? 1 Rapid eye movement sleep 2 Stage 2 of nonrapid eye movement (NREM) sleep 3 Stage 3 of nonrapid eye movement sleep 4 Stage 4 of nonrapid eye movement sleep

1 Rapid eye movement sleep

A patient reports difficulty falling asleep. Which questions should the nurse ask to assess the patient's insomnia? Select all that apply. 1 "How frequently do you eat out?" 2 "How easily do you fall asleep?" 3 "What causes you to awaken early?" 4 "What do you think of when you try to fall asleep?" 5 "Do you stay with your parents?"

2 "How easily do you fall asleep?" 3 "What causes you to awaken early?" 4 "What do you think of when you try to fall asleep?"

Which statement made by the patient indicates a need for further teaching on sleep hygiene? 1 "I'm going to do my exercises before I eat dinner." 2 "I'll have a glass of wine at bedtime to relax." 3 "I set my alarm to get up at the same time every morning." 4 "I moved my computer to the den to do my work.

2 "I'll have a glass of wine at bedtime to relax."

Which psychological symptoms are associated with a sleep deprived patient? Select all that apply. 1 Ptosis 2 Agitation 3 Irritability 4 Disorientation 5 Cardiac arrhythmias

2 Agitation 3 Irritability 4 Disorientation

Which priority nursing intervention does the nurse incorporate into a plan of care to promote sleep for a hospitalized patient? 1 Have patient follow hospital routines. 2 Avoid awakening patient for nonessential tasks. 3 Give prescribed sleeping medications at dinner. 4 Turn television on low to late-night programming

2 Avoid awakening patient for nonessential tasks.

Which statement is true regarding the use of benzodiazepines? 1 Benzodiazepines can be safely prescribed to infants. 2 Benzodiazepines are initially taken in small dosages. 3 Benzodiazepines can be safely used by nursing mothers. 4 Benzodiazepines can be safely used by pregnant women

2 Benzodiazepines are initially taken in small dosages.

A patient with anemia who is 24 weeks pregnant complains to the nurse of recurrent, rhythmical movements of her feet and legs before the onset of sleep. What could be the reason for her condition? Select all that apply. 1 Renal failure 2 Gender 3 Pregnancy 4 Her gestational age 5 Lower level of iron

2 Gender 3 Pregnancy 5 Lower level of iron

What physiological change happens when a patient is asleep? 1 Increased heart rate 2 Increased cell division 3 Increased basal metabolic rate 4 Increased muscular contractions

2 Increased cell division

A patient experiences menopausal symptoms such as hot flashes, mood swings, and irritability. Which sleep disorder is likely to be found in the patient? 1 Nocturia 2 Insomnia 3 Obstructive apnea 4 Central sleep apnea

2 Insomnia

What nursing intervention should the nurse provide to a patient who has a sedentary lifestyle? 1 Encourage short naps if possible 2 Instruct the patient to keep an exercise log 3 Have the patient keep a sleep log for a week 4 Use active listening when talking to patient

2 Instruct the patient to keep an exercise log

What measure should the nurse suggest to a mother to promote sleep in preschoolers? 1 Encourage co-sleeping on a soft mattress 2 Offer warm milk before sleeping 3 Make sure that the room is dark and quiet 4 Offer a glass of hot chocolate before bedtime

2 Offer warm milk before sleeping

A patient is prescribed a medication that suppresses rapid eye movement (REM) sleep and increases daytime drowsiness. What is the classification of this medication? 1 Alcohol 2 Opiates 3 Nicotine 4 Hypnotics

2 Opiates

A patient is overweight and is a chronic smoker with type II diabetes. The patient is suffering from obstructive sleep apnea that is affecting his marital relationship. What nursing actions should the nurse perform to help the patient manage sleep apnea? Select all that apply. 1 Refer the patient to a marriage counselor. 2 Provide the patient with emotional support. 3 Instruct the patient to avoid coffee before bedtime. 4 Encourage the patient to lose weight and quit smoking. 5 Advise the patient to create an environment conducive to sleep before bedtime

2 Provide the patient with emotional support. 4 Encourage the patient to lose weight and quit smoking.

A mother is unable to put her newborn baby to sleep. What measures should the nurse teach the mother to promote sleep in the newborn? Select all that apply. 1 Put the crib near an open window. 2 Rock the baby gently. 3 Talk to the baby loudly. 4 Sing a lullaby to the baby. 5 Hold the baby snugly in a blanket.

2 Rock the baby gently. 4 Sing a lullaby to the baby. 5 Hold the baby snugly in a blanket.

The nurse finds that an obese patient snores loudly. The patient stops breathing for a few seconds and then resumes breathing. This happens several times during sleep. What could be the diagnosis? 1 Narcolepsy 2 Sleep apnea 3 Sleep deprivation 4 Paroxysmal nocturnal dyspnea

2 Sleep apnea

How long before bedtime should a patient take melatonin? Record your answer using a whole number. _______________________ hour(s)

2 hours

Which statement made by an older adult best demonstrates understanding regarding taking a sleep medication? 1 "I'll take the sleep medicine for 4 or 5 weeks until my sleep problems disappear." 2 "Sleep medicines won't cause any sleep problems once I stop taking them." 3 "I'll talk to my health care provider before I use an over-the-counter sleep medication." 4 "I'll contact my health care provider if I feel extremely sleepy in the mornings.

3 "I'll talk to my health care provider before I use an over-the-counter sleep medication."

The nurse is teaching a patient about the use of herbal medicines. Which statements by the patient indicate effective learning? Select all that apply. 1 "Herbal medicines cause insomnia." 2 "Herbal medicines cause sleep apnea." 3 "Herbal medicines always cause allergic reactions." 4 "Herbal medicines may interact with prescribed medication." 5 "Herbal medicines are not regulated by the U.S. Food and Drug Administration.

4 "Herbal medicines may interact with prescribed medication." 5 "Herbal medicines are not regulated by the U.S. Food and Drug Administration.

The nurse is developing a plan of care for a patient experiencing narcolepsy. Which intervention is appropriate to include on the plan? 1 Instruct the patient to increase carbohydrates in the diet. 2 Have patient limit fluid intake 2 hours before bedtime. 3 Preserve energy by limiting exercise to morning hours. 4 Encourage patient to take one or two 20-minute naps during the day.

4 Encourage patient to take one or two 20-minute naps during the day.

Which action by the nursing assistant at bedtime requires the nurse to intervene? 1 Giving the patient a back rub 2 Turning on quiet music 3 Dimming the lights in the patient's room 4 Giving a patient a cup of coffee

4 Giving a patient a cup of coffee

At which stage of human development does sleep duration at night begin to decline? 1 Toddlerhood 2 Adolescence 3 Young adulthood 4 Middle adulthood

4 Middle adulthood

Which sleep disorder is classified as a sleep-related breathing disorder? 1 Narcolepsy 2 Nightmare disorder 3 Sleep-related bruxism 4 Primary central sleep apnea

4 Primary central sleep apnea

How is stage 1 of nonrapid eye movement (NREM) sleep similar to stage 2 of NREM sleep? 1 Both stages last for 10 to 20 minutes. 2 Both stages include a light level of sleep. 3 The muscles are completely relaxed in both stages 4 The sleeper can be easily awakened in both stages

4 The sleeper can be easily awakened in both stages

What caution should be given to older adults regarding the long-term use of sedatives and hypnotics? 1 They cause headaches and nausea. 2 They are expensive and difficult to obtain. 3 They cause severe depression and anxiety. 4 They lead to sleep disruption.

4 They lead to sleep disruption.

What nursing intervention should the nurse provide to a patient who has been diagnosed with stress overload? 1 Encourage short naps if possible 2 Instruct the patient to keep an exercise log 3 Have the patient keep a sleep log for a week 4 Use active listening when talking to patient

4 Use active listening when talking to patient

What is nystagmus

A vision condition in which the eyes make repetitive, uncontrolled movements. These movements often result in reduced vision and depth perception and can affect balance and coordination. These involuntary eye movements can occur from side to side, up and down, or in a circular pattern.

What is encephalitis?

Encephalitis is an acute infection and inflammation of the brain itself, usually caused by a virus but may also be caused by a bacterial infection.

What is muscular dystrophy?

Muscular dystrophy is a group of diseases that cause progressive weakness and loss of muscle mass. Some people who have muscular dystrophy will eventually lose the ability to walk. Some may have trouble breathing or swallowing.

Causes of OSA (obstructive sleep apnea) are as follows___

Obstructive sleep apnea (OSA) occurs when muscles or structures of the oral cavity or throat relax during sleep. Therefore, patients with nasal polyps, enlarged tonsils, and a large neck circumference are at risk for developing OSA

What does REM stand for?

Rapid Eye movement Sleep

What happens to the basal metabolic rate during sleep?

The basal metabolic rate decreases during sleep; this action conserves the body's energy supply

What happens to the HR during sleep?

The heart rate decreases during sleep; this action benefits the cardiac function.

thrombo

relating to the clotting of blood.