NUR 212: Sleep Review Questions

Which statement by a patient who was educated about the importance of acquiring adequate sleep indicates a need for further teaching? A. "I will be sure to try to get 8 hours of sleep every night, and 9 or 10 hours of sleep if I can." B. "Getting less than 6 hours of sleep at night may increase my risk for medical problems." C. "Getting enough sleep will increase my productivity at work." D. "Since I have to drive for my job, getting enough sleep will help me avoid accidents."

A. "I will be sure to try to get 8 hours of sleep every night, and 9 or 10 hours of sleep if I can."

The nurse is developing a teaching plan of general health for an adolescent who will be entering college. The nurse should discuss which modifiable factors that could affect the students sleep pattern? (SATA) A. Coping strategies B. Study habits C. Diet D. Social concerns E. Age

A, B, C, D

The nurse should teach a patient about the dangers of excessive drowsiness when prescribed a combination of which medications? (SATA) A. Gabapentin (Neurontin) B. Fluoxetine (Prozac) C. Diphenhydramine (Benadryl) D. Lorazepam (Ativan) E. Zolpidem (Ambien) F. Pseudoephedrine (Sudafed)

A, B, C, D, E

Parents of a newborn tell the nurse they are exhausted when they wake up in the mornings. What should the nurse suspect as the most likely cause of the parents fatigue? A. Possible thyroid disorder B. Disrupted sleep pattern C. Iron deficiency anemia D. Recent changes in diet

B. Disrupted sleep pattern

A 38-year-old patient referred for sleep studies reports frequent daytime lethargy, unintended lapses into sleep, and never feeling rested on awakening in the morning. These symptoms support which sleep-related diagnosis? A. Circadian rhythm disorder B. Hypersomnolence C. REM sleep behavior disorder D. Breathing-related sleep disorder

B. Hypersomnolence

A patient complains to the nurse that he is unable to sleep well since he has been diagnosed with gastroesophageal reflux disease (GERD). What is the nurse's best response? A. "You should be able to rest if you eat a larger meal before bedtime." B. "You should sleep in a recliner in the lowest position every night to reduce symptoms." C. "A pillow wedge may help you sleep more comfortably while in bed." D. "Drinking at least 8-12 ounces at bedtime should help you sleep through the night."

C. "A pillow wedge may help you sleep more comfortably while in bed."

A client newly diagnosed with hypersomnolence asks about which medication will be prescribed to manage this disorder. The nurse will base his/her response based on what knowledge? A. There is no effective medication treatment for hypersomnolence disorder B. Medication therapy with benzodiazepines may be initiated C. A stimulant will most likely be prescribed D. The client will be started in an anticholinesterase inhibitor

C. A stimulant will most likely be prescribed

A client asks the nurse to explain what basal sleep requirement is. What is the nurse's best response? A. The basal temperature of your body needed to induce the best sleep B. The sleep time by your body needed to repair cellular damage C. The amount of sleep needed to be fully awake and perform well in the daytime D. The amount of sleep needed to transition to rapid eye movements (REM) sleep

C. The amount of sleep needed to be fully awake and perform well in the daytime

Which statement by a mother in a pediatric clinic requires further assessment by the nurse? A. "My 13-month old goes to bed around 7 pm and wakes up at 10 am." B. "My 2 year old sleeps about 9 hours at night and still takes a nap." C. "My 9-year-old daughter sleeps 10 hours a night, sometimes 11 hours" D. "My 16 year old finishes homework late at night but wakes up at 6 am every day."

D. "My 16 year old finishes homework late at night but wakes up at 6 am every day"

A client diagnosed with a chronic sleep disorder begins to cry and states, "I can't keep going on like this! I work in a bank and if I can't function correctly I'll lose my job. I just don't think I'll get better." Which statement provides a therapeutic response to the clients concerns? A. "Don't worry! I'm sure with treatment everything will get better." B. "You are not alone. Many people who come for sleep studies are going through the same thing." C. "You seem so sad. May I ask if something else is troubling you?" D. "There is much hope for improvement through treatment. Let's talk about some strategies for your problems at work."

D. "There is much hope for improvement through treatment. Lets talk about some strategies for your problems at work."