Sleep and Rest

Based on the nurse's knowledge about sleep disorders, which of the following situations presents a client safety concern for the nurse? Select all that apply.

*A pediatric client with a history of somnambulism *Newborn positioned in prone position to sleep

There are many factors that affect sleep. Which of these factors can the nurse impact to decrease the likelihood of sleep disturbances for the hospitalized client? Select all that apply.

*Cluster treatments and assessments at night *Ensure bed linens are smooth, clean, and dry​ *Silence noises inside and outside the client's room ​ *Encourage the client to practice sleep hygiene​ *Keep light in the hospital room minimal at night ​

Which of the following statement(s) is true regarding insomnia? Select all that apply.

*May signal an underlying disorder *The most common sleep disorder

Which of the following is true of the group of sleep disorders known as parasomnias? Select all that apply.

*Occurs when falling asleep, sleeping, or waking up *More common in children *Abnormal actions while asleep

Based on the knowledge of normal sleep patterns, the nurse caring for a client who is in the deepest stage of sleep would expect to observe which of the following clinical signs during hourly rounds? Select all that apply.

*The client's respiratory rate is lower than the previously observed baseline. *The client is difficult to arouse and rarely moves.

The sleep characteristics of adults include which of the following? Select all that apply.

*The older adult spends less time in REM sleep *Adults sleep less as age increases

Why is it important for the nurse to understand the stages and characteristics of normal sleep? Select all that apply.

*The quality sleep will be manifested in various symptoms. *The quality of sleep impacts client's wellness while awake.

Each night of sleep consists of 1.________ cycles of sleep​. Each sleep cycle is 2.___________ long​. Each cycle has 3.__________ non-rapid eye movement (NREM) cycle(s) and 4.____________ rapid eye movement (REM) cycle(s).​ REM lasts up to 5._____________ minutes during the 6.___________ cycle of sleep. ​

1. 4 to 6 2. 90-110 minutes 3. three 4. one 5. 60 6. last

What impact can the nurse expect sleep disturbances to have on clients with the following issues? Match the sleep disturbance issues to the client scenario. Issues may be pertinent to multiple scenarios.

1. Client admitted with an infection - Decreased immunity, Decreased tissue renewal, Decreased ability to recover from illness ​ 2. Client recovering from surgery - Decreased immunity, Decreased tissue renewal, Decreased ability to recover ​ 3. Client with an increased fall risk - Decreased motor performance, Decreased memory consolidation and ability to concentrate ​ 4. Client admitted for a suicide attempt - Decreased mood and mental relaxation, Decreased memory consolidation and ability to concentrate ​ 5. Client with dementia - Decreased mood and mental relaxation, Decreased memory consolidation and ability to concentrate ​

1. involves periods of sound sleep which last 10-20 minutes ​ 2. lightest level of sleep which lasts a few minutes ​ 3. occurs about 90 minutes after sleep has begun 4. the deepest stage of sleep ​

1. N2 2. N1 3. REM 4. N3

1. 1 year old 2. 3 year old 3. 5 year old 4. 14 year old 5. 22 year old 6. 65 year old

1. high REM percentage is important for brain development​ 2. may have difficulty sleeping due to separation anxiety​ 3. bedtime fears and bed-wetting are not unusual​ 4. will likely be used to having an electronic device on when going to sleep​ 5. may have insomnia due to stress of the developmental stage 6. will sleep in short bursts without spending much time in a deep sleep ​

Sleep is important for the 1.____________ of biological processes including tissue renewal.​

1. restoration

The sleep characteristics of adolescents include which of the following?

Adolescents normally sleep less than 7 hours a night.

Which of the following is true about sleep deprivation?

Can be acute or chronic

Based on the nurse's knowledge of narcolepsy, which of the following is the priority concern for the nurse caring for a client diagnosed with narcolepsy?

Client safety due to an increased fall risk

Which of the following sleep disorders often requires a machine providing positive pressure at night?

Obstructive sleep apnea