ATI: Rest and Sleep

Sleep

natural, regularly, occuring, temporary suspension of consciousness that restores your body

A nurse is talking with a parent whose teenage boy is undergoing a sleep study. The parent asks the nurse about narcolepsy. The nurse should explain that the most common manifestation of narcolepsy is.... 1. excessive daytime sleepiness 2. sudden sleep attacks 3. cataplexy

1. excessive daytime sleepiness

A nurse is preparing a "lunch and learn" presentation for a group of coworkers about sleep deprivation. She should explain that people who are sleep deprived can develop what manifestations? 1. Slowed reflexes 2. loss of fine motor control 3. decreased sensitivity to pain 4. blurred vision 5. cardiac dysrhythmias

1. slowed reflexes 2. loss of fine motor control 4. blurred vision 5. cardiac dysrhythmias

A nurse is reviewing the medication history of a client who reports having difficulty sleeping. Which of the following classifications includes some medications that should alert the nurse to the possible adverse effect of insomnia? 1. Antidysrhythmics 2. Anticholinergics 3. Antihistamines

1. Antirhythmics

The parent of a 4 year old child tells the nurse that her daughter seems more restless and irritable during the day than she'd previously been. When the nurse asks about the child's sleep habits, she determines that the child is not getting enough sleep. She should explain to the parent that, between the ages of 3 and 6 years, a child needs an average of how many hours of sleep per night? 1. 10 2. 12 3. 14

2. 12

A nurse is talking with a client who is about to begin using a continuous positive airway pressure device to treat obstructive sleep apnea. Which of the following should the nurse recommend for clients with sleep apnea? 1. Limit fluids 2. Sleep on their side 3. Avoid alcohol 4. Do not smoke 5. Do stretching exercises

2. Sleep on their side 3. Avoid alcohol 4. Do not smoke

The nurse addresses this client's need for sleep by clustering care. What other interventions should she use as this client's hospital stay progresses? (Select all that apply) 1. Limit the number of team members who ask the client questions 2. Turn down the volume on his bedside monitoring equipment 3. Use a flashlight to check his IV infusion when he sleeps at night 4. Plan procedures for times when he is likely to be awake 5. Keep his room door closed whenever practical

2. Turn down the volume on his bedside monitoring equipment 3. Use a flashlight to check his IV infusion when he sleeps at night 4. Plan procedures for times when he is likely to be awake 5. Keep his room door closed whenever practical

A nurse is giving a presentation about treating sleep disorders as part of a continuing education program. She should explain that the purpose of using cognitive therapy to treat insomnia is to help clients. 1. create an optimal sleep environment 2. develop a positive outlook about sleep 3. access the unconscious mind through relaxation

2. develop a positive outlook about sleep

A nurse is talking with a parent who has two young children who sleepwalk. Which of the following information is the priority for the nurse to emphasize with this parent? 1. Keep in mind that many children do outgrow this behavior 2. Try and explore whether or not the children have any new stressors 3. Install gates to block the children's access to stairways

3. Install gates to block the children's access to stairways

If after offering periods of uninterrupted sleep and the client still can't get rest. What should she do next? 1. Suggest that he listen to calm soft music 2. Talk with him about his usual routines at home 3.Request a prescription for sleep medication

3. Request a prescription for sleep medication

The nurse tells the client that she will allow him uninterrupted sleep for 4 hours if he accepts care as that he previously refused. This is an example of which of the following communication techniques? 1. Offering self 2. Giving common advice 3. Suggesting collaboration

3. Suggesting collaboration

A nurse is teaching a client who is undergoing a sleep study to confirm obstructive sleep apnea. What should the nurse include in the teaching? 1. OSA involves an abnormality in the respiratory center of the brain 2. Common risk factors for OSA include hypertension and heart failure 3. With OSA oral structures relax during sleep and block the flow of air

3. With OSA oral structure relax during sleep and block the flow of air

A nurse is talking with coworkers about changing a rotating shift policy. She explains the importance of circadian synchronization for optimal health, and well being. What is an example of this phenomenon? 1. being awake when melatonin levels peak 2. sleeping when heart rate peaks 3. being awake when body temperature peaks

3. being awake when body temperature peaks

A nurse should share with a group of attendees at a sleep disorders workshop that the primary cause of short-term sleep disturbances is? 1. Pain 2. caffiene 3. emotional stress

3. emotional stress

Insomnia

Inability to fall asleep and stay asleep

Interference's to sleep cycle

Emotional stress Caffiene, alcohol and nictoine Pain or GI discomforts Noises: unfamiliar environment, crying babies

Sleep requirements

Healthy adults: 7-9 hours

Parasomnia

Problems, behaviors that interfere with sleep Examples: Sleepwalking Nightmares Restless leg syndrome

Rest

Subjective and unique to the individual