Fundamentals-Edapt-Sleep and Rest

Which are the typical sleep characteristics in adolescents? (SATA)

Adolescents normally sleep less than 7 hours a night.

Based on the nurse's knowledge about sleep disorders, which situation presents a client safety concern for the nurse? (SATA)

-A pediatric client with a history of somnambulism -A newborn positioned in a prone position to sleep

Which are the normal sleep characteristics in adults? (SATA)

-Adults sleep less as age increases. -The older adult spends less time in REM 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? (SATA)

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

Which statement(s) is true regarding insomnia? (SATA)

-May signal an underlying disorder -The most common sleep disorder -Depression is commonly associated with insomnia

Which is true of the group of sleep disorders known as parasomnias? (SATA)

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

Which is true about sleep deprivation?

Can be acute or chronic

Sleep is important for the ___(1)___of biological processes including tissue renewal.​

restoration

The nurse is caring for a client who is in the deepest stage of sleep. Which clinical manifestation(s) would the nurse observe when checking on this client during hourly rounds? (SATA)

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

Why is it important for the nurse to understand the stages and characteristics of normal sleep? (SATA)

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

Select the correct characteristics associated with a normal sleep pattern.​ 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

It is important for nurses to understand the science of sleep. Match the client's age to the correct sleep characteristic. 1) 1 year 2) 3 year 3) 5 year 4) 14 year 5) 22 year 6) 65 year

1. A 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 the stress of the developmental stage. 6. Will sleep in short bursts without spending much time in a deep sleep.

Match the stages of sleep. 1. -Involves periods of sound sleep which last 10-20 minutes. -Characterized by progressing relaxation​. -Characterized by slowing of vital signs and metabolism. -The person can still be easily aroused by sensory stimuli. 2. -Lightest level of sleep which lasts a few minutes. ​ -Characterized by a gradual fall in vital signs and metabolism​. -The person is easily aroused by sensory stimuli.​ -The person will feel as if they have been daydreaming. 3. -Occurs about 90 minutes after sleep has begun. -The duration increases with each sleep cycle.​ -Duration averages 20 minutes. -Dreaming and rapid eye movement occurs, characterized by fluctuation in heart, respiratory, and blood pressure rates. -The person loses skeletal muscle tone.​ -Gastric secretion increases.​ -The person is very difficult to arouse. 4.- The deepest stage of sleep.​ -Characterized by a significant decrease in brain and muscle activity​. -Vital signs are significantly lower than during waking hours​. -The person is difficult to arouse and rarely moves.

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

Based on the nurse's knowledge of narcolepsy, what is the priority concern for the nurse caring for a client with this diagnosis?

Client safety due to an increased fall risk

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

Client with Infection: -Decreased immunity​ -Decreased tissue renewal -Decreased ability to recover from illness Client with dementia: -Decreased mood and mental relaxation ​ -Decreased memory consolidation -Decreased ability to concentrate Client with fall risk: -Decreased motor performance -Decreased memory consolidation -Decreased ability to concentrate

Which sleep disorder often requires a machine providing positive pressure at night?

Obstructive sleep apnea