Exam 20: Sleep and Rest

What statements by the resident would indicate that she may be experiencing changes in sleep and rest patterns? (Select all that apply.)

The 80-year-old man complains that when he goes to bed and cannot fall asleep, he becomes very upset. What would be an appropriate suggestion for when he has not fallen asleep within 30 minutes?

What can a nurse in a long-term care facility do to best promote normal circadian rhythm in all patient rooms?

How can the nursing staff encourage sleep in long-term care facility residents? (Select all that apply.)

What does decreasing fluid intake in the late evening prevent?

Which can attribute to a sleep-wake cycle disturbance in the older adult?

The nurse reminds the certified nursing assistants (CNAs) that most older adults require a minimum of _____ hours of sleep per day.

A 75-year-old resident in a long-term care facility has problems with sleep onset. What would be an appropriate nursing intervention to aid with sleep?

The nurse encourages the long-term facility resident experiencing insomnia to drink a glass of milk with supper and again before bedtime because milk contains the sleep-inducing agent __________.

The older man in a long-term care facility consistently wakes at 3 AM and does not return to sleep. The nurse records this behavior as _____ insomnia.

What factors can contribute to sleep apnea? (Select all that apply.)

What are reasons that most long-term care residents go to sleep early and awaken early? (Select all that apply.)

What changes in sleep patterns are often seen in older adults? (Select all that apply.)

A newly admitted older adult asks for a sedative every night and states that she cannot fall asleep. What type of sleep disorder is the patient most likely experiencing?

The patient tells the home health nurse that he has flung himself out of bed three times in the course of a violent nightmare. What sleep disorder does the nurse suspect?

The nurse would question the order for a sedative for a patient with which of the following diagnoses?

The patient asks how the continuous positive airway pressure (CPAP) machine decreases the incidence of sleep apnea. What is the correct response by the nurse?

What can the nurse suggest as non pharmacological alternatives to treating insomnia? (Select all that apply.)

What statement by a patient's wife would indicate that the patient is experiencing myoclonus?

What stage of sleep is the initial phase of deep sleep?