Exam 20: Sleep and Rest

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The nurse reminds the CNAs that most older adults require a minimum of _____ hours of sleep per day.

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7.5

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

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A,B,C,E

In what stage of sleep is sleepwalking most likely to occur?

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C

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

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

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

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What can alter an older adult's diurnal patterns? (Select all that apply.)

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What does decreasing fluid intake in the late evening prevent?

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

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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.

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The wife of a patient tells the home health nurse that she suspects her husband has sleep apnea because he __________. (Select all that apply.)

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What are common side effects of sleep medications? (Select all that apply.)

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The nurse clarifies that the individual's pattern of wakefulness and sleeping is referred to as the __________ rhythm.

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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?

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

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To avoid interfering with sleep, when should activity be avoided during the day?

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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?

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

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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?

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

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