Question 1

Which of the following is the most common sleep disorder?

Accepted Answer

A)  Hypersomnia 
B)  Parasomnia 
C)  Insomnia 
D)  Dyssomnia 
A)  Hypersomnia 
B)  Parasomnia 
C)  Insomnia 
D)  Dyssomnia C

Question 2

An individual awakens from a sound sleep in the middle of the night because of abdominal pain. Why does this happen?

Accepted Answer

A)  Stimuli from peripheral organs to the RAS 
B)  Stimuli to the wake center in the cerebral cortex 
C)  Messages from chemoreceptors to the brain 
D)  Messages from baroreceptors to the spinal cord 
A)  Stimuli from peripheral organs to the RAS 
B)  Stimuli to the wake center in the cerebral cortex 
C)  Messages from chemoreceptors to the brain 
D)  Messages from baroreceptors to the spinal cord A

Question 3

A client with a sleep disorder experiences cataplexy. Which is a feature of this condition?

Accepted Answer

A)  Irresistible urge to sleep, regardless of the type of activity in which the client is engaged 
B)  Sudden loss of motor tone that may cause the person to fall asleep; usually experienced during a period of strong emotion 
C)  Nightmare or vivid hallucinations experienced during sleep time 
D)  Skeletal paralysis that occurs during the transition from wakefulness to sleep 
A)  Irresistible urge to sleep, regardless of the type of activity in which the client is engaged 
B)  Sudden loss of motor tone that may cause the person to fall asleep; usually experienced during a period of strong emotion 
C)  Nightmare or vivid hallucinations experienced during sleep time 
D)  Skeletal paralysis that occurs during the transition from wakefulness to sleep B

Question 4

A new mother is discussing her 6-month-old infant's sleep habits and expresses concern about the infant obtaining too much sleep. The mother reports the infant's circadian cycle as: 
$ \begin{array}{ll}\text { Time period } & \text { Activity } \ 0600-0900 & \text { awake } \ 0900-1100 & \text { sleep } \ 1100-1300 & \text { awake } \ 1300-1600 & \text { sleep } \ 1600-1900 & \text { awake } \ 1900-2200 & \text { sleep } \ 2200-2400 & \text { awake } \ 2400-0600 & \text { sleep }\end{array} $
The best statement by the nurse is:

Accepted Answer

A)  "Your infant requires more time asleep during the day hours." 
B)  "You need to awaken your infant during the 2400 to 0600 time period." 
C)  "Your infant is obtaining the average hours of sleep per day for an infant." 
D)  "Your infant is actually obtaining too little sleep for one day." 
A)  "Your infant requires more time asleep during the day hours." 
B)  "You need to awaken your infant during the 2400 to 0600 time period." 
C)  "Your infant is obtaining the average hours of sleep per day for an infant." 
D)  "Your infant is actually obtaining too little sleep for one day."

Question 5

A middle-age adult man has just started an exercise program. What would the nurse teach him about timing of exercise and sleep?

Accepted Answer

A)  Exercising immediately before bedtime enhances ability to sleep 
B)  Exercising within two hours of bedtime can hinder ability to sleep 
C)  The time of day does not matter; exercise facilitates sleep 
D)  The fatigue from exercise may be a hindrance to sleep 
A)  Exercising immediately before bedtime enhances ability to sleep 
B)  Exercising within two hours of bedtime can hinder ability to sleep 
C)  The time of day does not matter; exercise facilitates sleep 
D)  The fatigue from exercise may be a hindrance to sleep

Question 6

What name is given to the rhythmic biologic clock that exists in humans?

Accepted Answer

A)  Sleep-wake cycle 
B)  Alert-unaware process 
C)  Circadian rhythm 
D)  Yo-yo theory 
A)  Sleep-wake cycle 
B)  Alert-unaware process 
C)  Circadian rhythm 
D)  Yo-yo theory

Question 7

A client has sought care because of insomnia that has been increasing in severity and frequency in recent months. What questions should the nurse include in an assessment of this client's health problem? Select all that apply.

Accepted Answer

A)  "Do you have a family history of sleep disturbances?" 
B)  "Do you smoke?" 
C)  "What medications are you currently taking?" 
D)  "Do you have a consistent routine around getting ready for bed and going to bed?" 
E)  "How would you characterize your mood lately?" 
A)  "Do you have a family history of sleep disturbances?" 
B)  "Do you smoke?" 
C)  "What medications are you currently taking?" 
D)  "Do you have a consistent routine around getting ready for bed and going to bed?" 
E)  "How would you characterize your mood lately?"

Question 8

Which individual is likely to require more hours of sleep?

Accepted Answer

A)  a person 75 years of age 
B)  a person 43 years of age 
C)  a person 25 years of age 
D)  a person 15 years of age 
A)  a person 75 years of age 
B)  a person 43 years of age 
C)  a person 25 years of age 
D)  a person 15 years of age

Question 9

A client is diagnosed with narcolepsy. Which of the following is a characteristic of this disorder?

Accepted Answer

A)  Waking during sleep 
B)  Restless leg syndrome 
C)  Uncontrollable desire to sleep 
D)  Decrease in the amount or quality of sleep 
A)  Waking during sleep 
B)  Restless leg syndrome 
C)  Uncontrollable desire to sleep 
D)  Decrease in the amount or quality of sleep

Question 10

A nurse working the night shift assesses a client's vital signs at 4 a.m. (0340). What would be the expected findings, based on knowledge of NREM sleep?

Accepted Answer

A)  Decreased TPR and BP 
B)  Increased TPR and BP 
C)  No change from daytime readings 
D)  Highly individualized, cannot predict 
A)  Decreased TPR and BP 
B)  Increased TPR and BP 
C)  No change from daytime readings 
D)  Highly individualized, cannot predict

Question 11

Which group of terms best describes sleep?

Accepted Answer

A)  Decreased state of activity, refreshed 
B)  Altered consciousness, relative inactivity 
C)  Comatose, immobility 
D)  Alert, responsive 
A)  Decreased state of activity, refreshed 
B)  Altered consciousness, relative inactivity 
C)  Comatose, immobility 
D)  Alert, responsive

Question 12

A sedative-hypnotic has been prescribed to help a client sleep. What should the nurse teach the client about this medication?

Accepted Answer

A)  It should be taken every night for several months 
B)  It is useful for sleep but is better taken with alcohol 
C)  It loses its effectiveness after one or two weeks 
D)  It should be taken in the morning for long-term effects 
A)  It should be taken every night for several months 
B)  It is useful for sleep but is better taken with alcohol 
C)  It loses its effectiveness after one or two weeks 
D)  It should be taken in the morning for long-term effects

Question 13

The parents of a boy 10 years of age are worried about his sleepwalking (somnambulism). What topic should the nurse discuss with the parents?

Accepted Answer

A)  Sleep deprivation 
B)  Privacy 
C)  Schoolwork 
D)  Safety 
A)  Sleep deprivation 
B)  Privacy 
C)  Schoolwork 
D)  Safety

Question 14

A nurse educates a young couple on putting their newborn on his back to sleep. What is the rationale for this information?

Accepted Answer

A)  Prone position increases the risk for sudden infant death syndrome. 
B)  Prone position decreases the risk for sudden infant death syndrome. 
C)  Supine position may alter the size and shape of the infant's head. 
D)  Supine position makes changing diapers and feeding difficult. 
A)  Prone position increases the risk for sudden infant death syndrome. 
B)  Prone position decreases the risk for sudden infant death syndrome. 
C)  Supine position may alter the size and shape of the infant's head. 
D)  Supine position makes changing diapers and feeding difficult.

Question 15

A client who has a sleep disorder is trying stimulus control to improve amount and quality of sleep. What is recommended in this type of therapy?

Accepted Answer

A)  Use the bedroom for sleep and sex only. 
B)  Use the bedroom for reading and eating. 
C)  Go to bed at the same time every night. 
D)  Sleep alone with minimal coverings. 
A)  Use the bedroom for sleep and sex only. 
B)  Use the bedroom for reading and eating. 
C)  Go to bed at the same time every night. 
D)  Sleep alone with minimal coverings.

Question 16

Which of the following guidelines does the nurse apply to discussion of sleep patterns with older adult clients?

Accepted Answer

A)  Circadian rhythms become more prominent as clients age. 
B)  The amount of stage 4 sleep increases as clients age. 
C)  Total sleep time decreases as the clients age. 
D)  Older clients fall asleep more quickly than younger ones. 
A)  Circadian rhythms become more prominent as clients age. 
B)  The amount of stage 4 sleep increases as clients age. 
C)  Total sleep time decreases as the clients age. 
D)  Older clients fall asleep more quickly than younger ones.

Question 17

A nurse is caring for a client who has been diagnosed with insomnia. What nursing intervention would help the nurse relieve the client's condition?

Accepted Answer

A)  Maintain a calm and quiet environment free from noise. 
B)  Administer sedatives as prescribed by the physician. 
C)  Motivate the client to sleep because it may affect his health. 
D)  Engage the client in some diversional activities. 
A)  Maintain a calm and quiet environment free from noise. 
B)  Administer sedatives as prescribed by the physician. 
C)  Motivate the client to sleep because it may affect his health. 
D)  Engage the client in some diversional activities.

Question 18

A nurse is caring for a client who complains about sleep apnea. Which of the following delivery devices should the nurse use to administer oxygen to this client?

Accepted Answer

A)  Nasal catheter 
B)  Oxygen tent 
C)  Transtracheal oxygen 
D)  CPAP mask 
A)  Nasal catheter 
B)  Oxygen tent 
C)  Transtracheal oxygen 
D)  CPAP mask

Question 19

What condition have studies confirmed occurs when adults and children do not get recommended hours of sleep at night?

Accepted Answer

A)  Obesity 
B)  Anxiety 
C)  Diabetes 
D)  Hypertension 
A)  Obesity 
B)  Anxiety 
C)  Diabetes 
D)  Hypertension

Question 20

The client is a male who states his wife complains that his snoring awakens her at night. The spouse is present. To obtain further data, the nurse asks the spouse what?

Accepted Answer

A)  "How loud is his snoring?" 
B)  "Is there silence after snoring which then is followed with a snort?" 
C)  "How long does he snore each night?" 
D)  "How often are you awakened at night due to his loud snoring?" 
A)  "How loud is his snoring?" 
B)  "Is there silence after snoring which then is followed with a snort?" 
C)  "How long does he snore each night?" 
D)  "How often are you awakened at night due to his loud snoring?"

Exam 33: Rest and Sleep

Which of the following is the most common sleep disorder?

An individual awakens from a sound sleep in the middle of the night because of abdominal pain. Why does this happen?

A client with a sleep disorder experiences cataplexy. Which is a feature of this condition?

A middle-age adult man has just started an exercise program. What would the nurse teach him about timing of exercise and sleep?

What name is given to the rhythmic biologic clock that exists in humans?

A client has sought care because of insomnia that has been increasing in severity and frequency in recent months. What questions should the nurse include in an assessment of this client's health problem? Select all that apply.

Which individual is likely to require more hours of sleep?

A client is diagnosed with narcolepsy. Which of the following is a characteristic of this disorder?

A nurse working the night shift assesses a client's vital signs at 4 a.m. (0340). What would be the expected findings, based on knowledge of NREM sleep?

Which group of terms best describes sleep?

A sedative-hypnotic has been prescribed to help a client sleep. What should the nurse teach the client about this medication?

The parents of a boy 10 years of age are worried about his sleepwalking (somnambulism). What topic should the nurse discuss with the parents?

A nurse educates a young couple on putting their newborn on his back to sleep. What is the rationale for this information?

A client who has a sleep disorder is trying stimulus control to improve amount and quality of sleep. What is recommended in this type of therapy?

Which of the following guidelines does the nurse apply to discussion of sleep patterns with older adult clients?

A nurse is caring for a client who has been diagnosed with insomnia. What nursing intervention would help the nurse relieve the client's condition?

A nurse is caring for a client who complains about sleep apnea. Which of the following delivery devices should the nurse use to administer oxygen to this client?

What condition have studies confirmed occurs when adults and children do not get recommended hours of sleep at night?

The client is a male who states his wife complains that his snoring awakens her at night. The spouse is present. To obtain further data, the nurse asks the spouse what?

Introduction to Nursing

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Cultural Diversity

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