Deck 11: Rest, Sleep, and Activity

Question 1

The nurse completes an admission assessment on an older adult patient.The nurse identifies which factor that may contribute to sleep problems?

A) Exposure to sunlight
B) Polypharmacy
C) Use of a sleep aid
D) Decreased fluid intake

Answer 1

Polypharmacy

Question 2

Which of the following is a true statement about sleep in older adults?

A) The time spent in bed increases, but the time spent asleep decreases.
B) The amount of leg movement during sleep remains steady throughout life.
C) Rapid-eye-movement (REM) sleep becomes more unevenly distributed with age.
D) The amount of stage III sleep increases steadily throughout life.

Answer 2

The time spent in bed increases, but the time spent asleep decreases.

Question 3

The older adult residents of an assisted-living facility are preparing for a 14-day trip to Europe.Which is the most important exercise for the nurse to recommend for the group?

A) Practice standing on one foot for 30 seconds.
B) Move light weights in a rowing motion eight times.
C) Stretch the hips by pulling the knee to the chest.
D) Swim laps in the pool for 10 minutes continuously.

Answer 3

Swim laps in the pool for 10 minutes continuously.

Question 4

What is the difference between rest and sleep?

A) Sleep occurs with rest.
B) Rest is an extension of sleep.
C) Rest occurs only in brief periods.
D) Sleep is restorative and recuperative.

Question 5

The nurse should encourage which of the following exercise(s)to assist with balance for a patient who is at high risk for falls?

A) Tai chi
B) Use of resistance bands
C) ROM activities
D) Walking heel to toe

Question 6

The nurse observes that a male patient is snoring every night.Which should the nurse assess in this patient to diagnose the potential for sleep apnea?

A) Change in appetite
B) Rituals for sleeping
C) Number of daytime naps
D) Headaches in the morning
E) Irritability during the day
F)Awakening during the night

Question 7

Exercises are prescribed for older adults as therapy to improve which one of the following qualities?

A) Relative intensity
B) Muscle strength
C) Muscle retraining
D) Body sculpting

Question 8

The nurse expresses concern about a female nursing home resident in the team meeting.Which resident information determines the team's priority in planning her care?

A) Experiences several interruptions with sleep
B) Has had coronary bypass graft surgery during the last year
C) Needs increasing help with personal hygiene
D) Eats insufficient calories to maintain her weight

Question 9

Which of the following should the nurse recommend for a moderate-intensity exercise for older adults who are ambulatory and in good health?

A) Walk 4 miles in 60 minutes.
B) Work in the garden for 45 minutes.
C) Swim laps in the pool for 20 minutes.
D) Wash and wax the car for 75 minutes.

Question 10

A nurse will be conducting an education session at the local senior citizens center on the importance of physical activity.Which activities should the nurse include as an example of moderate-intensity aerobic activity?

A) Biking
B) Range of motion (ROM)
C) Weight lifting
D) Dancing

Question 11

Residents of a nursing home taking which of the following medication(s)are at risk for sleep disturbances as an adverse effect of the medication?

A) Celecoxib (Celebrex)
B) Diltiazem (Cardizem)
C) Venlafaxine (Effexor)
D) Ipratropium (Atrovent)
E) Oxycodone (Oxycontin)
F)Guaifenesin (Robitussin)

Question 12

An older man has Alzheimer disease,and his wife says he is up and wandering around the house at night.Which intervention should the nurse implement to increase the man's duration of sleep?

A) Instruct the wife to increase his daily physical activity.
B) Collaborate with the health care provider to administer a hypnotic medication.
C) Teach the wife how to apply a vest restraint during sleep.
D) Help the wife plan daily periods for napping and activity.

Question 13

Which of the following is important to include in the initial assessment for older adults who are frail and beginning an exercise program?

A) Exercise tolerance testing (ETT)
B) Financial ability to pay for training sessions
C) Medical history and physical examination
D) Pulmonary function tests (PFTs)

Question 14

An older woman maintains an active lifestyle playing various games with friends.She reports to the nurse that she experiences wakefulness during the night and an inability to fall asleep after waking up at night.Which intervention should the nurse implement to improve the quality of this woman's sleep?

A) Recommend preparation for sleep.
B) Suggest trying a cup of warm milk at bedtime.
C) Inquire about her nightly sleep rituals.
D) Propose volunteer work at a thrift shop.

Question 15

During the night,an older woman complains to the nurse that she has not slept more than 2 hours since admission to the hospital.Which intervention should the nurse implement to increase the duration of this woman's sleep?

A) Inquire about her sleep habits used at home.
B) Suggest that she avoid napping during the day.
C) Tell her that sleep is fragmented in older people.
D) Offer a book to her or suggest watching a movie.

Question 16

The nurse at an assisted-living facility uses the Exercise and Screening for You (EASY)tool to plan an exercise program for a female resident who is in good health except that her height has decreased ½ inch.Which exercise safety tip from EASY calls for the nurse to assess the resident before planning care?

A) Do not exercise a red, warm, or swollen joint.
B) Avoid stretches that cause you to bend at the waist.
C) Evaluate your surroundings for outdoor exercising.
D) Begin by warming up with low-to-moderate exercises.

Question 17

Which of the following is a true statement about sleeping in older adults?

A) Older adults tend to fall asleep quickly but are awakened throughout the night.
B) Sleep disturbances in the older adult can be caused by cardiovascular disease, arthritis, or diabetes.
C) Benzodiazepine agents are the medications of choice for sleep disorders.
D) Selective serotonin-reuptake inhibitors (SSRIs) can alleviate sleep disturbances caused by depression.

Question 18

A nursing home resident who has type 1 diabetes mellitus is gradually requiring more and more insulin on an as-needed (PRN)basis to treat hyperglycemia.Which of the following should the nurse assess to plan care for improving this individual's glucose metabolism?

A) New-onset urinary tract infection
B) Trends over time in activity level
C) Sudden increase in caloric intake
D) Big change in diabetic medication use