Deck 35: Sleep Rest

Question 1

What will a person who is deprived of REM sleep for several nights in succession usually experience?

A) Extended NREM sleep
B) Paradoxical sleep
C) REM rebound
D) Insomnia

Answer 1

REM rebound

Question 2

Which patient teaching would be most therapeutic for someone with sleep disturbance?

A) Give yourself at least 60 minutes to fall asleep.
B) Avoid eating carbohydrates before going to sleep.
C) Catch up on sleep by napping or sleeping in when possible.
D) Do not go to bed feeling upset about a conflict.

Answer 2

Do not go to bed feeling upset about a conflict.

Question 3

What would be the primary focus of interventions for a 6-year-old client who sleepwalks?

A) Maintain patient safety during episodes of somnambulism.
B) Administer and teach about medications to suppress stage III sleep.
C) Encourage the child to verbalize feelings regarding sleep pattern.
D) Provide a quiet environment for nighttime sleep.

Answer 3

Maintain patient safety during episodes of somnambulism.

Question 4

During which developmental stage does a person tend to need the most hours of sleep?

A) Toddler
B) Adolescence
C) Middle adulthood
D) Older adulthood

Question 5

A patient has difficulty falling asleep despite being very tired.The patient has no physical problems,takes no medications,has quit smoking,eats healthy foods,exercises,and has no changes in sleep routine,stress level,or environment.To what should the nurse relate this patient's Disturbed Sleep Pattern?

A) Increased exercise
B) Nicotine withdrawal
C) Caffeine intake
D) Environmental changes

Question 6

What is the impact of benzodiazepines and nonbenzodiazepines on sleep?

A) Benzodiazepines are eliminated from the body faster than are nonbenzodiazepines,so they do not provide a full night of sleep.
B) Nonbenzodiazepines cause daytime sleepiness,allowing people to rest throughout the day.
C) Benzodiazepines produce daytime sleepiness and alter the sleep cycle.
D) Nonbenzodiazepines remain in the body longer than do benzodiazepines.

Question 7

Which is the main difference between sleep and rest?

A) In sleep,the body may respond to external stimuli.
B) Short periods of sleep do not restore the body as much as do short periods of rest.
C) Sleep is characterized by an altered level of consciousness.
D) The metabolism slows less during sleep than during rest.

Question 8

The nurse prepares to provide a client with a back massage during evening care.What action should the nurse take before providing this intervention?

A) Provide a warm cup of tea.
B) Provide a prescribed sleeping aid.
C) Check the skin for reddened areas or skin breakdown.
D) Encourage the client to sit in a chair for a short time before the massage.

Question 9

A client becomes confused when aroused so the nurse can provide a treatment.Which stage of sleep was this client most likely experiencing?

A) NI
B) NII
C) NIII
D) REM

Question 10

What would be an expected outcome for a client with Disturbed Sleep Pattern?

A) Limit exercise to 1 hour per day early in the day.
B) Consume only one caffeinated beverage per day.
C) Demonstrate effective guided imagery to aid relaxation.
D) Verbalize sleeping better and feeling less fatigued.

Question 11

A 6-year-old client has a history of sleepwalking at home.Which would be the best nursing diagnosis for this client?

A) Sleep Deprivation related to sleepwalking
B) Fatigue related to sleepwalking
C) Disturbed Sleep Pattern related to dyssomnia
D) Risk for Injury related to sleepwalking

Question 12

A client seeks medical attention for a new onset of a sleep disturbance.For which health problem should the nurse assess this client?

A) Diabetes
B) Allergies
C) Heart disease
D) Urinary tract infection

Question 13

What is the purpose of using a sleep diary?

A) Identify sleep-rest patterns over a 1-year period.
B) Note the trend in sleep-wakefulness patterns over a 2-week period.
C) Note typical sleep habits and most common daily routines.
D) Examine the patterns of sleep during the night and naps during the day.

Question 14

Which factor has the greatest positive effect on sleep quality?

A) Sleeping hours in synchrony with circadian rhythm
B) Sleeping in a quiet environment
C) Spending additional time in stage NIII of the sleep cycle
D) Napping frequently during the day hours

Question 15

A client appears sleepy immediately after dinner.What should the nurse do to enhance this client's sleep and rest?

A) Provide a sleep aid.
B) Turn on the television.
C) Encourage the client to walk in the hall.
D) Provide a cup of caffeinated coffee.

Question 16

A patient asks for a carton of milk at bedtime.What action should the nurse take?

A) Withhold the milk because it disrupts REM and slow-wave sleep.
B) Withhold the milk because it interferes with sleep.
C) Withhold the milk because it is a stimulant and will interfere with sleep.
D) Provide the milk because it converts adenosine into serotonin to induce sleep.

Question 17

The nurse notes that a client has been prescribed a polysomnography.For which health problem should the nurse plan care for this client?

A) Diabetes
B) Restless legs syndrome
C) Obstructive sleep apnea (OSA)
D) Chronic obstructive pulmonary disease (COPD)

Question 18

Which is a pattern of waking behavior that appears during sleep?

A) Parasomnias
B) Dyssomnias
C) Insomnia
D) Hypersomnia

Question 19

From what stage of sleep are people typically most difficult to arouse?

A) NREM,alpha waves
B) NREM,sleep spindles
C) NREM,delta waves
D) REM

Question 20

Which is a major factor regulating sleep?

A) Electrical impulses transmitted to the cerebellum
B) Level of sympathetic nervous system stimulation
C) Amount of sleep to which a person has become accustomed
D) Amount of light received through the eyes

Question 21

A middle-aged client is overwhelmed with work and says,"Sleep is optional." What should the nurse explain about the importance of sleep to this client's physical,mental,and spiritual health? Select all that apply.

A) Sleep impacts learning.
B) Sleep and illness are not related.
C) Sleep reduces stress and anxiety.
D) Sleep regulates energy metabolism.
E) Sleep affects almost every tissue in the body.

Question 22

A mother is concerned about a 7-year-old child having nocturnal enuresis three to four times a week.What should the nurse respond to this mother? Select all that apply.

A) "Your daughter's bladder is still developing at this point in her life."
B) "Be patient; most children outgrow enuresis."
C) "Wake your daughter every 4 hours to use the bathroom."
D) "You might consider purchasing protective pads for the bed."
E) "Try a bed alarm to wake her when she starts wetting the bed at night."

Question 23

Which factor is known to affect sleep? Select all that apply..

A) Age
B) Environment
C) Lifestyle
D) State of health
E) Ethnicity

Question 24

The patient is diagnosed with obstructive sleep apnea.What should the nurse expect to assess in this patient? Select all that apply.

A) Bruxism
B) Enuresis
C) Daytime fatigue
D) Snoring
E) Drooling

Question 25

A new nurse working steady night shift is having difficulty staying awake.What should the nurse do to fight sleepiness on the job? Select all that apply.

A) Plan for rest days.
B) Take frequent breaks.
C) Limit caffeine intake.
D) Do something that is physical.
E) Engage in conversation with others.