Question 1

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

Accepted Answer

A)  Increased blood pressure 
B)  Drop in core temperature 
C)  Diminished food intake 
D)  Diminished hormone production 
E)  Decreased exposure to light

Question 2

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

Accepted Answer

A)  Obesity 
B)  Diabetes 
C)  Hypotension 
D)  African American heritage 
E)  Use of alcohol

Question 3

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?

Accepted Answer

A)  Myoclonus 
B)  Restless legs syndrome 
C)  Rapid eye movement (REM) sleep disorder 
D)  Epilepsy

Question 4

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?

Accepted Answer

A)  Onset related to anxiety of relocation 
B)  Maintenance related to unfamiliar environment 
C)  Initiation related to depression associated with relocation 
D)  Maintenance related to episodes of nocturnal movement disorders

Question 5

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 __________.

Accepted Answer

The answer of The nurse encourages the long-term facility resident...

Question 6

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

Accepted Answer

A)  Using the minimum light necessary when making rounds 
B)  Making necessary sleep interruptions at the same time every night 
C)  Keeping conversational noise at the nursing station to a minimum 
D)  Answering call lights promptly 
E)  Providing heavy blankets for warmth

Exam 20: Sleep and Rest