Question 1

Sleep disturbances that persist despite attempts to eliminate the underlying cause typically are treated with:

Accepted Answer

A)   medication and behavior therapy.
B)   diet modification and medication.
C)   diet modification and exercise.
D)   behavior therapy and exercise. A

Question 2

Which of the following are true about napping?

Accepted Answer

A)   Napping promotes better sleep quality.
B)   Most older adults nap during the day.
C)   Lack of stimulation promotes napping.
D)   Adults in residential settings tend to nap less. C

Question 3

The consequences of this are cognitive, social, and occupational, and it can threaten personal safety as well as the ability to keep a job or maintain relationships:

Accepted Answer

A)   night waking
B)   insomnia
C)   daytime sleepiness
D)   all of the above C

Question 4

According to the National Sleep Foundation, common factors related to difficulty sleeping include:

Accepted Answer

A)   caffeine intake.
B)   having to get up to go to the bathroom.
C)   unrelieved pain.
D)   all of the above

Question 5

Sleep occurs in several stages of lighter and deeper more restful sleep. Which of the following terms refers to the lighter stages of sleep?

Accepted Answer

A)   rapid eye movement
B)   productive sleep
C)   actual sleep
D)   asleep

Question 6

This tool poses 30 questions that assess the impact of disorders of excessive sleepiness on five domains of everyday living:

Accepted Answer

A)   the Epworth Sleepiness Scale
B)   the Pittsburgh Sleep Quality Index (PSQI) 
C)   the Functional Outcomes of Sleep
D)   the Smyth John Sleep Test

Question 7

Sleep patterns change with age due to physiological alterations in:

Accepted Answer

A)   hormones.
B)   sleep needs.
C)   circadian rhythms.
D)   health and well-being.

Question 8

According to the American Academy of Family Physicians, we need, on average, about this many hours of sleep per night:

Accepted Answer

A)   7
B)   8
C)   9
D)   1

Question 9

Patients with this condition exhibit a much higher rate of sleep disturbance than older adults in general and their symptoms are more severe:

Accepted Answer

A)   dementia
B)   diabetes
C)   hypertension
D)   asthma

Question 10

What percentage of older adults living at home has chronic sleep disorders?

Accepted Answer

A)   1/3
B)   1/2
C)   1/4
D)   all

Question 11

Which of the following is NOT a normal consequence of aging?

Accepted Answer

A)   apnea
B)   restless leg syndrome
C)   insomnia
D)   all of the above

Question 12

Important life changes and stressors, such as the loss of a spouse or financial problems, are cues for a nurse to ask questions about:

Accepted Answer

A)   the patient's cultural beliefs.
B)   whether the patient is maintaining a healthy diet.
C)   if the patient has recently changed medications.
D)   how well rested a patient feels.

Exam 12: Optimizing Rest and Sleep Patterns