Deck 34: Sleep and Rest

Question 1

The primary focus of your interventions for a 6-year-old child who sleepwalks would be to:

A) Maintain patient safety during episodes of somnambulation.
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 1

Maintain patient safety during episodes of somnambulation.

Question 2

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.

Answer 2

Note the trend in sleep-wakefulness patterns over a 2-week period.

Question 3

The expected outcome (goal)for a patient with Disturbed Sleep Pattern is that she will:

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 that she is sleeping better and feels less fatigued.

Answer 3

Verbalize that she is sleeping better and feels less fatigued.

Question 4

Which of the following 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 5

A mother expresses concern that her 7-year-old has episodes of nocturnal enuresis approximately 3 to 4 times per week.The nurse's best response would be which of the following? Choose 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 6

Patterns of waking behavior that appear during sleep are known as:

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

Question 7

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.

Question 8

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 9

Which of the following factors has the greatest positive effect on sleep quality?

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

Question 10

The patient is diagnosed with obstructive sleep apnea.Identify the symptoms you would expect the client to exhibit.Choose all that apply.

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

Question 11

A person who is deprived of REM sleep for several nights in succession will usually experience:

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

Question 12

A patient tells you that she has trouble falling asleep at night,even though she is very tired.A review of symptoms reveals no physical problems and she takes no medication.She has recently quit smoking,is trying to eat healthier foods,and has started a moderate-intensity exercise program.Her sleep history reveals no changes in bedtime routine,stress level,or environment.Based on this information,the most appropriate nursing diagnosis would be Disturbed Sleep Pattern related to:

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

Question 13

When making rounds on the night shift,the nurse observes her patient to be in deep sleep.His muscles are very relaxed.When he arouses as the nurse changes the IV tubing,he is confused.What stage of sleep was the patient most likely experiencing?

A) NREM I
B) NREM II
C) NREM III
D) REM

Question 14

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 a person has become accustomed to
D) Amount of light received through the eyes

Question 15

Select the factors known to affect sleep.Choose all that apply.

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

Question 16

____________________ disorders are those that occur when signs and symptoms of a disease appear or become worse during sleep.

Question 17

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

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

Question 18

A patient states that many of his friends told him to ask for Valium or Ativan to help him sleep while hospitalized.The nurse knows that nonbenzodiazepines (such as Ambien)are often preferred over benzodiazepines (Ativan or Valium).Why is this?

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 19

A 6-year-old boy is admitted to the hospital for a surgical procedure associated with a hospital stay.When the nurse asks his mother about the boy's sleep patterns,she says,"Sometimes he will get out of bed,walk into the kitchen,and get the cereal out of the cabinet.Then he just turns around and goes back to bed." The nurse explains that he is sleepwalking.The best nursing diagnosis for Tad would be:

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