Deck 40: Sleep

Question 1

The mother of a preschooler tells the nurse that the child has started crying and resisting going to sleep at the scheduled bedtime.Which of the following actions should the nurse advise the parent to take?

A) Offer the child a bedtime snack.
B) Eliminate one of the naps during the day.
C) Allow the child to sleep longer in the mornings.
D) Maintain consistency in the same bedtime ritual.

Answer 1

D

Question 2

The nurse is completing an assessment on the patient's sleep patterns.Which of the following is a specific question that the nurse should ask to determine the potential presence of sleep apnea?

A) "How easily do you fall asleep?"
B) "Do you have vivid, lifelike dreams?"
C) "Do you ever experience loss of muscle control or falling?"
D) "Do you snore loudly or experience headaches?"

Answer 2

D

Question 3

The nurse is alert to patients who may be predisposed to obstructive sleep apnea.This includes which of the following individuals?

A) Patients with heart disease
B) Patients with respiratory infections
C) Patients with nasal polyps
D) Patients who are obese

Answer 3

C

Question 4

The parents of a newborn wonder when she should start to sleep through the night.The nurse's response should be that in infants,a nighttime pattern of sleep usually develops by which age?

A) 1 month
B) 2 months
C) 3 months
D) 6 months

Question 5

It is determined that the patient will need pharmacological treatment to assist with his sleep patterns.The nurse anticipates that treatment with an anxiety-reducing,relaxation-promoting medication will include the use of which one of the following?

A) Barbiturates
B) Amphetamines
C) Benzodiazepines
D) Tricyclic antidepressants

Question 6

In describing the sleep patterns of older adults,the nurse recognizes that which of the following statements is true?

A) Older adults are more difficult to arouse.
B) Older adults require more sleep than middle-aged adults.
C) Older adults take less time to fall asleep.
D) Older adults have a decline in stage 4 sleep.

Question 7

The physiology of sleep is complex.Which of the following statements is the most appropriate one regarding this process?

A) Circadian rhythms occur in a cycle longer than 24 hours.
B) Non-rapid eye movement (NREM) refers to the cycle that most people experience when in a high-stimulus environment.
C) The reticular activating system is partly responsible for the level of consciousness of a person.
D) The bulbar synchronizing region causes the rapid-eye-movement (REM) sleep in most normal adults.

Question 8

An 11-year-old child in middle school is currently experiencing sleep-related fatigue during classes.Which of the following responses by the school nurse is the most appropriate one when counselling the child's parents regarding this assessment?

A) "What are the child's usual sleep patterns?"
B) "Establish bedtimes for the child, and withhold his allowance whenever he does not adhere to those bedtimes."
C) "We need to explore other health-related problems, as sleep problems are probably not the cause of the child's fatigue."
D) "The bulbar synchronizing region of the child's central nervous system (CNS) is causing these insomniac problems."

Question 9

Which of the following instructions does the nurse give the patient in teaching methods to promote positive sleep habits at home?

A) Use the bedroom only for sleep or sexual activity.
B) Eat a large meal one to two hours before bedtime.
C) Exercise vigorously before bedtime.
D) Stay in bed if sleep does not come after 30 minutes.

Question 10

Which of the following is a determinant of dreams?

A) Gender
B) Age
C) Height
D) Weight

Question 11

A patient who is currently taking a diuretic should be informed by the nurse that he or she may experience which of the following effects?

A) Nocturia
B) Nightmares
C) Increased daytime sleepiness
D) Reduced REM sleep

Question 12

Which of the following information provided by the patient's bed partner is most associated with sleep apnea?

A) Restlessness
B) Talking during sleep
C) Sleepwalking
D) Excessive snoring

Question 13

The nurse is discussing sleep habits with the patient in the sleep assessment clinic.Of the following activities performed before sleeping,the nurse informs the patient that which one of the following can potentially interfere with the patient's sleep?

A) Listening to classical music
B) Finishing office work
C) Reading novels
D) Drinking warm milk

Question 14

Which of the following sleep disorders is a parasomnia disorder of arousal?

A) Sleep apnea
B) Narcolepsy
C) Sleepwalking
D) Early-morning awakening

Question 15

When a patient is deprived of sleep,the nurse might assess which of the following symptoms?

A) Elevated blood pressure
B) Confusion and irritability
C) Inappropriateness and rapid respirations
D) Decreased temperature and talkativeness

Question 16

Which stage of sleep accounts for the greatest proportion of total sleep time in adults?

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

Question 17

Which of the following is an effective brief method for assessing sleep quality?

A) Sleep history
B) Sleep monitor
C) Visual analogue scale
D) Sleep questionnaire diary

Question 18

As a result of recent studies regarding infant safety during sleep,which of the following instructions does the nurse give the parents?

A) Provide a stuffed toy for comfort.
B) Apply a loose-fitting plastic mattress cover.
C) Place the infant on his or her back.
D) Use small pillows in the crib.

Question 19

Which sleep stage begins the initial period of deep sleep?

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

Question 20

A 74-year-old patient reports having sleeping difficulties.To have a better idea of the patient's problem,how should the nurse respond?

A) "What do you do just before going to bed?"
B) "Let's make sure that your bedroom is completely darkened at night."
C) "Why don't you try napping more during the daytime?"
D) "You should always eat something just before bedtime."