Question 1

A person who is deprived of rapid eye movement (REM) sleep for several nights in succession will usually experience:

Accepted Answer

When deprived of REM sleep, the body tends to compensate by increasing the amount of REM sleep at the next opportunity, a phenomenon known as REM rebound. This results in longer and more frequent REM sleep periods.

Question 2

When developing a care plan for the sleep-deprived client, the nurse should consider major factors that regulate sleep. Which is a major factor regulating sleep?

Accepted Answer

The amount of light received through the eyes is a major factor regulating sleep, as it influences the body's circadian rhythms and the production of melatonin, a hormone that helps regulate sleep-wake cycles.

Question 3

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

Accepted Answer

During NREM III sleep, also known as deep sleep or slow-wave sleep, muscles are very relaxed, and it can be difficult to awaken someone. Upon awakening, individuals may experience confusion or disorientation, which aligns with the nurse's observation of the client.

Question 4

The nurse is providing education to the client who has difficulty sleeping. Which of the following teachings would be most therapeutic for this client with sleep disturbance?

Accepted Answer

Avoiding going to bed while feeling upset about a conflict can help reduce stress and anxiety, which are common barriers to falling asleep. This advice is aimed at creating a more relaxed state of mind before attempting to sleep, which can improve sleep quality.

Question 5

A client 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 (e.g., Ambien) are often preferred over benzodiazepines (Ativan or Valium). Why is this?

Accepted Answer

Nonbenzodiazepines like Ambien are often preferred for sleep because they have a lower risk of altering the sleep cycle and causing daytime sleepiness compared to benzodiazepines like Ativan or Valium.

Question 6

The nurse is teaching the client about foods that promote sleep versus those that may disrupt sleep. Which diet chosen by the client demonstrates understanding of foods that promote sleep?

Accepted Answer

Turkey contains tryptophan, which can promote sleepiness, and the carbohydrates in whole wheat bread can make tryptophan more available to the brain. Milk also contains tryptophan and nutrients that can aid in sleep.

Question 7

The primary focus of the nursing interventions for a 6-year-old client who experiences somnambulation (sleep walking) would be to:

Accepted Answer

Maintaining client safety is the primary focus for a child who experiences somnambulation, as it prevents injury during sleepwalking episodes. Medications, verbalizing feelings, and providing a quiet environment, while potentially helpful, are secondary to ensuring the child's safety.

Question 8

The nurse recognizes that the client with anxiety has the potential for sleep disorders. Which of the following would be an explanation for the physiological factors in this sleep disorder?

Accepted Answer

Anxiety increases norepinephrine levels, which can lead to heightened arousal and difficulty in initiating and maintaining sleep.

Question 9

The nurse is assessing the client in the family clinic, who asks about the difference between rest and sleep. Which of the following statements would explain the main difference between sleep and rest?

Accepted Answer

Sleep is characterized by an altered level of consciousness, distinguishing it from rest, where consciousness is not significantly altered. Rest may involve relaxation without sleep, but sleep involves specific changes in brain activity and consciousness.

Question 10

The nurse is providing care to client in the long-term care facility. The nurse notes that the night shift staff have reported that the client has appeared to have been sleepwalking this past week. What is the medical term for this behavior?

Accepted Answer

Parasomnias are a category of sleep disorders that involve abnormal movements, behaviors, emotions, perceptions, and dreams that occur while falling asleep, sleeping, between sleep stages, or during arousal from sleep. Sleepwalking falls under this category.

Question 11

The pediatric nurse is assessing the 3-year-old client when the mother states the child is having sleep disturbances lately. The pediatric nurse recognizes the most likely cause of sleep disturbances would be which of the following?

Accepted Answer

At the age of 3, children often have vivid imaginations and may develop fears of imaginary monsters or similar creatures, which can significantly impact their sleep patterns. Concerns about friends and the impact of media or medication side effects are less likely to be primary causes of sleep disturbances in this age group.

Question 12

The nurse is developing a care plan for the client experiencing poor sleep patterns. Which of the following would be an expected outcome (goal) for a client with Disturbed Sleep Pattern? The client will:

Accepted Answer

Demonstrating improved sleep quality and feeling less fatigued directly addresses the issue of disturbed sleep patterns, making it a relevant and measurable outcome.

Question 13

The nurse in a rehabilitation center is providing care to a client who complains of insomnia. The client states that the room is noisy, and that they often take naps during the day because they are a "night owl" from working the nightshift for several years. The nurse develops a care plan that allows the client to start their rehab therapy later in the day, provides the client with a sleep aide and a white noise fan in the room, and allows the client to nap during the day when tired. Which of the following would be a priority for this plan?

Accepted Answer

The answer of The nurse in a rehabilitation center is...

Question 14

The client asks the nurse for suggestions to promote rest. Which of the following would be the most appropriate intervention suggestions to promote rest?

Accepted Answer

Meditating for 30 to 60 minutes in the evening can help relax the mind and body, promoting rest and better sleep.

Question 15

The postpartum nurse is preparing a teaching plan for the first-time mother for discharge to home. What information should be included in the teaching plan?

Accepted Answer

Napping frequently during the day when possible is beneficial for new mothers to help compensate for interrupted sleep during the night due to newborn care. This strategy helps in managing fatigue and ensuring the mother gets enough rest.

Question 16

A client complains of trouble falling asleep at night despite extreme fatigue. A review of symptoms reveals no physical problems or a history of medications. The client has recently quit smoking, is trying to eat healthier foods, and has started a moderate-intensity exercise program. The client's 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:

Accepted Answer

Nicotine withdrawal can cause disturbances in sleep patterns as the body adjusts to the absence of nicotine, which can affect neurotransmitter activity related to sleep.

Question 17

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 the boy would be:

Accepted Answer

Sleepwalking can lead to potential injury due to the unawareness and uncoordinated movements during episodes, making "Risk for Injury related to sleepwalking" the most appropriate nursing diagnosis.

Question 18

The nurse is assessing the 19-month-old client in the family clinic. The mother states that she is concerned that the child doesn't sleep enough, as the child has stopped taking their usual morning nap. What is the nurse's best response to this concern?

Accepted Answer

Most toddlers transition to taking only one nap per day around this age and typically need about 12 to 14 hours of sleep in a 24-hour period, including nighttime sleep and naps.

Question 19

The nurse is providing teaching to the client who comes to the sleep clinic. The nurse instructs the client to start a sleep diary. What is the rationale of using a sleep diary?

Accepted Answer

A sleep diary helps to note the trend in sleep-wakefulness patterns over a 2-week period, providing insights into sleep habits and potential issues.

Question 20

The client tells the nurse, "After a couple of glasses of wine, I sleep very soundly." After assessing further about the client's alcohol history, what response by the nurse is most accurate?

Accepted Answer

The answer of The client tells the nurse, "After a...

Quiz 34: Sleep Rest