Chapter 20 Sleep and Rest

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Chapter 20  Sleep and Rest

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

MULTIPLE CHOICE

1. What stage of sleep is the initial phase of deep sleep?

  1. Stage 1 nonrapid eye movement (NREM)
  2. Stage 3 NREM
  3. Stage 5 NREM
  4. Rapid eye movement (REM) sleep

ANS: B
Stage 3 NREM is the initial phase of deep sleep in which there is complete muscular relaxation and vital signs begin to decline.

DIF: Cognitive Level: Knowledge REF: Box 20-1, p. 332
OBJ: 1 TOP: Deep Sleep KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity: Physiological Adaptation

2. In what stage of sleep is sleepwalking most likely to occur?

  1. Stage 1 NREM
  2. Stage 2 NREM
  3. Stage 4 NREM
  4. REM sleep

ANS: C
Stage 4 NREM is the deepest stage of sleep in which sleepwalking is most likely to occur.

DIF: Cognitive Level: Knowledge REF: Box 20-1, p. 332 OBJ: 1 TOP: Sleepwalking
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation

3. Which of the following can attribute to a sleep-wake cycle disturbance in the older adult?

  1. Increase in angiotensin
  2. Decrease in insulin
  3. Increase in growth hormone
  4. Decrease in melatonin

ANS: D
A decrease in the melatonin level causes age-related sleep disturbances.

DIF: Cognitive Level: Comprehension REF: p. 332 OBJ: 1
TOP: Hormonal Changes KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Physiological Adaptation

4. The older man in a long-term care facility consistently wakes at 3 AM and does not return to sleep. The nurse records this behavior as _____ insomnia.

  1. sleep initiation
  2. sleep maintenance
  3. terminal

d. undifferentiated

ANS: C
Terminal insomnia is a sleep disturbance in which the patient consistently wakes at an early hour and cannot return to sleep.

DIF: Cognitive Level: Application REF: p. 333 OBJ: 2
TOP: Terminal Insomnia KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity: Physiological Adaptation

5. 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?

  1. Onset related to anxiety of relocation
  2. Maintenance related to unfamiliar environment
  3. Initiation related to depression associated with relocation
  4. Maintenance related to episodes of nocturnal movement disorders

ANS: A
Sleep onset issues are usually associated with anxiety.

DIF: Cognitive Level: Application REF: p. 333 OBJ: 2 TOP: Insomnia KEY: Nursing Process Step: Assessment
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation

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