Chapter 20 Sleep and Rest

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Chapter 20  Sleep and Rest

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

MULTIPLE CHOICE

1. The nurse is aware that the initial entry to deep sleep is:

  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: Comprehension REF: 329, Box 20-1
OBJ: 1 TOP: Deep Sleep KEY: Nursing Process Step: Assessment MSC: NCLEX:PhysiologicalIntegrity:PhysiologicalAdaptation

2. The phenomenon of sleep walking is most likely to occur in the sleep stage of:

  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 sleep walking is most likely to occur. DIF: Cognitive Level: Comprehension REF: 329, Box 20-1
OBJ: 1 TOP: Sleep Walking
KEY: Nursing Process Step: Assessment
MSC: NCLEX:PhysiologicalIntegrity:PhysiologicalAdaptation

3. The nurse explains that older adults often experience a disturbed sleep-wake cycle because of hormonal changes, which include a(n) _____ level.

  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: Application REF: 329 OBJ: 1
TOP: Hormonal Changes KEY: Nursing Process Step: Implementation MSC: NCLEX:PhysiologicalIntegrity:PhysiologicalAdaptation

Copyright © 2012 by Mosby, Inc., an affiliate of Elsevier Inc.

Test Bank 20-2

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
  4. 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: 330 OBJ: 2
TOP: Terminal Insomnia KEY: Nursing Process Step: Assessment
MSC: NCLEX:PhysiologicalIntegrity:PhysiologicalAdaptation

5. The newly admitted older adult who cannot fall asleep and asks for a sedative every night is most probably experiencing a difficulty with sleep:

  1. initiation 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 initiation issues are usually associated with anxiety.
DIF: Cognitive Level: Application REF: 330 OBJ: 2 TOP: Insomnia KEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation

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