Chapter 33 Rest and Sleep

Chapter 33  Rest and Sleep

Complete Chapter Questions And Answers
 

Sample Questions

1.
Which natural chemical does the body produce at night to decrease wakefulness and promote sleep?
A)
Melatonin
B)
Serotonin
C)
Endorphins
D)
Dopamine
Ans:
A

Feedback:

Melatonin is a natural chemical produced at night that decreases wakefulness and promotes sleep.

2.
A client reports that her naps after lunch often stretch to three hours in length and that she has great difficulty rousing herself after a nap. This condition is best termed as which of the following?
A)
Hypersomnia
B)
Insomnia
C)
Parasomnia
D)
Sleep apnea
Ans:
A

Feedback:

Hypersomnia is a condition characterized by excessive sleep, particularly during the day. Insomnia is characterized by difficulty falling asleep, intermittent sleep, or early awakening from sleep. Parasomnias are patterns of waking behavior that appear during sleep. Sleep apnea is a condition in which a person experiences the absence of breathing, or diminished breathing efforts, during sleep (between snoring intervals).

3.
A client in his 40s has asked the nurse how much sleep he should be getting in order to maximize his health and well-being. How should the nurse respond?
A)
“Most adults need between seven and nine hours, but everyone is different.”
B)
“It’s important to get a minimum of eight hours sleep each night.”
C)
“More sleep equals better health, so the more sleep you can fit into your schedule, the better.”
D)
“Sleep needs depend a lot on age, and at your age, six to seven hours usually suffice.”
Ans:
A

Feedback:

Sleep needs and routines are highly individual, but most adults require between seven and nine hours of sleep.

4.
Which of the following clients likely faces a risk for the nursing diagnosis of Disturbed Sleep Pattern: Difficulty Remaining Asleep?
A)
A client who receives IV antibiotics every three hours
B)
A client whose opioid analgesics result in central nervous system depression
C)
A client who is receiving corticosteroids that make her feel restless and agitated
D)
A client whose physical therapy has been scheduled in the late evening
Ans:
A

Feedback:

A client who requires medications throughout the night is likely to experience the frequent awakenings associated with Disturbed Sleep Pattern: Difficulty Remaining Asleep. Drowsiness or agitation as a result of medications may affect sleep, but are less likely to result in mid-sleep awakenings. A client who performs physical activity prior to bedtime may have difficulty falling asleep.

5.
Which group of terms best describes sleep?
A)
Decreased state of activity, refreshed
B)
Altered consciousness, relative inactivity
C)
Comatose, immobility
D)
Alert, responsive
Ans:
B

Feedback:

Sleep is a state of rest accompanied by altered consciousness and relative inactivity. Rest is a condition in which the body is in a decreased state of activity.