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Chapter 20

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Quiz on Chapter 20, created by Djrakeiah Montgomery on 20/04/2023.
Djrakeiah Montgomery
Quiz by Djrakeiah Montgomery, updated more than 1 year ago
Djrakeiah Montgomery
Created by Djrakeiah Montgomery over 1 year ago
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Question 1

Question
What stage of sleep is the initial phase of deep sleep?
Answer
  • stage 1 nonrapid eye movement (NREM)
  • stage 3 NREM
  • stage 5 NREM
  • Rapid eye movement (REM) sleep

Question 2

Question
in what stage of sleep is sleepwalking most likely to occur
Answer
  • stage 1 NREM
  • stage 2 NREM
  • stage 4 NREM
  • REM sleep

Question 3

Question
which of the following can attribute to a sleep-wake cycle disturbance in the older adult?
Answer
  • increase in angiotensin
  • decease insulin
  • increase in growth hormone
  • decease in melatonin

Question 4

Question
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
Answer
  • sleep initiation
  • sleep maintenance
  • terminal
  • undifferentiated

Question 5

Question
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?
Answer
  • onset related to anxiety of relocation
  • maintenance related to anxiety of relocation
  • initiation related to unfamiliar environment
  • maintenance related to episodes of nocturnal movement disorders

Question 6

Question
what statement by the patients wife would indicate that the patient is experiencing myclonus?
Answer
  • his loud snoring and jerking awakes me up too
  • i am black and blue from his kicking me every night
  • he wakes up at 2 AM every morning and walks around the house
  • his constant leg movements tear up the covers and keep me awake

Question 7

Question
The nurse would question the order for a sedative for a patient with which of the following diagnoses?
Answer
  • chronic obstructive pulmonary disease (COPD)
  • any form of dementia
  • hypertension
  • sleep apnea

Question 8

Question
A 75-year-old resident in a long-term care facility has problems with sleep onset. what could be an appropriate nursing intervention to aid in sleep?
Answer
  • provide a back rub at bedtime
  • provided a heavy snack at bedtime
  • coach the resident in 10 minutes of exercise before bedtime
  • provide a cola drink at bedtime

Question 9

Question
The 80-year-old man complains that when he goes to bed and cannot fall asleep, he becomes very upset. What would be an appropriate suggestion for when he has not fallen asleep within 30 minutes?
Answer
  • take two tablets of sedative medication
  • get up and do mild stretching exercise for 15 minutes
  • remain in bed with his eyes closed
  • get up and read until he feels sleepy and then return to bed

Question 10

Question
10. The patient asks how the continuous positive airway pressure (CPAP) machine decreases the incidence of sleep apnea. What is the correct response by the nurse?
Answer
  • a. By stimulating inspiration to be deeper
  • b. By taking over respiratory activity when the patient ceases to breathe
  • c. By sounding an alarm if respirations have ceased
  • d. By preventing relaxation of the tissues

Question 11

Question
11. The patient tells the home health nurse that he has flung himself out of bed three times in the course of a violent nightmare. What sleep disorder does the nurse suspect?
Answer
  • a. Myoclonus
  • b. Restless legs syndrome
  • c. Rapid eye movement (REM) sleep disorder
  • d. Epilepsy

Question 12

Question
12. To avoid interfering with sleep, when should activity be avoided during the day?
Answer
  • a. 30 minutes before bedtime
  • b. 1 hour before bedtime
  • c. 2 hours before bedtime
  • d. 3 hours before bedtime

Question 13

Question
13. What does decreasing fluid intake in the late evening prevent?
Answer
  • a. Increased digestive processes in the bowel
  • b. Episodes of nocturia
  • c. Gastroesophageal reflux
  • d. Changes in body temperature

Question 14

Question
14. What can a nurse in a long-term care facility do to best promote normal circadian rhythm in all patient rooms?
Answer
  • a. Keep bright lights on during the daytime.
  • b. Dim lights to promote relaxation.
  • c. Maintain appropriate environmental temperature.
  • d. Pull curtains for privacy.

Question 15

Question
15. What can alter an older adult’s diurnal patterns? (Select all that apply.)
Answer
  • a. Shift work
  • b. Time zone changes
  • c. Altered nutrition
  • d. Illness
  • e. Medications

Question 16

Question
16. What are reasons that most long-term care residents go to sleep early and awaken early? (Select all that apply.)
Answer
  • a. Increased blood pressure
  • b. Drop in core temperature
  • c. Diminished food intake
  • d. Diminished hormone production
  • e. Decreased exposure to light

Question 17

Question
17. What are common side effects of sleep medications? (Select all that apply.)
Answer
  • a. Hangover effect
  • b. Urinary retention
  • c. Hypotension
  • d. Dizziness
  • e. Diarrhea

Question 18

Question
18. What can the nurse suggest as nonpharmacological alternatives to treating insomnia? (Select all that apply.)
Answer
  • a. Relaxation therapy
  • b. Taking a cool bath or shower before bedtime
  • c. Listening to relaxing music
  • d. Arranging the sleep environment to promote sleep
  • e. Going to bed at a regular time after observing routine “sleep rituals”

Question 19

Question
19. What factors can contribute to sleep apnea? (Select all that apply.)
Answer
  • a. Obesity
  • b. Diabetes
  • c. Hypotension
  • d. African American heritage
  • e. Use of alcohol

Question 20

Question
20. The wife of a patient tells the home health nurse that she suspects her husband has sleep apnea because he __________. (Select all that apply.)
Answer
  • a. snores loudly
  • b. interrupts snoring with several seconds of silence
  • c. complains of daytime drowsiness
  • d. frequently is incontinent of urine
  • e. has episodes of myoclonus

Question 21

Question
21. How can the nursing staff encourage sleep in long-term care facility residents? (Select all that apply.)
Answer
  • a. Using the minimum light necessary when making rounds
  • b. Making necessary sleep interruptions at the same time every night
  • c. Keeping conversational noise at the nursing station to a minimum
  • d. Answering call lights promptly
  • e. Providing heavy blankets for warmth

Question 22

Question
22. What changes in sleep patterns are often seen in older adults? (Select all that apply.)
Answer
  • a. Inability to sleep throughout the night
  • b. Sleeping soundly all night
  • c. Increase in the number of hours asleep at night
  • d. Difficulty in arousing from deep sleep
  • e. Waking up early

Question 23

Question
23. What statements by the resident would indicate that she may be experiencing changes in sleep and rest patterns? (Select all that apply.)
Answer
  • a. “I don’t know why everything seems to bother me lately.”
  • b. “I’ve been so clumsy.”
  • c. “I’m having trouble concentrating.”
  • d. “My daughter says I talk in my sleep.”
  • e. “I cry for no reason at all.”

Question 24

Question
24. The nurse reminds the CNAs that most older adults require a minimum of _____ hours of sleep per day. ANS: 7.5 7 1/2
Answer
  • True
  • False

Question 25

Question
25. The nurse encourages the long-term facility resident experiencing insomnia to drink a glass of milk with supper and again before bedtime because milk contains the sleep-inducing agent __________. ANS: tryptophan
Answer
  • True
  • False

Question 26

Question
26. The nurse clarifies that the individual’s pattern of wakefulness and sleeping is referred to as the __________ rhythm. ANS: Circadian diurnal
Answer
  • True
  • False
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