Djrakeiah Montgomery
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Quiz am Chapter 20, erstellt von Djrakeiah Montgomery am 20/04/2023.

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Chapter 20

Frage 1 von 26

1

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

Wähle eine oder mehr der folgenden:

  • stage 1 nonrapid eye movement (NREM)

  • stage 3 NREM

  • stage 5 NREM

  • Rapid eye movement (REM) sleep

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Frage 2 von 26

1

in what stage of sleep is sleepwalking most likely to occur

Wähle eine der folgenden:

  • stage 1 NREM

  • stage 2 NREM

  • stage 4 NREM

  • REM sleep

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Frage 3 von 26

1

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

Wähle eine der folgenden:

  • increase in angiotensin

  • decease insulin

  • increase in growth hormone

  • decease in melatonin

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Frage 4 von 26

1

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

Wähle eine der folgenden:

  • sleep initiation

  • sleep maintenance

  • terminal

  • undifferentiated

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Frage 5 von 26

1

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?

Wähle eine der folgenden:

  • 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

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Frage 6 von 26

1

what statement by the patients wife would indicate that the patient is experiencing myclonus?

Wähle eine der folgenden:

  • 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

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Frage 7 von 26

1

The nurse would question the order for a sedative for a patient with which of the following diagnoses?

Wähle eine der folgenden:

  • chronic obstructive pulmonary disease (COPD)

  • any form of dementia

  • hypertension

  • sleep apnea

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Frage 8 von 26

1

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?

Wähle eine der folgenden:

  • 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

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Frage 9 von 26

1

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?

Wähle eine der folgenden:

  • 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

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Frage 10 von 26

1

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?

Wähle eine der folgenden:

  • 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

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Frage 11 von 26

1

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?

Wähle eine der folgenden:

  • a. Myoclonus

  • b. Restless legs syndrome

  • c. Rapid eye movement (REM) sleep disorder

  • d. Epilepsy

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Frage 12 von 26

1

12. To avoid interfering with sleep, when should activity be avoided during the day?

Wähle eine der folgenden:

  • a. 30 minutes before bedtime

  • b. 1 hour before bedtime

  • c. 2 hours before bedtime

  • d. 3 hours before bedtime

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Frage 13 von 26

1

13. What does decreasing fluid intake in the late evening prevent?

Wähle eine der folgenden:

  • a. Increased digestive processes in the bowel

  • b. Episodes of nocturia

  • c. Gastroesophageal reflux

  • d. Changes in body temperature

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Frage 14 von 26

1

14. What can a nurse in a long-term care facility do to best promote normal circadian rhythm in all patient rooms?

Wähle eine der folgenden:

  • a. Keep bright lights on during the daytime.

  • b. Dim lights to promote relaxation.

  • c. Maintain appropriate environmental temperature.

  • d. Pull curtains for privacy.

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Frage 15 von 26

1

15. What can alter an older adult’s diurnal patterns? (Select all that apply.)

Wähle eine oder mehr der folgenden:

  • a. Shift work

  • b. Time zone changes

  • c. Altered nutrition

  • d. Illness

  • e. Medications

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Frage 16 von 26

1

16. What are reasons that most long-term care residents go to sleep early and awaken early? (Select all that apply.)

Wähle eine oder mehr der folgenden:

  • a. Increased blood pressure

  • b. Drop in core temperature

  • c. Diminished food intake

  • d. Diminished hormone production

  • e. Decreased exposure to light

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Frage 17 von 26

1

17. What are common side effects of sleep medications? (Select all that apply.)

Wähle eine oder mehr der folgenden:

  • a. Hangover effect

  • b. Urinary retention

  • c. Hypotension

  • d. Dizziness

  • e. Diarrhea

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Frage 18 von 26

1

18. What can the nurse suggest as nonpharmacological alternatives to treating insomnia? (Select all that apply.)

Wähle eine oder mehr der folgenden:

  • 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”

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Frage 19 von 26

1

19. What factors can contribute to sleep apnea? (Select all that apply.)

Wähle eine oder mehr der folgenden:

  • a. Obesity

  • b. Diabetes

  • c. Hypotension

  • d. African American heritage

  • e. Use of alcohol

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Frage 20 von 26

1

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.)

Wähle eine oder mehr der folgenden:

  • 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

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Frage 21 von 26

1

21. How can the nursing staff encourage sleep in long-term care facility residents? (Select all that apply.)

Wähle eine oder mehr der folgenden:

  • 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

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Frage 22 von 26

1

22. What changes in sleep patterns are often seen in older adults? (Select all that apply.)

Wähle eine oder mehr der folgenden:

  • 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

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Frage 23 von 26

1

23. What statements by the resident would indicate that she may be experiencing changes in sleep and rest patterns? (Select all that apply.)

Wähle eine oder mehr der folgenden:

  • 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.”

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Frage 24 von 26

1

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

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 25 von 26

1

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

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 26 von 26

1

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

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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