Chapter 20

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

in what stage of sleep is sleepwalking most likely to occur

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

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

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?

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

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

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?

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?

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?

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?

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

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

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

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

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

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

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

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

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.)

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

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

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

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

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

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