Djrakeiah Montgomery
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Quiz on Chapter 20, created by Djrakeiah Montgomery on 20/04/2023.

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Djrakeiah Montgomery
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Chapter 20

Question 1 of 26

1

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

Select one or more of the following:

  • stage 1 nonrapid eye movement (NREM)

  • stage 3 NREM

  • stage 5 NREM

  • Rapid eye movement (REM) sleep

Explanation

Question 2 of 26

1

in what stage of sleep is sleepwalking most likely to occur

Select one of the following:

  • stage 1 NREM

  • stage 2 NREM

  • stage 4 NREM

  • REM sleep

Explanation

Question 3 of 26

1

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

Select one of the following:

  • increase in angiotensin

  • decease insulin

  • increase in growth hormone

  • decease in melatonin

Explanation

Question 4 of 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

Select one of the following:

  • sleep initiation

  • sleep maintenance

  • terminal

  • undifferentiated

Explanation

Question 5 of 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?

Select one of the following:

  • 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

Explanation

Question 6 of 26

1

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

Select one of the following:

  • 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

Explanation

Question 7 of 26

1

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

Select one of the following:

  • chronic obstructive pulmonary disease (COPD)

  • any form of dementia

  • hypertension

  • sleep apnea

Explanation

Question 8 of 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?

Select one of the following:

  • 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

Explanation

Question 9 of 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?

Select one of the following:

  • 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

Explanation

Question 10 of 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?

Select one of the following:

  • 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

Explanation

Question 11 of 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?

Select one of the following:

  • a. Myoclonus

  • b. Restless legs syndrome

  • c. Rapid eye movement (REM) sleep disorder

  • d. Epilepsy

Explanation

Question 12 of 26

1

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

Select one of the following:

  • a. 30 minutes before bedtime

  • b. 1 hour before bedtime

  • c. 2 hours before bedtime

  • d. 3 hours before bedtime

Explanation

Question 13 of 26

1

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

Select one of the following:

  • a. Increased digestive processes in the bowel

  • b. Episodes of nocturia

  • c. Gastroesophageal reflux

  • d. Changes in body temperature

Explanation

Question 14 of 26

1

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

Select one of the following:

  • a. Keep bright lights on during the daytime.

  • b. Dim lights to promote relaxation.

  • c. Maintain appropriate environmental temperature.

  • d. Pull curtains for privacy.

Explanation

Question 15 of 26

1

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

Select one or more of the following:

  • a. Shift work

  • b. Time zone changes

  • c. Altered nutrition

  • d. Illness

  • e. Medications

Explanation

Question 16 of 26

1

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

Select one or more of the following:

  • a. Increased blood pressure

  • b. Drop in core temperature

  • c. Diminished food intake

  • d. Diminished hormone production

  • e. Decreased exposure to light

Explanation

Question 17 of 26

1

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

Select one or more of the following:

  • a. Hangover effect

  • b. Urinary retention

  • c. Hypotension

  • d. Dizziness

  • e. Diarrhea

Explanation

Question 18 of 26

1

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

Select one or more of the following:

  • 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”

Explanation

Question 19 of 26

1

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

Select one or more of the following:

  • a. Obesity

  • b. Diabetes

  • c. Hypotension

  • d. African American heritage

  • e. Use of alcohol

Explanation

Question 20 of 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.)

Select one or more of the following:

  • 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

Explanation

Question 21 of 26

1

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

Select one or more of the following:

  • 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

Explanation

Question 22 of 26

1

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

Select one or more of the following:

  • 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

Explanation

Question 23 of 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.)

Select one or more of the following:

  • 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.”

Explanation

Question 24 of 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

Select one of the following:

  • True
  • False

Explanation

Question 25 of 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

Select one of the following:

  • True
  • False

Explanation

Question 26 of 26

1

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

Select one of the following:

  • True
  • False

Explanation

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