chapter 20

The nurse is aware that the initial entry to deep sleep is:

The phenomenon of sleep walking is most likely to occur in the sleep stage of:

The nurse explains that older adults often experience a disturbed sleep-wake cycle because of hormonal changes, which include a(n) _____ level.

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.

The newly admitted older adult who cannot fall asleep and asks for a sedative every night is most probably experiencing a difficulty with sleep:

The home health nurse assesses that the patient is probably experiencing myoclonus when his wife says:

The nurse would question the order for lorazepam (Ativan), 5 mg at bedtime, for a patient with:

In order to assist a 75-year-old male resident in a long-term care facility to decrease his problems with sleep initiation, the nurse would:

The nurse cautions the patient who has just started on the antidepressant trazodone hydrochloride to help relieve insomnia to:

The 80-year-old man complains that when he goes to bed and cannot fall asleep, he tosses and turns and gets so frustrated that he gets up and drinks coffee all night. The nurse suggests that when he has not fallen asleep after 30 minutes, he should:

The nurse clarifies that the continuous positive airway pressure (CPAP) machine decreases the incidence of episodes of sleep apnea by:

When the patient tells the home health nurse that he has flung himself out of bed three times in the course of a violent nightmare, the nurse recognizes the cardinal indicator of:

The nurse cautions that although activity and exercise during the day are an effective sleep aid, activity and exercise should be avoided within _____ before bedtime.

The patient is encouraged to decrease fluid intake in the late evening to prevent interruption of sleep from:

The nurse makes arrangements to promote normal circadian rhythm in a long-term care facility by ensuring that all rooms have:

The nurse is aware that an older adult’s diurnal patterns can be altered by __________. (Select all that apply.)

The long-term care facility nurse takes into consideration that most residents go to sleep early and awaken early because of __________. (Select all that apply.)

The nurse gives the antihistamine diphenhydramine (Benadryl) as a sleep aid with caution because the older adult may experience side effects, such as __________. (Select all that apply.)

When mild sedation has failed to solve the problem of insomnia in the older adult, the nurse suggests __________. (Select all that apply.)

The nurse explains that factors that contribute to sleep apnea include __________. (Select all that apply.)

The wife of a patient tells the home health nurse that she suspects her husband has sleep apnea because he __________. (Select all that apply.)

The nursing staff helps encourage sleep in long-term care facility residents by __________. (Select all that apply.)

Heavy blankets may initially feel warm to the resident but eventually make the resident uncomfortable and unable to sleep. All other options listed will help diminish sleep interruptions. DIF: Cognitive Level: Comprehension REF: 332-333 OBJ: 7 TOP: Sleep Support KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Basic Care and Comfort

The nurse assesses that the resident may be experiencing changes in sleep and rest patterns when she states__________. (Select all that apply.)