Djrakeiah Montgomery
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Quiz sobre Chapter 20, criado por Djrakeiah Montgomery em 20-04-2023.

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Chapter 20

Questão 1 de 26

1

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

Selecione uma ou mais das seguintes:

  • stage 1 nonrapid eye movement (NREM)

  • stage 3 NREM

  • stage 5 NREM

  • Rapid eye movement (REM) sleep

Explicação

Questão 2 de 26

1

in what stage of sleep is sleepwalking most likely to occur

Selecione uma das seguintes:

  • stage 1 NREM

  • stage 2 NREM

  • stage 4 NREM

  • REM sleep

Explicação

Questão 3 de 26

1

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

Selecione uma das seguintes:

  • increase in angiotensin

  • decease insulin

  • increase in growth hormone

  • decease in melatonin

Explicação

Questão 4 de 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

Selecione uma das seguintes:

  • sleep initiation

  • sleep maintenance

  • terminal

  • undifferentiated

Explicação

Questão 5 de 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?

Selecione uma das seguintes:

  • 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

Explicação

Questão 6 de 26

1

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

Selecione uma das seguintes:

  • 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

Explicação

Questão 7 de 26

1

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

Selecione uma das seguintes:

  • chronic obstructive pulmonary disease (COPD)

  • any form of dementia

  • hypertension

  • sleep apnea

Explicação

Questão 8 de 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?

Selecione uma das seguintes:

  • 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

Explicação

Questão 9 de 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?

Selecione uma das seguintes:

  • 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

Explicação

Questão 10 de 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?

Selecione uma das seguintes:

  • 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

Explicação

Questão 11 de 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?

Selecione uma das seguintes:

  • a. Myoclonus

  • b. Restless legs syndrome

  • c. Rapid eye movement (REM) sleep disorder

  • d. Epilepsy

Explicação

Questão 12 de 26

1

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

Selecione uma das seguintes:

  • a. 30 minutes before bedtime

  • b. 1 hour before bedtime

  • c. 2 hours before bedtime

  • d. 3 hours before bedtime

Explicação

Questão 13 de 26

1

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

Selecione uma das seguintes:

  • a. Increased digestive processes in the bowel

  • b. Episodes of nocturia

  • c. Gastroesophageal reflux

  • d. Changes in body temperature

Explicação

Questão 14 de 26

1

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

Selecione uma das seguintes:

  • a. Keep bright lights on during the daytime.

  • b. Dim lights to promote relaxation.

  • c. Maintain appropriate environmental temperature.

  • d. Pull curtains for privacy.

Explicação

Questão 15 de 26

1

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

Selecione uma ou mais das seguintes:

  • a. Shift work

  • b. Time zone changes

  • c. Altered nutrition

  • d. Illness

  • e. Medications

Explicação

Questão 16 de 26

1

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

Selecione uma ou mais das seguintes:

  • a. Increased blood pressure

  • b. Drop in core temperature

  • c. Diminished food intake

  • d. Diminished hormone production

  • e. Decreased exposure to light

Explicação

Questão 17 de 26

1

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

Selecione uma ou mais das seguintes:

  • a. Hangover effect

  • b. Urinary retention

  • c. Hypotension

  • d. Dizziness

  • e. Diarrhea

Explicação

Questão 18 de 26

1

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

Selecione uma ou mais das seguintes:

  • 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”

Explicação

Questão 19 de 26

1

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

Selecione uma ou mais das seguintes:

  • a. Obesity

  • b. Diabetes

  • c. Hypotension

  • d. African American heritage

  • e. Use of alcohol

Explicação

Questão 20 de 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.)

Selecione uma ou mais das seguintes:

  • 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

Explicação

Questão 21 de 26

1

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

Selecione uma ou mais das seguintes:

  • 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

Explicação

Questão 22 de 26

1

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

Selecione uma ou mais das seguintes:

  • 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

Explicação

Questão 23 de 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.)

Selecione uma ou mais das seguintes:

  • 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.”

Explicação

Questão 24 de 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

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 25 de 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

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 26 de 26

1

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

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação