Chapter 43- Sleep And Rest

37 Questions | By Vvasquezi | Updated: Mar 22, 2022 | Attempts: 7225

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Craven chapter 43 review

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1.

Disrupted sleep affects the human body, because it results in
- A.
  
  Easy response to environmental stimuli
- B.
  
  The body's inability to make stress hormones
- C.
  
  An irreversible state of cell reproduction
2.

The difference between sleep and rest is that
- A.
  
  In rest an awareness of the environment is maintained
- B.
  
  In sleep an awareness of the environment is maintained
- C.
  
  In rest there is no change to motor or cognitive response
3.

A polysonogram consists of all of the following except
- A.
  
  EEG electroencephalogram
- B.
  
  EOG electrooculogram
- C.
  
  EMG electromyogram
- D.
  
  ECG electrocardiogram
4.

What statement made by the patient would suggest that they are in Stage two of sleep?
- A.
  
  "I'm so tired"
- B.
  
  "I wasn't sleeping"
- C.
  
  "i was just daydreaming"
5.

A patient comes in saying they are experiencing vivid unrealistic dreams, and they feel like they can't move, this patient is describing what stage of sleep?
- A.
  
  Stage 3
- B.
  
  Stage 5
- C.
  
  Stage 4
- D.
  
  NREM
6.

A nursing student is getting ready to change the linen of a patient's bed. The student remembers that in the patient's chart it notes the patient has "enuresis." What would be the appropriate action for the student to take.
- A.
  
  Ask another student for assistance, this patient is immobile
- B.
  
  Don on gloves, the patient is bladder incontenent at night
- C.
  
  Wear gloves, the patient is bowel incontenent
- D.
  
  Put on full PPE, the patient is on contact precaution
7.

A patient's spouse reports having to wake up her husband every time he experiences somnambulism and enuresis, what stage is the patient being awakened from?
- A.
  
  Stages 3
- B.
  
  Stage 4
- C.
  
  Stages 3 or 4
- D.
  
  Stage 5
- E.
  
  Stage 8
8.

In stages 3 and 4 dreams are
- A.
  
  Realistic
- B.
  
  Unrealistic
- C.
  
  Daydreams
9.

Which stage of sleep resembles wakefulness in polysonograms?
- A.
  
  Stage 1-Light sleep
- B.
  
  Stage 3-Deep sleep
- C.
  
  Stage 5-REM
10.

Which of the following statements is not true about REM
- A.
  
  Blood Pressure and pulse fluctuate rapidly
- B.
  
  Respirations are irregular
- C.
  
  O2 consumption is increased
- D.
  
  Thermoregulation is lost
- E.
  
  Presence of bursts of sleep spindles
11.

A nurse is teaching a client about sleep, she explains that the following are neurotransmitters responsible for sleep, except
- A.
  
  Serotonin
- B.
  
  Acetylcholine
- C.
  
  Adrenaline
- D.
  
  Norepinephrine
12.

Who is at the greatest need for REM
- A.
  
  Someone who is sick
- B.
  
  Someone who is worried or stressed
- C.
  
  Someone with who has trouble falling asleep
13.

All of the following are psychological functions of sleep, except
- A.
  
  To sort and discard data
- B.
  
  Promotes cell growth
- C.
  
  Character reinforcement and adaptation
14.

A patient tells the nurse that her sleep latency is of about 30 minutes to 1 hour, the nurse should conclude
- A.
  
  That this is normal, sleep latency is 30 to 60 minutes for an average person
- B.
  
  This is of concern, sleep latency is 10 to 30 minutes for an average person
- C.
  
  This is of no concern, because sleep latency has no "normal" zone
15.

If an elderly patient awakens 2 to 3 times during the night, what action is expected from the nurse regarding the patient's sleep
- A.
  
  The nurse should notify the doctor
- B.
  
  The nurse should intervene immediately to prevent worse alterations
- C.
  
  No action, 1 to 2 awakenings is common, and it increases with age
16.

A nurse is caring for a REM deficient patient who awakens during the night, the nurse should
- A.
  
  Encourage the patient to go back to sleep
- B.
  
  Encourage the patient to watch tv until they feel tired
- C.
  
  Encourage the patient to take naps later
17.

Which neurotransmitter is responsible for decreasing RAS activity
- A.
  
  Norephinephrine
- B.
  
  Acetycholine
- C.
  
  Serotonin
18.

Which best describes sleepiness
- A.
  
  Lack of adequate sensory stimulation
- B.
  
  Intense or rapid tiring
- C.
  
  Need to conserve energy
19.

An elderly patient suffering from Sundowner's syndrome most likely
- A.
  
  Feels awake at night and therefore agitated
- B.
  
  Feels tired when the "sun goes down"
- C.
  
  Sleeps through the night
20.

Which of the following would help someone with impaired mobility move at night?
- A.
  
  Cotton sheets
- B.
  
  Satin sheets
- C.
  
  Extra blankets
21.

All of the following are part of the 3 waking stages of newborn and infants except
- A.
  
  Passive awake
- B.
  
  Crying
- C.
  
  Active awake
- D.
  
  Quiet awake
22.

During thanksgiving, due to increased L-tryptophan levels, patients will most likely
- A.
  
  Have a longer stage 4
- B.
  
  Experience prolonged REM
- C.
  
  Stay up late
23.

For a patient beginning a new exercise routine, the nurse should advise them
- A.
  
  Not to exercise after 7 pm
- B.
  
  To exercise at least 30 minutes before bed
- C.
  
  To exercise right before going to bed
24.

A rape victim might experience difficulty sleeping due to which sleep factor affecting sleep
- A.
  
  Illness
- B.
  
  Vigilance
- C.
  
  Medications
- D.
  
  Mood states
25.

A nurse should expect a patient on antidepressants or morphine to
- A.
  
  Have a prolonged stage 1
- B.
  
  Have a decrease in REM
- C.
  
  Have a decrease in stage 3 and 4