Chapter 43- Sleep And Rest
Craven chapter 43 review
- 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
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