Chapter 43- Sleep And Rest

37 Questions | Total Attempts: 2840

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Chapter 43- Sleep And Rest

Craven chapter 43 review


Questions and Answers
  • 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