Rest And Sleep

2.

It is more difficult to arouse a person during REM sleep than during NREM sleep.

True
False

Correct Answer

A. True

Explanation

During REM (Rapid Eye Movement) sleep, the brain is highly active and the body is in a state of muscle paralysis, which makes it more difficult to wake someone up. This is because during REM sleep, the brain is actively dreaming and processing information, and the body is in a state of temporary immobility to prevent acting out dreams. In contrast, during NREM (Non-Rapid Eye Movement) sleep, the brain is in a less active state and the body is not paralyzed, making it easier to wake someone up. Therefore, it is more difficult to arouse a person during REM sleep than during NREM sleep.

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9

3.

Some characteristics of REM sleep include:

Eyes dart back and forth quickly
Small muscle twitching, such as on the face
Pulse and respiratory rates decrease
Blood pressure increases or fluctuates
Slow brain waves would appear on an EEG
Respirations irregular; sometimes interspersed with apnea

Correct Answer(s)

A. Eyes dart back and forth quickly
A. Small muscle twitching, such as on the face
A. Blood pressure increases or fluctuates
A. Respirations irregular; sometimes interspersed with apnea

Explanation

During REM (Rapid Eye Movement) sleep, the eyes move rapidly in different directions, which is reflected in the characteristic of "eyes dart back and forth quickly". Additionally, small muscle twitching, especially on the face, can be observed during this stage. Blood pressure tends to increase or fluctuate during REM sleep, and respirations become irregular, sometimes interspersed with apnea (temporary cessation of breathing). These features are indicative of REM sleep and can be observed through various physiological changes such as eye movement, muscle twitching, blood pressure, and respiratory patterns.

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7

4.

What is the recommended amount of sleep (in hours) for adults?

7-9 hours
4-6 hours
9-11 hours
Who has time to sleep while in Nursing school?!!

Correct Answer

A. 7-9 hours

Explanation

The recommended amount of sleep for adults is 7-9 hours. This range allows for sufficient rest and rejuvenation, promoting optimal physical and mental health. Adequate sleep is essential for cognitive function, memory consolidation, immune system functioning, and overall well-being. It also helps prevent chronic health conditions such as obesity, diabetes, and cardiovascular diseases. Getting less than 7 hours or more than 9 hours of sleep on a regular basis can have negative effects on health and may increase the risk of various health problems.

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7

5.

What types of questions might you ask to assess if a client is having trouble sleeping? Select all that apply.

What is your name?
What is your usual bedtime and arising time?
Are you having any difficulty getting to sleep, staying asleep, or awakening?
Do you experience any depression, anxiety, or irritability?
Do you take naps?
Rate your sleep on a scale of 1-10, with 10 meaning you wake up rested and refreshed.

Correct Answer(s)

A. What is your usual bedtime and arising time?
A. Are you having any difficulty getting to sleep, staying asleep, or awakening?
A. Do you experience any depression, anxiety, or irritability?
A. Do you take naps?
A. Rate your sleep on a scale of 1-10, with 10 meaning you wake up rested and refreshed.

Explanation

These questions are appropriate to assess if a client is having trouble sleeping because they cover various aspects related to sleep. Asking about the client's usual bedtime and arising time helps determine if there is a consistent sleep pattern. Inquiring about difficulty falling asleep, staying asleep, or awakening can identify specific sleep disturbances. Asking about depression, anxiety, or irritability can reveal underlying psychological factors that may affect sleep. Inquiring about naps helps assess daytime sleepiness and potential disruptions to nighttime sleep. Lastly, rating sleep quality on a scale helps gauge the overall satisfaction and restfulness of sleep.

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5

6.

Which NANDA nursing diagnosis BEST fits a client who experiences prolonged periods of time without sustained, natural, peiodic states of relative unconsciousness?

Activity Intolerance
Sleep Deprivation
Disturbed Sleep Pattern
Insomnia

Correct Answer

A. Sleep Deprivation

Explanation

Sleep deprivation is the best fit for a client who experiences prolonged periods of time without sustained, natural, periodic states of relative unconsciousness. Sleep deprivation refers to the condition of not getting enough sleep or having poor quality sleep, which can result in various physical and mental health issues. In this case, the client is experiencing a lack of sustained, natural, periodic states of relative unconsciousness, indicating sleep deprivation. The other options, such as Activity Intolerance, Disturbed Sleep Pattern, and Insomnia, do not specifically address the prolonged periods of time without unconsciousness that the client is experiencing.

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5

7.

What types of goals could be set for a patient who isn't sleeping well? Select all that apply.

The client will report an optimal balance of rest and activity
The client will sing the ABC's backwards in Japanese with a smile on his face
The client will identify 3 techniques to induce sleep
The client will describe 3 factors that prevent or inhibit sleep

Correct Answer(s)

A. The client will report an optimal balance of rest and activity
A. The client will identify 3 techniques to induce sleep
A. The client will describe 3 factors that prevent or inhibit sleep

Explanation

The client will report an optimal balance of rest and activity is a suitable goal because it aims to achieve a healthy balance between rest and physical activity, which can contribute to better sleep. The client will identify 3 techniques to induce sleep is also a relevant goal as it focuses on equipping the patient with specific strategies to help them fall asleep. Lastly, the client will describe 3 factors that prevent or inhibit sleep is an appropriate goal as it encourages the patient to identify and understand the factors that may be affecting their sleep quality.

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1

8.

Discourage naps in the morning.

True
False

Correct Answer

A. False

Explanation

Rationale: Early-morning naps produce more REM sleep than do afternoon naps.

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6

9.

To promote sleep, one should:

Eat a heavy meal for dinner
Watch a horror movie while laying in bed with the lights off
Exercise 2 hours before bed
Drink 6 beers and take 2 sleeping pills at bedtime

Correct Answer

A. Exercise 2 hours before bed

Explanation

Exercising 2 hours before bed promotes sleep because physical activity increases body temperature and stimulates the production of endorphins, which help to regulate sleep. However, it is important to note that intense exercise too close to bedtime may have the opposite effect and make it difficult to fall asleep.

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4

10.

Describe one method that YOU use to fall asleep at night. It can be something like reading, watching tv in bed, drinking a glass of wine, studying powerpoints for finals, or taking a walk after dinner. There is no right or wrong answer to this question.

Rest And Sleep

is a state of rest accompanied by altered consciousness and relative inactivity.

It is more difficult to arouse a person during REM sleep than during NREM sleep.

Some characteristics of REM sleep include:

What is the recommended amount of sleep (in hours) for adults?

What types of questions might you ask to assess if a client is having trouble sleeping? Select all that apply.

Which NANDA nursing diagnosis BEST fits a client who experiences prolonged periods of time without sustained, natural, peiodic states of relative unconsciousness?

What types of goals could be set for a patient who isn't sleeping well? Select all that apply.

Discourage naps in the morning.

To promote sleep, one should:

Describe one method that YOU use to fall asleep at night. It can be something like reading, watching tv in bed, drinking a glass of wine, studying powerpoints for finals, or taking a walk after dinner. There is no right or wrong answer to this question.