question

Urination during the night, which disrupts the sleep cycle. A. Nocturia B. Polysomnogram C. Excessive daytime sleepiness (EDS) D. Insomnia

answer

A

question

Involves the use of electroencephalogram (EEG), electromyogram (EMG), and electroculogram (EOG) to monitor stages of sleep. A. Nocturia B. Polysomnogram C. Excessive daytime sleepiness (EDS) D. Insomnia

answer

B

question

Results in impaired waking function, poor work performance, accidents, and emotional problems. A. Nocturia B. Polysomnogram C. Excessive daytime sleepiness (EDS) D. Insomnia

answer

C

question

Most common sleep complaint, signaling an underlying physical or psychological disorder. A. Nocturia B. Polysomnogram C. Excessive daytime sleepiness (EDS) D. Insomnia

answer

D

question

More common in children, an example is sudden infant death syndrome (SIDS). A. Parasomnias B. Sleep C. REM D. Biological clock E. Circadian rhythm

answer

A

question

Cyclical process that alternates with longer periods of wakefulness. A. Parasomnias B. Sleep C. REM D. Biological clock E. Circadian rhythm

answer

B

question

Rapid eye movement phase at the end of each sleep cycle. A. Parasomnias B. Sleep C. REM D. Biological clock E. Circadian rhythm

answer

C

question

Synchronizes sleep cycles. A. Parasomnias B. Sleep C. REM D. Biological clock E. Circadian rhythm

answer

D

question

Influences the pattern of major biological and behavioral functions. A. Parasomnias B. Sleep C. REM D. Biological clock E. Circadian rhythm

answer

E

question

Sleep that progresses through four stages (light to deep). A. NREM B. Dreams C. Sleep Apnea D. Sleep hygiene

answer

A

question

More vivid and elaborate during REM sleep and are functionally important to learning. A. NREM B. Dreams C. Sleep Apnea D. Sleep hygiene

answer

B

question

Characterized by the lack of airflow through the nose and mouth for 10 seconds or longer during sleep. A. NREM B. Dreams C. Sleep Apnea D. Sleep hygiene

answer

C

question

Practices that the patient associates with sleep. A. NREM B. Dreams C. Sleep Apnea D. Sleep hygiene

answer

D

question

Inadequacies in either the quantity or quality of nighttime sleep. A. Hypersomnolence B. Sleep deprivation C. Cataplexy D. Narcolepsy

answer

A

question

Problem patients experience as a result of dyssomnia. A. Hypersomnolence B. Sleep deprivation C. Cataplexy D. Narcolepsy

answer

B

question

Sudden muscle weakness during intense emotions at any time during the day. A. Hypersomnolence B. Sleep deprivation C. Cataplexy D. Narcolepsy

answer

C

question

Dysfunction of mechanisms that regulate the sleep and wake states (excessive daytime sleepiness). A. Hypersomnolence B. Sleep deprivation C. Cataplexy D. Narcolepsy

answer

D

question

Sleeps about 16 hours a day with 50% in REM, stimulating the higher brain centers. A. Neonates B. Infants C. Toddlers D. Older adults

answer

A

question

Take several naps during the day and sleep an average of 8-10 hours during the night for total of 15 hours daily average sleep. About 30% of sleep is in REM cycle. Awakens in the middle of the night or early morning is common. A. Neonates B. Infants C. Toddlers D. Older adults

answer

B

question

Sleep through the night with daily naps for a couple of years and then no naps. Total sleep average of 12 hours per day. Commonly wakes during the night. May be reluctant to go to bed because of need for autonomy or fear of separation. A. Neonates B. Infants C. Toddlers D. Older adults

answer

C

question

Difficulty sleeping is common problem. REM is much shorter and almost no stage 4 - deep sleep cycle. Awaken more often during the night and takes much longer to fall asleep. Daily naps are common. A. Neonates B. Infants C. Toddlers D. Older adults

answer

D

question

Sleep an average of 12 hours per night with 20% in REM. No daytime naps, and has difficulty going to sleep and waking in the night due to stimilation activities, fears or nightmares. May exhibit brief crying, sleep walking, unintelligible speech or bedwetting during sleep. A. Preschoolers B. School-age children C. Adolescents D. Young Adults E. Middle Adults

answer

A

question

Sleep needs vary averaging from 9-10 and 11-13 hours per night. Resist sleeping because of an unawareness of fatigue or a need to be independent. A. Preschoolers B. School-age children C. Adolescents D. Young Adults E. Middle Adults

answer

B

question

Average of 7 1/2 hours of sleep per night which is affected by obligations that reduce the time spent sleeping. A. Preschoolers B. School-age children C. Adolescents D. Young Adults E. Middle Adults

answer

C

question

Average 6-8 1/2 hours of sleep per night with 20% in REM cycle. Common social stressors can lead to insomnia. Daytime sleepiness contributes to increased number of accidents, decreased productivity, and interpersonal problems. Pregnancy increases the need for sleep but insomnia, periodic limb movements, restless leg syndrome, and sleep-disordered breathing are common problems during pregnancy. A. Preschoolers B. School-age children C. Adolescents D. Young Adults E. Middle Adults

answer

D

question

Total of time spent sleeping at night declines with the beginning of a decline in the amount of time spent in stage 4 - deep sleep cycle. Insomnia is common because of anxiety, depression, and physical illness and hormonal changes. A. Preschoolers B. School-age children C. Adolescents D. Young Adults E. Middle Adults

answer

E

question

Sleepiness, insomnia, and fatigue often result as a direct effect of commonly perscribed ___________ , such as hypontics, diuretics, alcohol, caffeine, narcotics, antidepressants and stimulants. A. Drugs & illicit substances B. Lifestyle C. Emotional Stress D. Environment

answer

A

question

Rotating work shifts, heavy work loads, late-night social activities and late evening meals are examples of what influence on sleep. A. Drugs & illicit substances B. Lifestyle C. Emotional Stress D. Environment

answer

B

question

Personal problems or specific situations such as retirement, physical impairment, or the death of a loved one that disrupt sleep. A. Drugs & illicit substances B. Lifestyle C. Emotional Stress D. Environment

answer

C

question

Good ventilation, a good bed, and appropriate light levels are essential for a restful sleep. A. Drugs & illicit substances B. Lifestyle C. Emotional Stress D. Environment

answer

D

question

Which is not a component of a sleep history the nurse is looking for in her assessment? A. Description of sleep problems B. Medications C. Usual sleep pattern D. Physical & psychological illness E. Current life events F. Emotional & mental status G. Bedtime routines H. Bedtime environment I. Behaviors of sleep deprivation

answer

B

question

Which of the following is not a common nursing diagnoses related to sleep problems? A. Anxiety B. Ineffective breathing C. Acute confusion D. Risk of falls E. Compromised family coping F. Ineffective Coping G. Fatigue H. Insomnia I. Readiness for enhanced sleep J. Sleep deprivation K. Disturbed sleep pattern

answer

D

question

The 24-hour day-night cycle is known as: A. Ultradian rhythm B. Circadian rhythm C. Infradium rhythm D. Non-REM rhythm

answer

B

question

Which of the following substances will promote normal sleep patterns? A. Alcohol B. Narcotics C. L-tryptopham D. Beta-blockers

answer

C

question

All of the following are symptoms of sleep deprivation except: A. Irritability B. Hyperactivity C. Decreased motivation D. Rise in body temperature

answer

D

question

Mrs. Peterson complains of difficulty falling asleep, awakening earlier than desired, and not feeling rested. She attributes these problems to leg pain that is secondary to her arthritis. What would be the appropriate nursing diagnosis for her? A. Fatigue related to leg pain. B. Insomnia related to arthritis. C. Deficient knowledge related to sleep hygiene measures. D. Insomnia related to chronic leg pain.

answer

D

question

A nursing care plan for a patient with sleep problems has been implemented. All of the following would be expected outcomes except: A. Patient reports satisfaction with amount of sleep. B. Patient falls asleep within 1 hour of going to bed. C. Patient reports no episodes of awakening during the night. D. Patient rates sleep as an 8 or above on the visual analog scale.

answer

B

question

The nurse is gathering a sleep history from a patient who is being evaluated for obstructive sleep apnea. Which common symptoms does the patient most likely report? (Select all that apply) A. Headache B. Early wakening C. Excessive daytime sleepiness D. Difficulty falling asleep E. Snoring

answer

A, C, E

question

The nurse incorporates which priority nursing intervention into a plan of care to promote sleep for a hospitalized patient? A. Have patient follow hospital routines. B. Avoid awakening patient for nonessential tasks. C. Give presribed sleeping medications at dinner. D. Turn television on low to late-night programing.

answer

B

question

Older adults are cautioned about the long-term use of sedatives and hypnotics because these medications can: A. Cause headaches and nausea. B. Be expensive and difficult to obtain. C. Cause severe depression and anxiety. D. Lead to sleep disruption.

answer

D

question

The nurse is providing health teaching for a patient using herbal compounds such as melatonin for sleep. Which points need to be included? (Select all that apply.) A. Can cause urinary retention B. Should not be used indefinitely C. May cause diarrhea and anxiety D. May interfere with prescribed medications E. Can lead to further sleep problems over time F. Are not regulated by the U.S. Food and Drug Administration (FDA)

answer

B, D, F

question

The patient reports vivid dreaming to the nurse. Through understanding of the sleep cycle, the nurse recognizes that vivid dreaming occurs during which sleep phase? A. REM sleep B. Stage 1 NREM sleep C. Stage 4 NREM sleep D. Transition period from NREM to REM sleep

answer

A

question

The nurse teaches a patient taking a benzodiazepine that this group of medications causes which symptom of a sleep problem? A. Nocturia B. Hyperactivity C. Grogginess and feeling hung over D. Increased sleep time

answer

C

question

Which intervention is appropriate to include on a care plan for improving sleep in the older adult? A. Decrease fluids 2 to 4 hours before sleep B. Exercise in the evening to increase fatigue C. Allow the patient to sleep as late as possible D. Take a nap during the day to make up for lost sleep

answer

A

question

Which statement made by a mother being discharged to home with her newborn infant indicates a need for further teaching? A."I won't put the baby to bed with a bottle." B. "For the first few weeks we're putting the cradle in our room." C. "My grandmother told me that babies sleep better on their stomachs." D. "I know I'll have to get up during the night to feed the baby when he wakes up."

answer

C

question

The nurse is developing a plan of care for a patient experiencing narcolepsy. Which intervention is appropriate to include on the plan? A. Instruct the patient to increase carbohydrates in the diet B. Have patient limit fluid intake 2 hours before bedtime C. Preserve energy by limiting exercise to morning hours D. Encourage patient to take one or two 20-minute naps during the day

answer

D

question

Which nursing measure best promotes sleep in a school-age child? A. Encourage evening exercise B. Offer a glass of hot chocolate before bedtime C. Make sure that the room is dark and quiet D. Use quiet activities consistently before bedtime

answer

D

question

Which action by the nursing assistant at bedtime requires the nurse to intervene? A. Giving the patient a back rub B. Turning on quiet music C. Dimming the lights in the patient's room D. Giving a patient a cup of coffee

answer

D

question

Which statement made by the patient indicates a need for further teaching on sleep hygiene? A."I' m going to do my exercises before I eat dinner." B. "I'll have a glass of wine at bedtime to relax." C. "I set my alarm to get up at the same time every morning." D. "I moved my computer to the den to do my work."

answer

B

question

Which statement made by an older adult best demonstrates understanding of taking a sleep medication? A."I'll take the sleep medicine for 4 or 5 weeks until my sleep problems disappear." B. "Sleep medicines won't cause any sleep problems once I stop taking them." C. "I'll talk to my health care provider before I use an over the- counter sleep medication." D. "I'll contact my health care provider if I feel extreme sleepy in the mornings."

answer

C

question

The school nurse is teaching health-promoting behaviors that improve sleep to a group of high school students. Which points should be included in the education? (Select all that apply.) A. Do not study in your bed. B. Go to sleep each night whenever you feel tired. C. Turn off your cell phone at bedtime. D. Avoid drinking coffee or soda before bedtime. E. Turn on the television to help you fall asleep.

answer

A, C, D

question

The nurse is taking a sleep history from a patient. Which statement made by the patient needs further follow-up? A. I always feel tired when I wake up in the morning. B. I go to bed at the same time each night. C. It takes me about 15 minutes to fall asleep. D. Sometimes I have to get up during the night to urinate.

answer

A

question

An electroencephalogram (EEG) measures what? A. Eye movement B. Intelligence level C. Muscle tone D. Electrical activity

answer

D

question

An electromyogram (EMG) measures what? A. Eye movement B. Intelligence level C. Muscle tone D. Electrical activity

answer

C

question

An electro-oculogram (EOG) measures what? A. Eye movement B. Intelligence level C. Muscle tone D. Electrical activity

answer

A

question

Grinding of teeth in sleep: A. Bruxism B. Somnambulism C. Nocturnal enuresis D. Cataplexy

answer

A

question

Sleepwalking during sleep: A. Bruxism B. Somnambulism C. Nocturnal enuresis D. Cataplexy

answer

B

question

Bed-wetting during sleep: A. Bruxism B. Somnambulism C. Nocturnal enuresis D. Cataplexy

answer

C

question

Manifests itself as muscular weakness which may range from a barely perceptible slackening of the facial muscles to complete muscle paralysis with postural collapse. Attacks are brief, most lasting from a few seconds to a couple of minutes, and typically involve dropping of the jaw, neck weakness, and/or buckling of the knees. A. Bruxism B. Somnambulism C. Nocturnal enuresis D. Cataplexy

answer

D

question

Biological clock

answer

An innate mechanism that controls the physiological activities of an organism that change on a daily, seasonal, yearly, or other regular cycle.

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