C. CH 36 Sleep Flashcards
The nurse is preparing a care plan for a patient with insomnia. Which of the following would be an appropriate outcome criteria for the goal that the patient will report fewer problems falling asleep.
A) The patient will fall asleep faster.
B) The patient will report a decrease in sleep latency to 10 to 15 minutes within 30 days.
C) The nurse will administer the patients hypnotic at bedtime each night.
D) The nurse will give the patient a backrub at bedtime each night.
B) The patient will report a decrease in sleep latency to 10 to 15 minutes within 30 days.
A student nurse is preparing a presentation regarding hypnotic medications. What information should the student nurse include? Select all that apply.
A) Hypnotics induce a normal sleep pattern.
B) Hypnotics may impair waking in a patient.
C) Hypnotics are safe for long-term use.
D) Hypnotics may be addictive.
E) Tapering of doses may be required after long-term use.
B) Hypnotics may impair waking in a patient.
D) Hypnotics may be addictive.
E) Tapering of doses may be required after long-term use.
The nurse is preparing a care plan for a patient recently diagnosed with obstructive sleep apnea. The patient complains of daytime sleepiness, fatigue and excessive snoring that wakes me up. What nursing diagnosis would be appropriate for this patient?
Disturbed Sleep Pattern as evidenced by complaints of daytime sleepiness
Disturbed Sleep Pattern related to obstructive sleep apnea as evidenced by excessive snoring
Disturbed Sleep Pattern related to periods of apnea as evidenced by excessive snoring
Disturbed Sleep Pattern related to obstructive sleep apnea
Disturbed Sleep Pattern related to periods of apnea as evidenced by excessive snoring
A school nurse is speaking to a group of parents regarding the sleep needs of adolescents. Which statement by a parent indicates a need for further education?
A) Adolescents naturally develop an owl like sleep pattern in which they go to bed later and sleep later in the morning.
B) Academic performance in adolescents is good when they sleep about 7 hours per night.
C) Adolescents catch up on sleep on the weekends, when they typically sleep later.
D) Adolescent girls are more likely to develop insomnia than boys.
B) Academic performance in adolescents is good when they sleep about 7 hours per night.
A student nurse is preparing a presentation on sleep hygiene practices. What information should the nurse include? Select all that apply.
A) Eliminate caffeine intake 6 hours prior to bedtime.
B) Do not watch television in bed.
C) Use blackout or other types of curtains/blinds to keep the room as dark as possible.
D) Take a warm bath prior to bedtime.
E) Do 15 to 30 minutes of exercise prior to bedtime.
A) Eliminate caffeine intake 6 hours prior to bedtime.
B) Do not watch television in bed.
C) Use blackout or other types of curtains/blinds to keep the room as dark as possible.
A patient has voiced concerns about her inability to fall asleep. When reviewing her history, what information would the nurse expect to find? Select all that apply. A) Smokes 1 pack of cigarettes daily B) Drinks coffee with all meals C) History of hyperthyroidism D) Exercises 30 to 60 minutes daily E) Works 30 hours per week
A) Smokes 1 pack of cigarettes daily
B) Drinks coffee with all meals
C) History of hyperthyroidism
A nursing instructor is speaking to a group of students regarding the effects of shift work on sleep patterns. Which pattern of work shifts has been shown to enhance work production?
A) Working multiple night shifts in a row
B) Working one week of day shifts then one week of night shifts C) Clockwise rotation of shifts
D) Rotating between day and night shifts each week.
C) Clockwise rotation of shifts
When a nurse notes that the patient appears to be sleeping, is demonstrating irregular respirations, and is showing eye movement, the nurse identifies the stage of sleep the patient is experiencing as A) Transitional B) Rapid eye movement (REM) C) Light sleep D) Slow wave
B) Rapid eye movement (REM)
Which of the following problems is associated with obesity, heavy snoring, and shallow breathing? A) Sleep apnea B) Narcolepsy C) Hypersomnia D) Hyperpnea
A) Sleep apnea
When a patient tells the clinic nurse that he has irresistible sleep attacks throughout the day lasting from 10 to 15 minutes, the nurse suspects that the patient may be experiencing
Cataplexy
Narcolepsy
Insomnia
Prolonged latency
Narcolepsy
A nurse instructor is instructing her students on the role of hormones in sleep patterns. Which statement would indicate to the nursing instructor that the student needs additional teaching?
A) A hyperactive thyroid can make the patient sleepy all the time.
B) Women often experience fatigue due to loss of estrogen.
C) Estrogen has been shown to decrease sleep latency.
D) Hypothyroidism may contribute to a lack of slow-wave sleep.
A) A hyperactive thyroid can make the patient sleepy all the time.
When the newly admitted patient with chronic obstructive pulmonary disease informs the nurse that she frequently awakens during the night, the nurse may notify the physician for which of the following interventions?
A) A hypnotic medication
B) A narcotic medication
C) Low-flow oxygen
D) Warm milk
C) Low-flow oxygen
While instructing young adults about the need for adequate sleep, the nurse instructs the group that to improve sleep quality, individuals should
Take an afternoon nap whenever possible
Catch up on sleep on days off from work
Stay awake until midnight consistently
Have a consistent time for arising
Have a consistent time for arising
Which of the following activities would be appropriate to suggest to the patient who states that she has difficulty falling asleep every evening?
Take a warm shower before bedtime
Drink a glass of milk with a turkey sandwich
Exercise vigorously for 30 minutes before sleep
Clean the bedroom prior to falling asleep
Drink a glass of milk with a turkey sandwich
A nurse working the night shift understands the importance of enhancing the sleep patterns of his patients. In order to do so, he should
A) Only wake them for the 12:00 AM and 4:00 AM vital signs
B) Allow the patient time to sit at the desk to enhance better rest
C) Evaluate the sleep response of the patient with a polysomnogram
D) Cluster activities to allow 90 to 120 minutes of sleep
D) Cluster activities to allow 90 to 120 minutes of sleep
