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PhysDys > Evaluation of Sleep, Rest and Leisure > Flashcards

Evaluation of Sleep, Rest and Leisure Flashcards

1
Q

A natural periodic state of rest for the mind and body,
in which the eyes usually close and consciousness is
completely or partially lost, so that there is a decrease
in bodily movement and responsiveness to external
stimuli

A

Sleep

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2
Q

Quiet and effortless actions that interrupt physical

and mental activity, resulting in a relaxed state

A

Rest

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3
Q

Main occupations are subdivided into 3 major categories:

A
  1. Pleasureable (play, leisure)
  2. Productive (work)
  3. Restorative (sleep, self-care, quiet activities)
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4
Q

Among the three, the ___ category is the least

recognized among all occupations

A

Restorative

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5
Q

Continuous recording of specific physiologic variables

during sleep

A

Polysomnograph (PSG)

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6
Q

measures brain waves

A

Electroencephalogram (EEG)

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7
Q

measures muscle activity

A

electromyogram (EMG)

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8
Q

measures eye movements

A

electrooculogram (EOG)

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9
Q

The diagram which is based on the info. collected

from the EMG

A

hypnogram

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10
Q

the time needed to fall asleep

A

sleep latency

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11
Q

Stage of sleep where dreaming occurs

A

Rapid Eye Movement sleep / REM

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12
Q

light sleep

A

NREM 1

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13
Q

deep sleep

A

NREM 3

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14
Q

T/F: infants and children have higher

proportions of REM sleep than adults

A

TRUE

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15
Q

What stage of sleep:

1-7 mins, transitional wakefulness to sleep onset or to REM sleep

A

NREM Stage 1

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16
Q

What stage of sleep:

10-25 mins, eyes dont move much, slower breathing and heart rate, first stage of established sleep

A

NREM Stage 2

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17
Q

What stage of sleep:

few mins, slow EEG wave activity for >20% and <50% of the time

A

NREM Stage 3

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18
Q

What stage of sleep:

20-40 mins in the first cycle, slow EEG wave activity >50% of the time

A

NREM Stage 4

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19
Q

What stage of sleep:

1-5 mins in the first cycle, irregular and increased body temp, BP, HR and RR

A

REM

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20
Q

In adolescence, the normal amount of time for sleep is?

A

9 to 9.25 hours of sleep a night

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21
Q

T/F: In adulthood (20 to 60), there is increased sleep efficiency, increased time in the restorative deep sleep, and easier arousal during the deep sleep phase

A

FALSE

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22
Q

hallmark of aging

A

an increased time spent in stage 1 of NREM sleep and a decreased percentage of time in stages 3 & 4

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23
Q

sleep needs of adults

A

7-9 hrs

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24
Q

sleep needs of teens

A

8.5-9.25 hrs

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25
Q

sleep needs of school aged children

A

10-11 hrs

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26
Q

sleep needs of preschoolers

A

11-13 hrs

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27
Q

sleep needs of toddlers

A

12-14 hrs

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28
Q

sleep needs of infants

A

9-12 hrs w naps 1-4x a day

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29
Q

sleep needs of newborns

A

10.5-18 hrs

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30
Q

T/F: persons with the most limited
number of sleep also have the highest rate of obesity
and diabetes

A

TRUE

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31
Q

a sleep state that is characterized by the

tendency to fall asleep

A

sleepiness

32
Q
  • Exhaustion that occurs after exertion
  • Awareness of a decreased capacity for physical
    and/or mental activity due to an imbalance of
    ability, utilization, and/or restoration of
    resources needed to perform activity.
A

Fatigue

33
Q

Impaired neurologic state that can lead to

lethargy or coma

A

somnolence`

34
Q

Most at risk for inadequate sleep:

A

Young people, especially males under 26
Shift workers and people with long work hours
Commercial drivers, especially long-haul drivers
People with undiagnosed or untreated disorders
Business travelers who drive many hours or are jetlagged

35
Q

5 Realms of Concern in sleep:

A
  1. Common medical condition and psychiatric disorders
  2. Health habits and behaviors
  3. Stress and occupational balance
  4. Sleep environment
  5. Sleep disorder
36
Q

4 Factors that affect sleep:

A

exercise, caffeine, tobacco, alcohol

37
Q

component of sleep hygiene

A

sleep environment

38
Q

Repeated problems of sleep initiation, duration,
consolidation, or quality that occur despite adequate
time and opportunity for sleep and result in some
form of daytime impairment; MC

A

Insomnia

39
Q

what classification of insomnia: usual cause of insomnia is physiologic

A

primary

40
Q

what classification of insomnia: comorbid; related to pain, depression,
PTSD, and other medical conditions that should be
identified and addressed in treatment planning

A

secondary

41
Q
  • Caused by partial or complete blockage of airway
    passages during sleep
  • loud snoring and gasping for breath
A

Obstructive Sleep Apnea (OSA)

42
Q

Index for OSA severity

A

Apnea/hypopnea index

AHI

43
Q

Sleep disorder in which there is an urge to move the
legs in order to stop unpleasant leg sensations that
may be described as “crawling or “tingling.

A

Restless Leg Syndrome (RLS)

44
Q

4 Criteria for diagnosing RLS (“URGE”)

A
  1. Irresistible urge to move the legs due to a creepy
    crawl sensation.
  2. Irresistible urge to move the legs (unpleasant leg
    sensations)
  3. Improvement of symptoms with moving legs
  4. Nighttime worsening of symptoms
45
Q

Periodic episodes of repetitive and stereotyped
movements of the limbs, which the client cannot
control, during sleep (creepy crawls not present)

A

Periodic Limb Movement Disorder (PLMD)

46
Q
  • Non-sleep behaviors that intrude during sleep

- Sleepwalking and sleep-eating episodes

A

Parasomnias

47
Q

T/F: Sleepwalking = NREM sleep behavior disorder

A

FALSE

48
Q

tooth grinding

A

bruxism

49
Q

In healthy REM sleep, there is normal muscle paralysis, or what we call ___

A

atonia

50
Q

Excessive uncontrollable daytime sleepiness even

after adequate sleep at night

A

Narcolepsy

51
Q

sudden loss of muscle functions ranging

from muscle weakness to full collapse

A

Cataplexy

52
Q

frightening images during the transition to sleep

A

Hypnagogic hallucinations

53
Q

a wristband mounted accelerometer
system that records period of motion during sleep and
indicates sleep latency, arousal, and time of awakening

A

Actigraphy

54
Q

A non-obligatory activity that is intrinsically
motivated and engaged in during discretionary time,
that is, time not committed to obligatory occupations
such as work, self-care, or sleep

A

Leisure

55
Q

Important under leisure and important for the connection between pt and cx

A

Humor

56
Q

4 Key Areas why Humor is important:

A
  1. Building relationships,
  2. Helping clients cope with adversity,
  3. Promoting clients’ physical health
  4. Facilitating compliance with treatment
57
Q

AT & T principle

A

use of humor in an appropriate, timely, and tasteful manner

58
Q

Precautions/Risk Factors for Laughter

A 
Seizures
Cataleptic/narcoleptic attack
Recent abdominal surgery
Upper body fracture
Acute asthma
Pre existing arterial hypertension
59
Q

For what age group does this fall under: Social and family group activities, sports, exercise,
travel, computer games, surfing, and social
networking on the internet hobbies and crafts,
outdoor activities, dancing, dating, and sex.
Healthy and active leisure

A

Young Adulthood (20-40)

60
Q

For what age group does this fall under: Enjoys developing the skills and talents of younger
people (e.g., serving as a sports coach or work
mentor). More on mentoring/teaching

A

Middle Adulthood (40-65 years)

61
Q 
For what age group does this fall under:
“Use it or lose it" principle
Decrease for time in work, so leisure occupation
comes into full bloom
For maintenance
A

Late Adulthood (65 years and Older)

62
Q

If activity levels are not maintained, strength,

coordination, and skills may deteriorate rapidly

A

Use it or lose it principle

63
Q

the major

determinants of play and leisure participation

A

Activity interest/preferences

64
Q

examine what clients do, with

whom, and how often

A

Activity choices

65
Q
  • state of mind with which these activities are
    approached (level of playfulness)
  • Affective experience of engagement in leisure
    participation
A

Subjective experience

66
Q

may be physiological,
educational, social, psychological, aesthetic, and
spiritual meaning

A

personal meaning

67
Q

overall feelings and perceptions related to experience, whether it may be positive or negative perception

A

Satisfaction with experience

68
Q

Highest possible score for each component in Leisure Motivation Scale

A

60

69
Q

In Leisure Interest Assessment, each letter is associated with a domain/category regarding activities. What does the letter “B” correspond to?

A

mind body

70
Q

In the Insomnia Severity Index, what is the category/implications of the score range 15-21?

A

Clinical insomnia - moderate severity

71
Q

T/F: One of the physical benefits of leisure activities is improvement of adaptive and coping skills

A

TRUE

72
Q

T/F: In Athens Sleep Questionnaire, a total score of 5 indicates insomnia.

A

FALSE

73
Q

In Leisure Interest Assessment, each letter is associated with a domain/category regarding activities. What does the letter “E” correspond to?

A

Social Outings

74
Q

In Leisure motivation scale, this measure pertains to the extent to which individuals engage in leisure as a way to escape and get away from overstimulating life situations

A

Stimulus Avoidance

75
Q

In Leisure motivation scale, this measure pertains to the extent to which individuals are motivated to engage in leisure activities which involve substantial mental activities such as learning, discovering, creating or imagining

A

Intellectual

PhysDys (11 decks)

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