Module 26 sleep

Question 1

what is sleep

Answer 1

rapidly reversible state of reduced responsiveness, motor activity, and metabolism
- dynamic and regulated set of behavioral and physiological states and vital to health and well-being

Question 2

benefits of sleep

Answer 2

restorative for brain metabolism 
memory consolidation and learning
physical health
performance and safety
emotional well being
severs glymphatic function by removing toxic by-products

Question 3

Stage 1 of sleep

Answer 3

mixture of alpha and theta brain waves

Question 4

stage 2 of sleep

Answer 4

sleep spindles
K complexes
theta brain waves
beginnings of delta waves

Question 5

Stage 3 of sleep

Answer 5

mixture of theta and delta brain waves

- slower delta

Question 6

Stage 4 of sleep

Answer 6

delta brain waves

Question 7

REM

Answer 7

fast, active brain waves accompanied by rapid eye movements

Question 8

sleep changes with age

Answer 8

• less efficient and more fragmented with age
• less deep sleep
• more difficulty maintaining sleep due to awakenings
• elderly experience higher prevalence of sleep disorder
• meds make disrupt sleep

Question 9

consequences of sleep deprivation

Answer 9

• shortened life span
• inc. risk of CV dis and GI complications
• irritability, depression
• dec. work performance
• social problems
• difficulty learning

Question 10

obtaining sleep hx

Answer 10

hours of routine sleep in 24 hour period
difficulty falling asleep 
food or beverages before sleep
evidence of sleep apnea
nocturnal wakenings
work schedule that alters sleep wake patterns

Question 11

family sleep hx

Answer 11

narcolepsy with cataplexy 
parasomnias
sleep apnea
restless leg syndrome
periodic limb movements 
circadian rhythm disorders

Question 12

Social sleep hx

Answer 12

alcohol, smoking, drug use
lack of exercise
work hx
social or financial problems

Question 13

Daytime sleepiness scale

Answer 13

epworth sleep scale

Question 14

OSA

Answer 14

periodic, partial, or complete obstruction in the upper airway during sleep

• snoring with apneic pauses
• repetitive arousal from sleep occurs to restore airway patency resulting in daytime hypersomnolence

Question 15

determine sleep apnea STOP

Answer 15

S: snore loudly
T: feel tired, fatigued, or sleepy during day
O: anyone observed you not breathing during sleep
P: treated for high blood pressure

Question 16

mild insomnia

Answer 16

almost nightly complaint of nonrestorative sleep

assoc. with little or no impairment of social or occupational functioning

Question 17

moderate insomia

Answer 17

nightly complaints of disturbed sleep

mild to moderate impairment of social or occupational function

Question 18

severe insomnia

Answer 18

nightly complaints of disturbed sleep

severe daytime dysfunction

Question 19

acute insomnia

Answer 19

resolves with the management of inciting factors
- better sleep schedule 
Adjustment sleep disorder
- increased stress 
- unfamiliar sleep enviro
Jet lag

Question 20

Chronic Insomnia

Answer 20

Primary or intrinsic

Secondary or extrinsic

Question 21

narcolepsy

Answer 21

Neuro disorder
daytime sleepiness
irresistible attacks of sleep occur almost daily

Question 22

cataplexy

Answer 22

sudden loss of muscle tone

• assoc. with intense emotion and the sudden onset of REM sleep
• assoc. with narcolepsy

Question 23

restless leg syndrome

Answer 23

urge to move legs, usually accompanied by unpleasant sensation