Sleep All Pages

Question 1

Older adults on average go to sleep and awaken how many hours before young adults

Answer 1

1

Question 2

What are some factors affecting sleep and give an example

Answer 2

illness- pain 
environment- temperature, noise
lifestyle- exercise is helpful unless late at night 
emotional stress
stimulants and alc- disrupts REM sleep
diet- overweight can decrease quality and quantity of sleep
smoking- nicotine is stimulating 
motivation- do you want to go to sleep 
meds

Question 3

What are some drugs that fuck with sleep

Answer 3

alc
amphetamines
antidepressants 
beta-blockers 
bronchodilators 
caffeine
decongestants
narcotics 
steroids

Question 4

What is insomnia

Answer 4

inability to fall asleep or remain asleep

Question 5

Who is most affected by insomnia

Answer 5

old age

women

Question 6

What is hypersomnia

Answer 6

client get sufficient sleep at night but cant stay awake during the day

Question 7

What is narcolepsy

Answer 7

a disorder of excessive daytime sleepiness caused by a lack of hypocretin in the area of the CNS that regulates sleep

Question 8

What is parasomnia

Answer 8

behaviors that interfere with sleep

Question 9

What are the three types of parasomnia and what is associated with them

Answer 9

non-rapid eye movemnet- confusion after waking up, and sleep walking
rapid eyemovement- sleep paralysis
miscellaneous parasomnia- nocturnal enuresis, hallucinations

Question 10

What are other forms of parasomnias

Answer 10

bruxism- clenching teeth
periodic limb movement disorder
sleep talking

Question 11

Whats the difference between periodic limb movement disorder and restless leg syndrome

Answer 11

PLMD is more pronounced during sleep and doesn’t usually happen when while awake

Question 12

What are common findings for patients with sleep apnea

Answer 12

enlarged and redened uvula and soft palate
enlarged tonsils and adenoids
obesity

Question 13

What is the nanda nursing diagnosis for sleep

Answer 13

insomnia

Question 14

What are some associated diagnoses related to sleep problems

Answer 14

risk for injury related to somnambulism
ineffective coping related to insufficient quality and quantity of sleep
fatigue related to insufficient sleep
impaired gas exchange related to sleep apnea
dificient knowledge
anxiety related to sleep apnea and/or the diagnosis of a sleep disorder
activity intolerance related to sleep deprivation or excessive daytime sleepiness

Question 15

What are some nursing interventions

Answer 15

reducing environmental distractions
promoting bedtime rituals
teaching stress reduction 
scheduling nursing care so you dont disturb sleep 
relaxtion techniques 
good hygeine practices

Question 16

What are some things to teach clients with sleep problems

Answer 16

no exercise 3 hours before sleep
no heavy meal 2-3hrs before sleep
only use the bed for sleep
avoid caffeine and alcohol 4hrs before sleep

Question 17

What is NREM sleep?

Answer 17

Non-rapid eye movement sleep: Occurs about 75%-85% of sleep cycle, activity in RAS (Reticular Activating System) is

Question 18

What is REM sleep?

Answer 18

Rapid Eye Movement: The brain is highly active, most dream takes place, distinctive eye movement occurs

Question 19

What is parasomnias?

Answer 19

Disorders characterized by abnormal or unusual behavior of the nervous system during sleep (ex. grinding teeth during sleep or bed wetting)

Question 20

What are some aspects of a patient’s sleep can you evaluate?

Answer 20

• Duration of Sleep
• How patient feels upon awakening
• Level of Alertness