Sleep and Rest

Question 1

rest

Answer 1

state of decreased activity resulting in refreshed feeling

Question 2

sleep

Answer 2

state of rest accompanied by altered level of consciousness

Question 3

decreased sleep affects

Answer 3

physical and psychological health

Question 4

you need ______ sleep

Answer 4

unfragmented

Question 5

unfragmented sleep leads to

Answer 5

increased energy
better immune function
concentration
removes brain toxins

Question 6

NREM

Answer 6

non rapid eye movement

Question 7

how many stages of NREM

Answer 7

1-4

Question 8

NREM stage 1

Answer 8

transition stage between wake and sleep
*very light and easy to arouse
*5% of sleep

Question 9

NREM stage 2

Answer 9

light sleep
*50% of sleep

Question 10

NREM stage 3

Answer 10

deeper sleep
*10% of sleep

Question 11

NREM stage 4

Answer 11

deep sleep state (delta sleep)
*10% of sleep

Question 12

REM

Answer 12

rapid eye movement

Question 13

how much of sleep is NREM

Answer 13

75%

Question 14

how much of sleep is REM

Answer 14

20-25%

Question 15

what happens to vitals during REM sleep

Answer 15

P: increase
RR: increase
BP: increase
T: increase
Metabolic Rate: increase

Question 16

what does REM decrease

Answer 16

skeletal muscle tone
deep tendon reflexes

Question 17

what happens during REM

Answer 17

dreams!

Question 18

how long does REM last

Answer 18

5-45 minutes

Question 19

deep sleep and REM are important _____

Answer 19

restorative functions

Question 20

restorative functions of deep sleep

Answer 20

growth
physical renewal
hormonal regulation

Question 21

restorative functions of REM

Answer 21

brain
-storing memories
-learning
-mood

Question 22

how long of deep sleep to feel rested

Answer 22

1 - 1/2 hours

Question 23

what stage do we go in and out of REM

Answer 23

2

Question 24

adults need how much sleep

Answer 24

7-9 hours

Question 25

older adults need how much sleep

Answer 25

6-7 hours

Question 26

what stage is absent or decreased in older adults

Answer 26

4 and REM

Question 27

sleep difficulties in older adults

Answer 27

falling asleep staying asleep (wake up often) decreased time in deep sleep

Question 28

5 illnesses associated with sleep disturbances

Answer 28

GERD coronary artery disease epilepsy liver failure and encephalitis end stage renal disease

Question 29

why does GERD have sleep disturbances

Answer 29

increased gastric secretions during REM

Question 30

why does coronary artery disease have sleep disturbances

Answer 30

angina increased in REM

Question 31

why does epilepsy have sleep disturbances

Answer 31

increased seizures in NREM

Question 32

why does liver failure and encephalitis have sleep disturbances

Answer 32

total disruption of sleep wake cycle

Question 33

why does end stage renal disease have sleep disturbances

Answer 33

disturbed sleep increased day time sleep

Question 34

what are environmental factors that affect sleep in acute care settings

Answer 34

noises lights best sleep in own home sleep trouble in new environments = decreased REM and NREM

Question 35

psychological stressors affecting sleep

Answer 35

hospital and illness can decrease sleep and increase anxiety

Question 36

meds that impact sleep

Answer 36

diuretics asthma

Question 37

caffeine is a ____

Answer 37

CNS stimulant

Question 38

alcohol toxicity affects

Answer 38

REM sleep

Question 39

nicotine has a

Answer 39

stimulant effect

Question 40

why do obese people have difficulty sleeping

Answer 40

hormonal regulation appetite of feeling satiated

Question 41

dyssomnias

Answer 41

anything causing difficulty falling asleep/staying asleep/excessive daytime sleep

Question 42

what are some sleep disorders/dyssomnias

Answer 42

insomnia sleep related breathing disorders narcolepsy circadian rhythm sleep-wake disorders

Question 43

insomnia

Answer 43

difficulty fall asleep intermittent sleep early wakefulness *most common sleep disorder

Question 44

risk for insomnia

Answer 44

older than 60 women after menopause depression night shift workers

Question 45

acute insomnia

Answer 45

brief and due to life circumstances *usually one time

Question 46

meds that lead to insomnia

Answer 46

antihypertensive ADD OTC cold and allergy

Question 47

insomnia treatment

Answer 47

behavior modification meds education

Question 48

what is behavior modification

Answer 48

sleep rituals

Question 49

med that treats insomnia

Answer 49

muscle relaxants

Question 50

insomnia education

Answer 50

no napping no exercise within 3 hours of sleep only sleep when tired

Question 51

chronic insomnia

Answer 51

3 times a week for 3 months

Question 52

OSA

Answer 52

obstructive sleep apnea

Question 53

OSA caused by

Answer 53

obesity anatomical probs

Question 54

OSA signs and symptoms

Answer 54

excessive daytime sleepiness snoring abnorm sleep study

Question 55

OSA stay in what stage of sleep

Answer 55

1 and 2

Question 56

what is an abmorm sleep study

Answer 56

polysomnography *diagnoses sleep disorders by recording brain waves, oxygen in blood, heart rate, and breathing

Question 57

OSA treatment

Answer 57

weight reduction CPAP BiPAP

Question 58

CPAP

Answer 58

continuous positive airway pressure *delivers pressure to keep airway open, difficulty exhaling

Question 59

BiPAP

Answer 59

biphasic positive airway pressure *set with inspiratory pressure and cycle with exhalation

Question 60

sleep apnea affects of sleep

Answer 60

increase Co2 *wake up to catch breath and never get to REM

Question 61

narcolepsy

Answer 61

uncontrolled desire to sleep

Question 62

signs and symptoms of narcolepsy

Answer 62

sleep attacks cataplexy (strong laughter/emotion causing sudden unconsciousness- full body paralysis) nightmares hallucinations sleep onset REM

Question 63

narcolepsy go to what type of sleep

Answer 63

REM

Question 64

narcolepsy treatment

Answer 64

ritalin

Question 65

who might have misalignment of circadian rhythm and sleep wake cycle

Answer 65

shift work jet lag

Question 66

parasomnias

Answer 66

pattern of wakeful behavior appearing during REM/NREM

Question 67

somnambulism

Answer 67

sleep walking

Question 68

sleep terrors

Answer 68

deep stages of sleep and wake up screaming

Question 69

nightmares

Answer 69

frightening dream

Question 70

bruxism

Answer 70

grinding of teeth when asleep *stress indicator

Question 71

enuresis

Answer 71

nocturnal bed wetting during deep sleep

Question 72

sleep related movement disorder

Answer 72

restless leg syndrome

Question 73

what is restless leg syndrome

Answer 73

unpleasant creeping/crawling/tingling sensations in legs while sleeping

Question 74

treatment for restless leg syndrome

Answer 74

walking massage stretching

Question 75

caffeine, nicotine, alcohol increase or decrease restless leg syndrome

Answer 75

increase

Question 76

promote restful environment

Answer 76

room dark wrinkle free linens comfortable temp close door

Question 77

promote bedtime ritual

Answer 77

stimulate at day warm shower read pray music

Question 78

what should we offer before bedtime as a snack

Answer 78

carbs and protein decrease fluids

Question 79

hour of sleep is

Answer 79

10 pm