Sleep Chapter 42

Question 1

What begins at 90 minutes after sleep as begun, duration increases with each sleep cycle, average about 20 minutes, assessed by REM, Fluctuating HR and RR, increase BP, loss of skeletal muscle tone, increased gastric secretions, very difficult to arouse, vivid full color dreaming.

Answer 1

REM sleep

Question 2

what is necessary for brain tissue restoration and appears to be important for cognitive restoration.

Answer 2

REM sleep

Question 3

What stage of sleep assists with memory storage and learning.

Answer 3

REM Sleep

Question 4

What stage of sleep last 15 to 30 minutes, is the deepest stage asleep, a person that is sleep deprived spends most the night in this stage, vital signs significantly decrease than during waking hours, sleepwalking and enuresis occur, and is very difficult to arouse sleeper

Answer 4

Stage 4 nonrapid eye movement

Question 5

What stage last 15 to 30 minutes, involves initial stages of deep sleep, muscles completely relaxed, vital signs decrease but remain regular, sleeper is difficult to arouse and rarely moves.

Answer 5

Stage III nonrapid eye movement

Question 6

What stage last 10 to 20 minutes, period of sound sleep, relaxation progresses, body function continues to slow, and arousal remains relatively easy

Answer 6

Stage two nonrapid eye movement

Question 7

What stage last a few minutes includes lightest level of sleep decreased activity begins with gradual fall in vital signs and metabolism, sensory stimuli noise easily arouse, awakened person feels as though daydreaming occurred

Answer 7

Stage one nonrapid eye movement

Question 8

What is the most common form of sleep apnea, occurs when muscles structures of the oral cavity or throat relax during sleep.

Answer 8

Obstructive sleep apnea

Question 9

What is the lack of air flow through the nose and mouth for periods of 10 seconds or longer

Answer 9

Sleep apnea

Question 10

The feeling of being unable to move or talk just before waking or falling asleep

Answer 10

Sleep paralysis

Question 11

Parasomnias are more common in what age group

Answer 11

Children

Question 12

Sleepwalking, sleep tremors, nightmares, nocturnal enuresis, body rocking teeth grinding are examples of what sleep disorder.

Answer 12

Parasomnias

Question 13

What does somnabulism mean

Answer 13

Sleepwalking.

Question 14

What is bruxism

Answer 14

Teeth grinding

Question 15

abnormally shallow and slow breathing caused by diminished nasal airflow creates what respiratory condition.

Answer 15

Hypopnea

Question 16

what condition will the patient fall asleep uncontrollably at inappropriate times

Answer 16

Narcolepsy

Question 17

REM sleep occurs within 15 minutes from this condition

Answer 17

Narcolepsy

Question 18

What is an intervention that a narcoleptic patient should implement during the day to help with their condition.

Answer 18

Brief naps for 20 minutes

Question 19

What is the condition called where a patient has sudden muscle weakness during intense emotions like anger sadness laughter and occurs at any time during the day. If the attack is severe patient loses voluntary muscle control and falls to the floor.

Answer 19

Cataplexy

Question 20

This is when people are in a state of mental physical and spiritual activity that leaves them refreshed and ready to resume the day. This could mean reading a book for the patient or just simply sitting down relaxing

Answer 20

Rest

Question 21

This age group need up to 16 hours of asleep consistently during the first week, their sleep cycle generally is 40 to 50 minutes with wakening after 1 to 2 sleep cycles, and 50% of sleep is REM sleep

Answer 21

Neonates up to three months

Question 22

This age group normally takes several naps, usually sleeps 10 take hours during the night, total sleep time of 13 hours and 30% of sleep is an REM

Answer 22

Infants to three months

Question 23

This age group takes daily naps sleeps through the night, sleeps a total of 12 hours after, three years gives up naps. Percentage of RAM sleep continues to fall. They may be unwilling to go to bed because they need autonomy or have fear of separation from the parents

Answer 23

Toddlers up to two years

Question 24

Women experiencing menopausal symptoms often experience what sleep disorder

Answer 24

Insomnia

Question 25

REM sleep tends to shorten this age group, progressive decrease in stage three and four non-REM sleep, this age groups sensory impairment reduces sensitivity to time cues that maintain circadian rhythms

Answer 25

Older adults

Question 26

Substances such as L-tryptophan can be found in what types of foods to help promote sleep

Answer 26

Milk, cheese, meats, natural protein (turkey)

Question 27

Sleep is a what experience and only the patient is able to report whether or not it is sufficient and restful

Answer 27

Subjective

Question 28

What are the class of medications that induce sleep

Answer 28

Hypnotics

Question 29

What class of medications that produce a calming and soothing effect

Answer 29

Sedatives

Question 30

This cycle influences and regulates physiological function and have responses

Answer 30

Sleep wake cycle

Question 31

24 hour day night cycle known as diurnal. The changing of body temperature heart rate blood pressure Hormone secretion sensory acuity and mood depend on the maintenance of this

Answer 31

Circadian rhythm

Question 32

All persons have a what that synchronizes their sleep cycle

Answer 32

Biological clock

Question 33

What test measures electrical activity in the cerebral cortex

Answer 33

EEG. Electroencephalogram

Question 34

What test measures muscle tone

Answer 34

EMG. Electro myogram

Question 35

This test measures Eye movements and provides information about some structural physiological aspects of sleep

Answer 35

EOG. Electro-oculogram

Question 36

What is the major sleep center in the body

Answer 36

The hypothalamus

Question 37

What does the hypothalamus secrete that promotes wakefulness and rapid eye movement sleep

Answer 37

Hypocreatines

Question 38

Prostaglandin, tryptophan, and growth factors control what

Answer 38

Sleep

Question 39

This is located in the upper brainstem and they contain special cells that maintain alertness and wakefulness. It also receives visual auditory pain and tactile stimuli

Answer 39

RAS. Reticular activating system

Question 40

75 to 80% of sleep is spent during this stage.

Answer 40

Nonrapid eye movement

Question 41

This sleep is necessary for brain tissue restoration. it assists with memory and storage. Loss of the sleep leads to confusion and suspicion

Answer 41

REM sleep