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N220 > Sleep, Rest & Fatigue > Flashcards

Sleep, Rest & Fatigue Flashcards

1
Q

Define sleep

A

A basic necessity of life that involves a shift in neurologic activity for restorative purposes

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2
Q

Define fatigue

A

Physical and/or mental exhaustion

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3
Q

What are the 3 types of sleep?

A
  • Restorative sleep
  • Intermittent poor sleep
  • Chronic poor sleep (disorder)
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4
Q

Intermittent sleep is caused by ____ factors and sleep is recovered when the factors are ____

A

transient, corrected

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5
Q

Sleep disorder is the inability to (3):

A
  • Fall asleep
  • Stay asleep
  • Go back to sleep
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6
Q

The accumulation of extended time not sleeping is called:

A

Sleep deficit/debt

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7
Q

Exhaustion impairs ____ status

A

functional

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8
Q

What are the 4 stages of the sleep cycle?

A
  1. NREM 1
  2. NREM 2
  3. NREM 3
  4. REM
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9
Q

During NREM 1 the person is unresponsive and ____ aroused by sensory stimuli

A

easily

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10
Q

Which stage of the sleep cycle is the period of “sound sleep”?

A

NREM 2

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11
Q

Which stage of the sleep cycle is the period of deepest sleep?

A

NREM 3

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12
Q

During NREM 2, muscle tone is ____ whereas in NREM 3, muscle tone is ____

A

present, absent

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13
Q

Describe 4 attributes a person will experience in REM

A
  • Rapid eye movements
  • Shallow + irregular RR
  • Changes in HR + BP
  • Vivid dreams
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14
Q

1 sleep cycle lasts __-__ minutes

A

90, 120

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15
Q

What are 8 functions of sleep?

A
  • Tissue regeneration
  • Bone + muscle development
  • Preservation of cardiac function
  • Immune enhancement
  • Regulation of metabolism
  • Regulation of hormones (appetite + fat)
  • Regulation of hormones (fertility)
  • Controls stress functioning
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16
Q

What is the function of dreams?

A

Learning, memory and adaptation to stress

17
Q

What are 3 classifications of fatigue

A
  • Physiological
  • Secondary
  • Unknown etiology
18
Q

Physiological fatigue is caused by the imbalance of ____, ____, ____ and ____

A

Imbalance of exercise, activities, sleep + diet

19
Q

Physiological fatigue signals a need for ____

A

rest

20
Q

Secondary fatigue is caused by an underlying:

A

Medical condition or treatment

21
Q

Secondary fatigue is resolved when:

A

Underlying medical condition is treated

22
Q

What are some symptoms of caregiver burnout?

A
  • Withdrawal
  • Loss of interests
  • Hopelessness
  • Changes in appetite
  • Changes in sleep patterns
23
Q

The older we get, the ____ sleep we need to keep us alert, healthy and productive

A

less

24
Q

What are some physiological consequences of sleep deprivation

A
  • Hypertension
  • Heart disease + failure
  • Obesity
  • CVA
  • Developmental disorders
  • Reproductive disorders
  • Increased mortality
25
Q

What are 7 factors that affect sleep?

A
  • Drugs
  • Lifestyle
  • Emotional stress
  • Environment
  • Exercise + fatigue
  • Nutrition
  • Physical illness
26
Q

What are the 2 types of sleep disorders?

A
  • Primary

- Secondary

27
Q

What are some S&S of primary sleep disorder?

A
  • Hypersomnolence
  • Insomnia
  • Sleep apnea
  • Narcolepsy
  • Parasomnias
  • Sleep deprivation
28
Q

What are some assessments for the physical exam should you do?

A
  • General survey
  • Palpation (lymph + thyroid)
  • Auscultation (heart + lungs)
  • Weight
29
Q

What are 3 screening tools?

A
  • Epworth sleepiness scale
  • Sleep study (polysomnogram)
  • Sleep journal
30
Q

What are some examples of nursing diagnoses related to sleep?

A
  • Anxiety
  • Ineffective breathing pattern
  • Compromised family coping
  • Ineffective coping
  • Ineffective health maintenance
  • Fatigue
  • Insomnia
  • Sleep deprivation
31
Q

What are some primary preventions to promote restorative sleep?

A
  • Sleep hygiene
  • Environment
  • Review healthy behaviours
  • Consistent bedtime + wake time
  • Diet
  • Exercise
  • Stress reduction
32
Q

What is a secondary prevention to promote restorative sleep?

A

Screening for sleep apnea

N220 (14 decks)

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