Sleep/Rest Objectives Flashcards
The nurse is preparing to teach a client about the important of rest and sleep. Which statement made by the client would indicate the need for further teaching?
The client verbalizes that circadian rhythms do indeed influence sleep.
The client suggests that their Reticular Activating System is responsible for maintaining restfulness.
The client verbalizes that they may be less likely to develop an infection if they sleep less than 5 hours per day.
The client suggests they it may be easier to gain weight if they do not get enough regular sleep.
ANSWER: C
When adequate sleep is not maintained the bodies ability to maintain glucose is lessened, therefore responds with insulin resistance. This leads to reduced energy expenditure, all of which can lead to obesity and type 2 diabetes.
All of the other options suggest adequate information.
Reticular Activating System (RAS) are _____ . System includes which part of brain _________ and is responsible for
collection of nerve cell bodies within the brainstem,
medulaponsmidbrainhypothalamus
maintaining wakefulness
Bulbar Synchronizing Region (BSR)
release ___________. These are can cause either _______ or inhibition.
neurotransmitters
excitation
Which neurotransmitters
does BSR release?
Excitation Norepinephrine Acetylcholine Dopamine Serotonin Histamine
Inhibition
GABA
What is a biorhythm based on the day–night pattern in a 24-hour cycle
circadian rhythm
Circadium rhythm is regulated by_____ that respond to
cells in hypothalamus
respond to light
is generally the restful phase of sleep in which physiological function is slow.
NREM
During this phase of sleep, muscles relax; body temperature lowers; and heart rate, respirations, and blood pressure decrease.
NREM
The type of sleep is sleep is essential for mental and emotional restoration
REM
this gland secretes melatonin
pineal gland
REM sleep recurs about every ___ min and lasts ___ to ___ min
90
5-30
Which stage constitutes 75 - 80% of sleep
NREM
What stage of NREM is
This stage composes about 10% of sleep
(10% of 8 hours = 48 minutes total)
Person reaches greatest depth of sleep – Delta Sleep
Arousal is very difficult
Pulse/RR drops 20 -30% below waking hours rates.
B/P decreases
Metabolism and body temp decreases
If people are awakened during this stage, they do not adjust immediately, feel groggy & disoriented.
Children experience – bedwetting or sleep walking (somnambulism).
What stage sees
Eyes dart back/forth Twitching of small muscles (face) Immobile large muscles Respirations irregular/apnea Pulse rapid/irregular B/P increases or fluctuates Metabolism and body temp increase Gastric secretions increase
REM
The nurse is performing parent teaching to the parent of a client recently diagnosed with somnambulism. The nurse knows that teaching has occurred when the parent verbalizes the following: Select all that apply.
A complete sleep cycle is 90-100 minutes.
It may be harder for my child to wake up when she is in stage 4 of sleep.
Muscles in the face are likely to twitch during REM sleep.
If my child were to sleepwalk, it will most likely occur during NREM sleep stage 3.
ALL
complete sleep cycle is 90-100 minutes.
It may be harder for my child to wake up when she is in stage 4 of sleep.
Muscles in the face are likely to twitch during REM sleep.
If my child were to sleepwalk, it will most likely occur during NREM sleep stage 3.
Age where
Sleep pattern- sleep through the night by 6 months
10-12 hours night/ 2-3 daytime naps
Infants
Age where
Sleep patterns -12 hours per night decreasing to 8-10 as they reach preschool age
Toddler
True or False:Although sleep may become more difficult, the need to sleep does not change with age
True
Seen in older patients with Alzheimer’s disease
Not a sleep disorder directly, it refers to a pattern of symptoms; e.g., agitation, anxiety, aggression, and sometimes delusions
Occurs in the late afternoon
Can last through the night, further disrupting sleep
Sundowning Syndrome
More spontaneous awakenings occur during this stage than any other.
REM
Loss of _______sleep impairs memory and learning
REM
What is REM rebound
When A person who is deprived of REM sleep for several nights —that is, spend a greater amount of time in REM sleep on successive nights, keeping the total amount of REM sleep constant over time.
