Sleep: Taylor

Question 1

Sleep is controled by these 2 systems in the brain

Answer 1

RAS & Bulbar synchronizing region

Question 2

During NREM & REM describe the changes in Vital Signs

Answer 2

NREM decrease

REM increases (muscle tone decreases)

Question 3

Sleep architecture…

Answer 3

Describes the alternating cycles of NREM & REM cycles

4 to 5 each night

Question 4

Lack of sleep lowers (leptin/ ghrelin) & increases (letting/ ghrelin)

Answer 4

Lower Leptin (Stop eat hormone)
Increase Ghrelin (Eat more hormone)

Question 5

Older people have a(n) (easier/harder) time falling asleep.

Answer 5

Harder

Wake more often and early too

Question 6

Excessive exercise & exhaustion can help one get good sleep

True / False

Answer 6

False.

It will hurt their ability to sleep

Question 7

A snack containing L-tryptophan and carbs will help get a good sleep

True or False

Answer 7

True

Question 8

Do alcoholic beverages in moderation help induce sleep

Answer 8

Yes.

In excess bad

Not during the night time

Question 9

Which sleep cycle does alcohol interfer with?

When should alcohol be consumed for best sleep

Answer 9

Delta / REM

DONT DRINK IN EVENING

Question 10

What causes sleep apnea

Answer 10

Throat muscles relaxing occulding the airway

Question 11

Cataplexy (Sudden involuntary loss of skeletal muscle control) is often seen in this condition

Answer 11

narcolepsy

Question 12

When does narcolepsy usually occur

Answer 12

Late teenager early adults

Question 13

Narcolepsy patients have lower _____ levels

Answer 13

Hypocretin (Causes Alertness & Wakefulness)

Question 14

Shift work disorder & Jet lag are examples of this type of disorder

Answer 14

Circadian rhythm sleep-wake disorders

Question 15

More commonly seen in children these Patterns of waking behaviors that appear during REM & NREM

Are called

Answer 15

Parasomnias

Question 16

Sitting up in bed or walking around

“Acting Out” moaning & Thrashing

Waking up screaming. May appear awake

Name them

Answer 16

Sonambulism
Sitting up in bed or walking around

REM Sleep behavior disorder
“Acting Out” moaning & Thrashing

Sleep Terror
Waking up screaming. May appear awake

Question 17

The test is a list of eight situations in which you rate your tendency to become sleepy on a scale of 0, no chance of dozing, to 3, high chance of dozing.

19-item, self-rated questionnaire designed to measure sleep quality and disturbance over the past month in clinical populations.

(Epworth Sleepiness Scale / Pittsburgh Sleep Quality Index)

Answer 17

8 Questions Epworth Sleepiness Scale

19 Questions Pittsburgh Sleep Quality Index

Question 18

Is it appropriate to keep a room cool and provide ear plugs (if acceptable) to help patients sleep

Answer 18

Yes

Question 19

Sleep hygine is…

Answer 19

Non pharmacological recommendations to get a better sleep

Question 20

Sleep restriction is …

Answer 20

Limiting time in bed to actual sleep time

Question 21

Which statement accurately describes sleep variations.

A. REM sleep constitutes much of the sleep cycle of a preschool child

B. By the age of 8, most children no longer take naps

C. Sleep needs usually decrease when physical growth stops

D. Many adolescentes do not get enough sleep

E. Total sleep decreases in adults with a decrease in stage IV sleep

F. Sleep is less sound in older adults and stage IV maybe absent

Answer 21

D. Many adolescentes do not get enough sleep

E. Total sleep decreases in adults with a decrease in stage IV sleep

F. Sleep is less sound in older adults and stage IV maybe absent

REM constitutes much of the sleep cycle of young infant

Question 22

Which have a high chance for sleep disturbances

A. Hypothyroidism
B. CAD
C. GERD
D. HIV
E. Corticosteroids
F. UTI

Answer 22

A. Hypothyroidism
B. CAD
C. GERD

Question 23

Which medication can affect sleep

A. Iron
B. Dopamine
C. Diuretics
D. Antibiotics
E. Antidepressants
F. Aspirin

Answer 23

Dopamine
Diuretics
Antidepressants

Question 24

Pediatric patients with OSA should have a polysonography to confirm diagnosis

What does OSA & polysonography mean?

Answer 24

OSA Obstructive sleep apnea

Polysomnography, also known as a sleep study

Records Brain waves, Blood oxygen levels, Heart rate, Breathing, Eye movements, Leg movements
while you sleep. It can help diagnose sleep disorders

Question 25

Which are present in a sleep diary

A. Daily mental activities
B. Daily physical activities
C. Morning & Evening body temperature
D. Is & Os
E. Presence of anxiety and worries affecting sleep
F. Morning & Evening BP reading.

Answer 25

A. Daily mental activities
B. Daily physical activities
E. Presence of anxiety and worries affecting slee

Question 26

Which are appropriate nursing interventions for a person with Distributed Sleep Pattern

A. Arrange assessment for depression & treatment
B. Discourage napping during day
C. Decrease fluids in Evening
D. Administer diuretics in AM
E. Encourage physical activity
F. Assess medication for side effects

Answer 26

A. Arrange assessment for depression & treatment
B. Discourage napping during day
E. Encourage physical activity
F. Assess medication for side effects

Question 27

Which will help promote sleep

A. Light dimmed during day
B. Room cool
C. Keep door open at night
D. Offer sleep meds on regular basic

Answer 27

Room Cool

Question 28

Risk factors associated with RLS / Willis -Ekbom disease

Answer 28

Peripheral neuropathy
Iron deficiency.
Kidney failure.
Spinal cord injuries
Parkinson disease

Question 29

Risk factors for RLS

Answer 29

Antidepressants
Caffeine
Iron deficiency
Smoking

Question 30

4 main symptoms of Narcolepsy

Answer 30

Daytime Sleepiness
Cataplexy (Loss of voluntary)
Hallucinations
Sleep paralysis