T3: Sleep and Rest (CH. 12)

Question 1

Retreat from activity is necessary to stimulate and renew ____.

Answer 1

reserves

Question 2

___ mirror’s one’s state of health and well-being.

Answer 2

Sleep

Question 3

Sleep affects ___ and __ __.

Answer 3

health and well being

Question 4

___ ___ is common in older adults.

Answer 4

phase advance

Question 5

More time in what’s stages of sleep?

Answer 5

1 and 2

Question 6

Less time in what stages?

Answer 6

3 and 4

Question 7

Reductions in __ and __ begin after midlife.

Answer 7

REM and NREM

Question 8

Less ___ sleep, and a delay in the __ of sleep.

Answer 8

sound

onset

Question 9

There are more shifts into stage ___ sleep.

Answer 9

1

Question 10

difficulty falling or staying asleep or prematurely waking.

Answer 10

Insomnia

Question 11

A change in environment, stress, illness, or anxiety can cause this.

Answer 11

Transient Insomnia

Question 12

Physical or mental illness, environmental factors, substance abuse, and/or medications can cause this.

Answer 12

Chronic Insomnia (3+ weeks)

Question 13

How long is chronic insomnia classified as?

Answer 13

3+ weeks

Question 14

jerking legs during sleep

Answer 14

restless leg syndrome

Question 15

what is nocturnal myoclonus?

Answer 15

five leg jerks or movements per hour during sleep

Question 16

Nocturnal myoclonus is associated with what 2 things?

Answer 16

the use of trycylic antidepressants and renal failure

Question 17

neurological condition of uncontrollable urge to move the legs.

Answer 17

restless legs syndrome

Question 18

restless legs syndrome is associated with ??

Answer 18

iron deficiency anemia, uremia, PD, rheumatoid arthritis, diabetes, or neurological lesions

Question 19

five episodes of cessation of breathing, lasting 10 seconds

Answer 19

sleep apnea

Question 20

sleep apnea can cause a disorder in CNS that affects the ___. (central sleep apnea)

Answer 20

diaphragm

Question 21

___ position for sleep should be AVOIDED!

Answer 21

Supine

Question 22

4 things in an assessment for sleep?

Answer 22

• time spent in sleep, naps, and quality
• med review
• bedtime routines
• presence of sleep disturbances

Question 23

What med should be used cautiously as a sleep aid with an older adult related to high risk of anticholinergic side effects?

Answer 23

BENADRYL (Diphenhydramine)

Question 24

What are some interventions for stress management?

Answer 24

• respond to stress in a healthy manner
• manage lifestyle
• pray
• relax

Question 25

___ interferes with normal sleep patterns.

Answer 25

Pain

Question 26

________ is essential to controlling pain.

Answer 26

Identifying the cause of pain

Question 27

The nurse can access for sleep disturbances in the older adult by using a self-rated tool such as the ____.

Answer 27

Pittsburgh Sleep Quality Index