1.
is a state of rest accompanied by altered consciousness and relative inactivity.
Correct Answer
C. Sleep
Explanation
Sleep is a state of rest accompanied by altered consciousness and relative inactivity. During sleep, the body and brain undergo various physiological changes, including a decrease in heart rate, blood pressure, and brain activity. This state of rest allows the body to repair and rejuvenate itself, and is essential for overall health and well-being. Therefore, sleep is the correct answer to the given question.
2.
It is more difficult to arouse a person during REM sleep than during NREM sleep.
Correct Answer
A. True
Explanation
During REM (Rapid Eye Movement) sleep, the brain is highly active and the body is in a state of muscle paralysis, which makes it more difficult to wake someone up. This is because during REM sleep, the brain is actively dreaming and processing information, and the body is in a state of temporary immobility to prevent acting out dreams. In contrast, during NREM (Non-Rapid Eye Movement) sleep, the brain is in a less active state and the body is not paralyzed, making it easier to wake someone up. Therefore, it is more difficult to arouse a person during REM sleep than during NREM sleep.
3.
Some characteristics of REM sleep include:
Correct Answer(s)
A. Eyes dart back and forth quickly
B. Small muscle twitching, such as on the face
D. Blood pressure increases or fluctuates
F. Respirations irregular; sometimes interspersed with apnea
Explanation
During REM (Rapid Eye Movement) sleep, the eyes move rapidly in different directions, which is reflected in the characteristic of "eyes dart back and forth quickly". Additionally, small muscle twitching, especially on the face, can be observed during this stage. Blood pressure tends to increase or fluctuate during REM sleep, and respirations become irregular, sometimes interspersed with apnea (temporary cessation of breathing). These features are indicative of REM sleep and can be observed through various physiological changes such as eye movement, muscle twitching, blood pressure, and respiratory patterns.
4.
What is the recommended amount of sleep (in hours) for adults?
Correct Answer
A. 7-9 hours
Explanation
The recommended amount of sleep for adults is 7-9 hours. This range allows for sufficient rest and rejuvenation, promoting optimal physical and mental health. Adequate sleep is essential for cognitive function, memory consolidation, immune system functioning, and overall well-being. It also helps prevent chronic health conditions such as obesity, diabetes, and cardiovascular diseases. Getting less than 7 hours or more than 9 hours of sleep on a regular basis can have negative effects on health and may increase the risk of various health problems.
5.
What types of questions might you ask to assess if a client is having trouble sleeping? Select all that apply.
Correct Answer(s)
B. What is your usual bedtime and arising time?
C. Are you having any difficulty getting to sleep, staying asleep, or awakening?
D. Do you experience any depression, anxiety, or irritability?
E. Do you take naps?
F. Rate your sleep on a scale of 1-10, with 10 meaning you wake up rested and refreshed.
Explanation
These questions are appropriate to assess if a client is having trouble sleeping because they cover various aspects related to sleep. Asking about the client's usual bedtime and arising time helps determine if there is a consistent sleep pattern. Inquiring about difficulty falling asleep, staying asleep, or awakening can identify specific sleep disturbances. Asking about depression, anxiety, or irritability can reveal underlying psychological factors that may affect sleep. Inquiring about naps helps assess daytime sleepiness and potential disruptions to nighttime sleep. Lastly, rating sleep quality on a scale helps gauge the overall satisfaction and restfulness of sleep.
6.
Which NANDA nursing diagnosis BEST fits a client who experiences prolonged periods of time without sustained, natural, peiodic states of relative unconsciousness?
Correct Answer
B. Sleep Deprivation
Explanation
Sleep deprivation is the best fit for a client who experiences prolonged periods of time without sustained, natural, periodic states of relative unconsciousness. Sleep deprivation refers to the condition of not getting enough sleep or having poor quality sleep, which can result in various physical and mental health issues. In this case, the client is experiencing a lack of sustained, natural, periodic states of relative unconsciousness, indicating sleep deprivation. The other options, such as Activity Intolerance, Disturbed Sleep Pattern, and Insomnia, do not specifically address the prolonged periods of time without unconsciousness that the client is experiencing.
7.
What types of goals could be set for a patient who isn't sleeping well? Select all that apply.
Correct Answer(s)
A. The client will report an optimal balance of rest and activity
C. The client will identify 3 techniques to induce sleep
D. The client will describe 3 factors that prevent or inhibit sleep
Explanation
The client will report an optimal balance of rest and activity is a suitable goal because it aims to achieve a healthy balance between rest and physical activity, which can contribute to better sleep. The client will identify 3 techniques to induce sleep is also a relevant goal as it focuses on equipping the patient with specific strategies to help them fall asleep. Lastly, the client will describe 3 factors that prevent or inhibit sleep is an appropriate goal as it encourages the patient to identify and understand the factors that may be affecting their sleep quality.
8.
Discourage naps in the morning.
Correct Answer
B. False
Explanation
Rationale: Early-morning naps produce more REM sleep than do afternoon naps.
9.
To promote sleep, one should:
Correct Answer
C. Exercise 2 hours before bed
Explanation
Exercising 2 hours before bed promotes sleep because physical activity increases body temperature and stimulates the production of endorphins, which help to regulate sleep. However, it is important to note that intense exercise too close to bedtime may have the opposite effect and make it difficult to fall asleep.
10.
Describe one method that YOU use to fall asleep at night. It can be something like reading, watching tv in bed, drinking a glass of wine, studying powerpoints for finals, or taking a walk after dinner. There is no right or wrong answer to this question.