Chapter 05: Sleep Alterations

Chapter 05: Sleep Alterations

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. Which stage of non-rapid eye movement sleep is associated with anabolic processes?

ANS:   D

The release of other hormones, such as prolactin and testosterone, suggests that anabolism is occurring during the slow-wave sleep.

DIF:    Cognitive Level: Knowledge REF:    38

OBJ:    Nursing Process: Diagnosis    TOP:    Sleep Alterations

MSC:   NCLEX: Physiological Integrity: Basic Care and Comfort

2. What occurs physiologically during rapid eye movement (REM) sleep?

ANS:   C

The sympathetic nervous system predominates during REM sleep. Oxygen consumption increases, and cardiac output, blood pressure, heart rate, and respiratory rate may become erratic.

DIF:    Cognitive Level: Knowledge REF:    38

OBJ:    Nursing Process: Assessment TOP:    Sleep Alterations

MSC:   NCLEX: Physiological Integrity: Basic Care and Comfort

3. Interventions to help with sleep disruptions include:

ANS:   A

Nursing interventions that maintain normal rhythm of the day-night cycle, such as opening window blinds, should be encouraged.

DIF:    Cognitive Level: Application REF:    37

OBJ:    Nursing Process: Intervention TOP:    Sleep

MSC:   NCLEX: Physiological Integrity: Basic Care and Comfort

4. Ms. C has been in the critical care unit for 3 weeks and has been on the intra-aortic balloon pump for the past 3 days. Her condition has been serious, and hourly assessments and vital signs have been necessary. The nursing staff has noted that she has been unable to achieve sleep for more than 30 minutes at a time. She has been given diazepam (Valium) as needed. The anticipated effect of diazepam on Ms. C’s sleep is

ANS:   D

Diazepam increases NREM stage 1 and reduces NREM stages 3 and 4 and REM. REM suppression is dose related.

DIF:    Cognitive Level: Application REF:    Table 5-1

OBJ:    Nursing Process: Evaluation   TOP:    Sleep Alterations

MSC:   NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

5. Ms. C has been in the critical care unit for 3 weeks and has been on the intra-aortic balloon pump for the past 3 days. Her condition has been serious, and hourly assessments and vital signs have been necessary. The nursing staff has noted that she has been unable to achieve sleep for more than 30 minutes at a time. She has been given diazepam (Valium) as needed. Which techniques may assist in assessing Ms. C’s sleep pattern?

ANS:   B

Keeping a sleep chart for 48 to 72 hours and documenting sleep periods greater than 90 minutes, number and length of awakenings, and total possible sleep time can help assess sleep patterns in the critical care unit.

DIF:    Cognitive Level: Application REF:    39

OBJ:    Nursing Process: Intervention TOP:    Sleep

MSC:   NCLEX: Physiological Integrity: Basic Care and Comfort