Chapter 11: Sleep and Activity

Chapter 11: Sleep and Activity

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A patient reports to the nurse that he seems to be sleeping less at night but now regularly requires at least two short naps a day. He expresses a concern that “something is wrong.” The nurse responds that:

ANS:  A

The decrease in nighttime sleep and the increase in daytime napping that accompanies normal aging may result from changes in the circadian aspect of sleep regulation.

DIF:    Understanding (Comprehension)      REF:   Page 203-4     OBJ:   11-1

TOP:   Teaching-Learning                          MSC:  Physiologic Integrity

2. What is the best bedtime snack for older adult patients with failure to thrive and insomnia?

ANS:  D

This patient will benefit from a snack that includes protein and is warm while not providing excessive liquids.

DIF:    Remembering (Knowledge)             REF:   Page 206        OBJ:   11-1

TOP:   Nursing Process: Implementation     MSC:  Physiologic Integrity

3. An older patient is being admitted to an acute care unit after surgical repair of a fractured tibia. To minimize any negative factors affecting the patient’s ability to sleep, the nurse’s initial intervention is to:

ANS:  D

Nurses can promote sleep by first assessing the patient’s usual sleep habits and satisfaction with sleep. Managing postoperative pain, minimizing environmental stimuli, and encouraging undisturbed rest are also important, but the first step in the nursing process is assessment.

DIF:    Applying (Application)                    REF:   N/A                OBJ:   11-3

TOP:   Nursing Process: Assessment           MSC:  Physiologic Integrity

4. A confused older patient has been hospitalized for a cardiac problem that requires both antihypertensive and diuretic therapies. The nurse minimizes the patient’s risk of disturbed sleep by:

ANS:  C

The diuretic is likely to cause the patient to urinate frequently during the night if not administered appropriately. Because the patient is confused, the door should be left open. Clustering cares is a good idea to promote sleep but is not the most important for this patient. Offering to assist the patient to the bathroom when awake is also a good idea, but it is preferable to decrease the number of times the patient is awake.

DIF:    Applying (Application)                    REF:   N/A                OBJ:   11-3

TOP:    Nursing Process: Implementation          MSC:   Physiologic Integrity