Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.
Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.
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Chapter 15- Rest and Sleep
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | The nurse is identifying the different sleep patterns of assigned patients on a geriatric care unit. Which patient is demonstrating the typical sleep pattern of a patient who is older? | |
| A) | Age 82 patient sleeps a total of more than 12 hours out of 24 | |
| B) | Age 90 patient describes the quality of sleep as “better than it ever was” | |
| C) | Age 80 patient falls asleep early in the evening but wakes up before dawn | |
| D) | Age 79 patient sleeps in until 9 o’clock each morning despite a lifetime of early rising | |
| Ans: | C | |
| Feedback: | ||
| The patient who falls asleep early in the evening but wakes up before dawn is demonstrating the behavior of phase advance. The other patients are not demonstrating typical sleep patterns of an older person. | ||
| Origin: Chapter 15- Rest and Sleep, 2
Chapter: 15 Client Needs: D1 Cognitive Level: Analysis Difficulty: Difficult Integrated Process: Nursing process Objective: 2 Page and Header: 186, Sleep Stages; 187, Table 15-2 |
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| 2. | An older patient suffering from chronic exhaustion has an EEG that shows little time is spent in REM sleep. After reviewing the patient’s history, what does the nurse suspect might be contributing to the patient’s sleep problem? | |
| A) | Has two or three glasses of wine near bedtime | |
| B) | Obese and diagnosed with type 2 diabetes 6 years ago | |
| C) | Takes low-dose aspirin for the prevention of heart disease | |
| D) | Stressed due to the spouse’s new diagnosis of Alzheimer disease | |
| Ans: | A | |
| Feedback: | ||
| Certain drugs can decrease REM sleep, including alcohol. The use of aspirin has not been associated with decreased REM sleep. Obesity, type 2 diabetes, and stress have not been linked to specifically reducing the amount of REM sleep although these health problems can negatively impact sleep overall. | ||
| Origin: Chapter 15- Rest and Sleep, 3
Chapter: 15 Client Needs: D1 Cognitive Level: Application Difficulty: Moderate Integrated Process: Nursing process Objective: 2 Page and Header: 186, Sleep Efficiency and Quality |
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| 3. | An older patient hospitalized for pneumonia is having difficulty sleeping and is frustrated with the noises at night. What should the nurse do about this situation? | |
| A) | Obtain an order for a benzodiazepine to be taken at bedtime | |
| B) | Change the temperature of the client’s room to be more conducive to sleep | |
| C) | Provide a form of white noise and plan to minimize noise during caregiving activities | |
| D) | Teach the client about the normal changes in sleep quality and quantity that accompany aging | |
| Ans: | C | |
| Feedback: | ||
| Reorganizing care to avoid awakening and providing white noise can facilitate sleep. These actions would be preferable to pharmacologic measures while changing the temperature does not specifically address the patient’s concerns. Teaching on sleep changes would be inappropriate given the nature and context of the patient’s concerns. | ||
| Origin: Chapter 15- Rest and Sleep, 4
Chapter: 15 Client Needs: D3 Cognitive Level: Application Difficulty: Moderate Integrated Process: Teaching/learning Objective: 2 Page and Header: 187, Nocturnal Myoclonus and Restless Leg Syndrome |
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| 4. | An older patient is experiencing restless legs that are interfering with sleep. What should the nurse respond to this patient’s problem? | |
| A) | “Some people find that daily exercise helps with this problem.” | |
| B) | “Most often restless legs can be traced to a deficiency in dietary calcium.” | |
| C) | “There are prescription drugs that nearly always provide relief from this problem.” | |
| D) | “There are a number of different medications that can cause this problem or make it worse.” | |
| Ans: | D | |
| Feedback: | ||
| Antidepressants, antihistamines, antipsychotics, alcohol, caffeine, hypoglycemia, and simple and refined carbohydrates can contribute to restless legs syndrome. Exercise and medications are not noted to provide a solution and calcium is not noted to be implicated in the etiology. | ||
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