Chapter 18: Depressants

Chapter 18: Depressants

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A patient describes having vivid dreams to the nurse. The nurse understands that these occur during which stage of sleep?

a.	Rapid eye movement (REM) sleep
b.	Stage 2 non rapid eye movement sleep
c.	Stage 3 non rapid eye movement sleep
d.	Stage 4 non rapid eye movement sleep

 

 

ANS:   A

Vivid dreams occur during REM sleep.

 

DIF:    Cognitive Level: Understanding (Comprehension)               REF:    p. 233

TOP:    Nursing Process: Assessment

MSC:   NCLEX: Health Promotion and Maintenance

 

2. Children who experience nightmares have these during which stage of sleep?

a.	Early morning sleep
b.	Non rapid eye movement (NREM) sleep
c.	Rapid eye movement (REM) sleep
d.	Sleep induction

 

 

ANS:   B

Nightmares that occur in children take place during NREM sleep.

 

DIF:    Cognitive Level: Remembering (Knowledge)                      REF:    p. 233

TOP:    Nursing Process: Assessment

MSC:   NCLEX: Health Promotion and Maintenance

 

3. A patient reports difficulty falling asleep most nights and is constantly fatigued. The patient does not want to take medications to help with sleep. What non-pharmacologic measure will the nurse recommend?

a.	“Exercise in the evening to promote bedtime fatigue.”
b.	“Get out of bed at the same time each morning.”
c.	“Have a glass of wine at bedtime to help you relax.”
d.	“Take daytime naps to minimize daytime fatigue.”

 

 

ANS:   B

To promote sleep, patients should be advised to arise at the same time each morning to establish a routine. Patients should avoid strenuous exercise before bedtime. Patients should not consume alcohol 6 hours before bedtime. Patients should not take daytime naps.

 

DIF:    Cognitive Level: Applying (Application)                              REF:    p. 233

TOP:    Nursing Process: Nursing Intervention: Patient Teaching

MSC:   NCLEX: Physiological Integrity: Health Promotion and Maintenance

 

4. The nurse is caring for a patient who reports being able to fall asleep but has difficulty staying asleep. The nurse will contact the provider to obtain an order for which medication?

a.	Butabarbital (Butisol)
b.	Flurazepam (Dalmane)
c.	Secobarbital (Seconal)
d.	Temazepam (Restoril)

 

 

ANS:   A

Butabarbital is an intermediate-acting barbiturate and is useful as a sleep sustainer to maintain long periods of sleep. It has an onset of 1 hour, so it is not useful for those who have trouble falling asleep. Flurazepam and temazepam are benzodiazepines and are used to induce sleep. Secobarbital is used for preoperative sedation.

 

DIF:    Cognitive Level: Applying (Application)                              REF:    p. 234

TOP:    Nursing Process: Nursing Intervention

MSC:   NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

5. The nurse is teaching a patient who will begin taking butabarbital (Butisol). What information will the nurse include when teaching this patient?

a.	“Avoid alcohol while taking this drug.”
b.	“This drug may be used long term.”
c.	“This medication will take effect immediately.”
d.	“You will not experience a hangover effect.”

 

 

ANS:   A

Patients who are taking barbiturates should avoid alcohol. Barbiturates are for short-term use. Butabarbital has a sleep onset time of 1 hour, so it will not help patients fall asleep. Patients who take barbiturates frequently experience a hangover effect.

 

DIF:    Cognitive Level: Applying (Application)                              REF:    p. 234

TOP:    Nursing Process: Nursing Intervention: Patient Teaching

MSC:   NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies