Chapter 20: Sleep and Rest

Chapter 20: Sleep and Rest

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. What stage of sleep is the initial phase of deep sleep?

a.	Stage 1 nonrapid eye movement (NREM)
b.	Stage 3 NREM
c.	Stage 5 NREM
d.	Rapid eye movement (REM) sleep

 

 

ANS:  B

Stage 3 NREM is the initial phase of deep sleep in which there is complete muscular relaxation and vital signs begin to decline.

 

DIF:    Cognitive Level: Knowledge            REF:   Box 20-1, p. 332

OBJ:   1                    TOP:   Deep Sleep     KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

2. In what stage of sleep is sleepwalking most likely to occur?

a.	Stage 1 NREM
b.	Stage 2 NREM
c.	Stage 4 NREM
d.	REM sleep

 

 

ANS:  C

Stage 4 NREM is the deepest stage of sleep in which sleepwalking is most likely to occur.

 

DIF:    Cognitive Level: Knowledge            REF:   Box 20-1, p. 332

OBJ:   1                    TOP:   Sleepwalking

KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

3. Which of the following can attribute to a sleep-wake cycle disturbance in the older adult?

a.	Increase in angiotensin
b.	Decrease in insulin
c.	Increase in growth hormone
d.	Decrease in melatonin

 

 

ANS:  D

A decrease in the melatonin level causes age-related sleep disturbances.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 332             OBJ:   1

TOP:   Hormonal Changes                          KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

4. The older man in a long-term care facility consistently wakes at 3 AM and does not return to sleep. The nurse records this behavior as _____ insomnia.

a.	sleep initiation
b.	sleep maintenance
c.	terminal
d.	undifferentiated

 

 

ANS:  C

Terminal insomnia is a sleep disturbance in which the patient consistently wakes at an early hour and cannot return to sleep.

 

DIF:    Cognitive Level: Application           REF:   p. 333             OBJ:   2

TOP:   Terminal Insomnia                          KEY:  Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation