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?

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?

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?

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.

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

5. A newly admitted older adult asks for a sedative every night and states that she cannot fall asleep. What type of sleep disorder is the patient most likely experiencing?

ANS:  A

Sleep onset issues are usually associated with anxiety.

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

TOP:   Insomnia        KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Psychosocial Integrity: Coping and Adaptation