Chapter 20: Sleep and Rest

Chapter 20: Sleep and Rest

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The nurse is aware that the initial entry to deep sleep is:

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: Comprehension       REF:    329, Box 20-1

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

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation

2. The phenomenon of sleep walking is most likely to occur in the sleep stage of:

ANS:   C

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

DIF:    Cognitive Level: Comprehension       REF:    329, Box 20-1

OBJ:    1          TOP:    Sleep Walking

KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation

3. The nurse explains that older adults often experience a disturbed sleep-wake cycle because of hormonal changes, which include a(n) _____ level.

ANS:   D

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

DIF:    Cognitive Level: Application REF:    329      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:    330      OBJ:    2

TOP:    Terminal Insomnia                  KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation