Chapter 30: Sleep

Chapter 30: Sleep

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Alex is a college student who is working in northern Alaska during the summer. He has noticed that he has had difficulty sleeping since he moved north. He discusses this with his aunt, who is a nurse. She suspects that his sleep disturbance is most likely due to the:

A.	stress of his new job
B.	increased daylight hours in Northern Alaska.
C.	physical demands of his new job.
D.	change in diet that he has experienced.

 

 

ANS:   B

The most familiar rhythm is the 24-hour, day-night cycle known as the diurnal or circadian rhythm. Light and temperature affect all circadian rhythms, including the sleep-wake cycle.

 

PTS:    1                      DIF:    Cognitive Level: Analysis                  REF:    850

OBJ:    Explain the effect the 24-hour sleep-wake cycle has on biological function

TOP:    Nursing Process: Assessment            MSC:   Client Needs: Physiological Integrity

 

2. Mary is a student nurse who works in a pediatric clinic. One of the patients in the clinic is a 16-year-old boy whose mother is concerned about his lack of sleep. She states that he “goes to school, works at a part-time job until 10 PM, and then stays up doing homework until after midnight. I am worried that he is not getting enough sleep.” What is Mary’s best response to the patient and his mother?

A.	“I don’t get enough sleep either; I spend most of my time studying.”
B.	“You need to discuss this with the health care provider.”
C.	“Sleep deprivation can cause you to get sick.”
D.	“High school is a tough time in life, but I’m sure your son will be fine.”

 

 

ANS:   C

The purpose of sleep is still unclear. One theory suggests that sleep is a time of restoration and preparation for the next period of wakefulness. The benefits of sleep often go unnoticed until a person develops a problem resulting from sleep deprivation. Sleep deprivation impacts immune functioning, metabolism, nitrogen balance, protein catabolism, and quality of life.

 

PTS:    1                      DIF:    Cognitive Level: Application             REF:    856

OBJ:    Explain the functions of sleep            TOP:    Nursing Process: Implementation

MSC:   Client Needs: Health Promotion and Maintenance

 

3. Judy is a nursing student caring for Jackie, an 18-year-old college student who is hospitalized with a ruptured appendix. Jackie states that she never dreams any more. Judy tells Jackie that everyone dreams, but most people forget about them upon awakening. She tells Jackie that the best way to remember her dreams is to:

A.	eat spicy food before going to sleep.
B.	avoid caffeine in the afternoon.
C.	consciously think about her dreams upon awakening.
D.	sleep at least 8 hours before awakening.

 

 

ANS:   C

To remember a dream, a person must consciously think about it on awakening. People who recall dreams vividly usually awaken just after a period of REM sleep.

 

PTS:    1                      DIF:    Cognitive Level: Application             REF:    852

OBJ:    Describe the normal stages of sleep

TOP:    Nursing Process: Implementation

MSC:   Client Needs: Health Promotion and Maintenance

 

4. Jenny is a new mother and has brought in Nicholas, her week-old infant, to the health care provider for his one-week well baby check. She is breast-feeding and has only been sleeping a couple of hours at a time during the night between feedings. She asks the nurse, “When can I expect Nicholas to sleep through the night?” What is the nurse’s best response?

A.	“Some children don’t sleep through the night until they are 2 years old.”
B.	“Most children begin to sleep through the night around 3 months.”
C.	“As long as you are breast-feeding he will be awake to nurse every 3 to 4 hours.”
D.	“Are you feeling tired?”

 

 

ANS:   B

Infants usually develop a nighttime pattern of sleep by 3 months of age. Infants sometimes take several naps during the day but usually sleep an average of 9 to 11 hours during the night.

 

PTS:    1                      DIF:    Cognitive Level: Analysis                  REF:    852

OBJ:    Compare and contrast the characteristics of sleep for different age-groups

TOP:    Nursing Process: Implementation

MSC:   Client Needs: Health Promotion and Maintenance

 

5. Randy is a single parent of 6-year-old Brianna. She is being seen at the clinic for a well-child check-up. Randy tells the nurse that Brianna needs her sleep, but she is having difficulty getting to sleep at night. He asks the nurse if she has any suggestions. What is the nurse’s best response?

A.	“You should play an active game with her like basketball to wear her out.”
B.	“It would be a good idea to save homework until right before bedtime.”
C.	“Quiet activities like reading sometimes help to settle down children her age.”
D.	“You could try to delay dinner time until later to help make her sleepy.”

 

 

ANS:   C

A 6-year-old child averages 11 to 12 hours of sleep nightly. Encouraging quiet activities usually persuades the 6- or 7-year-old child to go to bed.

 

PTS:    1                      DIF:    Cognitive Level: Analysis                  REF:    852

OBJ:    Discuss differences in sleep interventions for patients of different age-groups

TOP:    Nursing Process: Implementation

MSC:   Client Needs: Health Promotion and Maintenance