Sleep and Sleep Disorders Paper
The number of the question corresponds to the same-numbered
outcome at the beginning of the chapter.
1. Sleep is best described as a
a. loosely organized state similar to coma.
b. state in which pain sensitivity decreases.
c. quiet state in which there is little brain activity.
d. state in which an individual lacks conscious awareness of the
2. Which statement is true regarding rapid eye movement (REM)
a. The EEG pattern is quiescent.
b. It occurs only once in the night.
c. It is separated by distinct physiologic stages.
d. The most vivid dreaming occurs during this phase.
3. Insufficient sleep is associated with (select all that apply)
a. increased body mass index.
b. increased insulin resistance.
c. impaired cognitive functioning.
d. increased immune responsiveness.
e. increased daytime body temperature
4. When teaching the patient with primary insomnia about sleep
hygiene, the nurse should emphasize
a. the importance of daytime naps.
b. the need to exercise before bedtime.
c. the need for long-term use of hypnotics.
d. avoiding caffeine-containing beverages 6 to 9 hours before
5. While caring for a patient with a history of narcolepsy with cataplexy, the nurse can delegate which activity to the unlicensed assistive personnel (UAP)?
a. Teaching about the timing of medications
b. Walking the patient to and from the bathroom
c. Developing a plan of care with a family member
d. Planning an appropriate diet that avoids caffeine-containing
6. A patient with sleep apnea would like to avoid using a nasal CPAP
device if possible. To help him reach this goal, the nurse suggests
that the patient
a. lose excess weight.
b. take a nap during the day.
c. eat a high-protein snack at bedtime.
d. use mild sedatives or alcohol at bedtime.
7. A patient on the surgical unit has a history of parasomnia (sleepwalking). What statement describes parasomnia?
a. Hypnotic medications reduce the risk of sleepwalking.
b. The patient is often unaware of the activity on awakening.
c. The patient should be restrained at night to prevent personal
d. The potential for sleepwalking is reduced by exercise before sleep.
8. Strategies to reduce sleepiness during nighttime working include
a. exercising before work.
b. taking melatonin before working the night shift.
c. sleeping for at least 2 hours immediately before work time.
d. walking for 10 minutes every 4 hours during the night shift.
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