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NSG 3023 Chapter 31 QUIZ
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NSG 3023 Chapter 31 QUIZChapter 31: Sleep
Potter: Essentials for Nursing Practice, 8th Edition
MULTIPLE CHOICE
1. A college student who is working in northern Alaska during the summer reports that he or
she has an increase in difficulty sleeping since moving north. During a pre-employment
physical, the patient asks the health care provider what could be causing this. The health
care provider suspects the sleep disturbance is most likely because of which factor?
a. Stress of the new job
b. Increased daylight hours in Northern Alaska
c. Physical demands of the new job
d. Change in diet
ANS: B
Northern Alaska has extended daylight hours. Light and temperature affect all circadian
rhythms, including the sleep-wake cycle. The most familiar rhythm is the 24-hour, day-night
cycle known as the diurnal or circadian rhythm. When the sleep-wake cycle becomes
disrupted (e. g., by working rotating shifts), other physiological functions change as well.
Stress of the new job, physical demands of the new job, and a change in diet are not the
issues. The patient stated that the difficulty started when he or she moved north.
PTS: 1 DIF: Cognitive Level: Analyzing (Analysis)
REF: 847
OBJ: Explain the effect the 24-hour sleep-wake cycle has on biological function.
TOP: Nursing Process: Assessment MSC: Client Needs: Physiological Integrity
2. The health care provider is seeing a 16-year-old boy at the local clinic. The guardian is
concerned about the patient’s lack of sleep. The guardian states that the patient “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 the best response for
the health care provider to give the patient and his guardian?
a. “I don’t get enough sleep either; I spend most of my time studying.”
b. “You need to discuss this with the primary health care provider.”
c. “Sleep deprivation can cause a person to get sick or have excessive daytime
sleepiness.”
d. “High school is a tough time in life, but I’m sure he will be fine.”
ANS: C
, Adolescents need between 8 and 9 hours of sleep each night; however, the typical
teenager gets about 7 hours of sleep per night. At a time when sleep needs actually
increase, the typical adolescent is subject to a number of changes that often reduce the time
spent sleeping, such as the time when school starts, after-school social events, part-time
jobs, and extracurricular activities. The shortened sleep time in adolescents often results in
excessive daytime sleepiness (EDS), which can reduce performance in school, increase risk
of accidents, increase the use of alcohol, and lead to behavior and mood problems. Sleep
deprivation affects immune functioning, metabolism, nitrogen balance, protein catabolism,
and quality of life. Saying, “I don’t get enough sleep either” or “You need to discuss this
with the primary health care provider” is not focusing on the guardian’s question. Saying the
boy “will be fine” is false reassurance.
PTS: 1 DIF: Cognitive Level: Applying (Application)
REF: 849
OBJ: Compare and contrast the characteristics of sleep for different age groups.
TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
3. During a sleep study test, the patient states, “I never dreams anymore.” The health care
provider tells the patient that everyone dreams, but most people forget about them upon
awakening. The health care provider tells the patient that the best way to remember dreams
is to do which of the following?
a. Eat spicy food before going to sleep.
b. Avoid caffeine in the afternoon.
c. Consciously think about the dreams upon awakening.
d. Become more creative.
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 rapid eye movement (REM)
sleep. Personality influences the quality of dreams; for example, a creative person may have
very vivid, unusual dreams, whereas a depressed person may have dreams of helplessness.
Eating a large, heavy, and/or spicy meal within 3 to 4 hours of bedtime sometimes results in
indigestion that interferes with sleep. Alcohol consumed in the evening has
insomnia-producing and diuretic effects. Coffee, tea, cola, and chocolate contain caffeine
and xanthines that cause sleeplessness as a result of central nervous system stimulation.
Avoiding caffeine and becoming more creative do not increase a person’s memory for
dreams.
PTS: 1 DIF: Cognitive Level: Applying (Application)
REF: 849 OBJ: Describe the normal stages of sleep.
TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
4. A new mother has brought in her week-old infant to the health care provider for a 1-week
well-baby checkup. She is breastfeeding 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 the baby to
sleep through the night?” What is the nurse’s best response?
a. “Are you feeling tired, maybe you are experiencing depression.”
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