NUR 410 Gerontological Nursing Exam 2 Questions
with Correct Answers
Inadequate quality or quantity of sleep is associated with risks of what?
Correct Answer-physical and mental health
Inability to fall sleep, difficulty staying asleep, or premature waking are
all known as Correct Answer-insomnia
A condition characterized by at least five leg jerks or movements per
hour during sleep Correct Answer-nocturnal myoclonus
Nocturnal myoclonus is a condition characterized by at least _______
leg jerks or movements per _______ during sleep Correct Answer-5;
hour
What is phase advance? Correct Answer-falling asleep earlier in the
evening and awakening earlier in the morning
What is restless leg syndrome? Correct Answer-neurological disorder
characterized by an uncontrollable urge to move the legs when one lies
down
apnea is a disorder in which at least ______ episodes of cessation of
breathing, lasting at least _______ seconds, occur per hour of sleep,
accompanied by _________________________________ Correct
Answer-5; 10; daytime sleepiness
,Delay in the onset of sleep is known as Correct Answer-sleep latency
What characteristics of sleep are affected by age-related changes?
Correct Answer-circadian sleep-wake cycles
sleep architecture (stages)
sleep efficiency
sleep quality
T or F: In phase advance, the quantity of sleep changes Correct Answer-
False. The quantity of sleep does not change, but the hours in which it
occurs may.
What intervention can be performed to push the circadian rhythm toward
a later hour of sleep? Correct Answer-increasing natural light
What intervention can be performed to accommodate the altered
biorhythms of phase advance? Correct Answer-adjusting schedules;
scheduling throughout the day with plenty of rest in between
-older adults may find themselves nodding off during evening activities
and wide awake in the early morning hours
-schedule attention-requiring activities in the morning, and more
relaxing activities in the evening but pace and disperse activity
throughout the day
,What are important factors to consider when caring for older adults'
sleep efficiency and quality in institutions? Correct Answer--sleep
latency
-more sensitive to noise
-more likely to be awakened by having lights turned on
-more likely to be awakened by changes in room temp
Insufficient Stage ____ sleep can cause emotional dysfunction Correct
Answer-IV and REM
What is the self-rating tool used to assess for sleep disturbances in the
older adult? Correct Answer-Pittsburgh Sleep Quality Index
What is a better predictor of suicide in older adults than depressive
symptoms? Correct Answer-sleep quality
Insomnia is a ____________ not a _______________ Correct Answer-
symptom; condition/disease
Chronic insomnia Correct Answer-insomnia lasting 3 or more weeks
Nocturnal myoclonus is associated with Correct Answer-use of TCA and
chronic renal failure
, Alterations in dopamine and iron metabolism are believed to the causes
of Correct Answer-restless leg syndrome
What are some interventions that can help relieve restless leg syndrome
for some individuals? Correct Answer--drinking water (dehydration
worsens symptoms)
-massage
-application of heat or cold
-iron supplements
-dopaminergic drugs
-benzodiazepines
-opioids
-anticonvulsants
-adrenergics
prevalence of sleep apnea is 3 times greater in ____________; higher in
persons who are _____________________- Correct Answer-men;
overweight or obese
central sleep apnea Correct Answer-defect in the central nervous system
that affects the diaphragm
obstructive sleep apnea Correct Answer-blockage in the upper airway
that interferes with normal air flow
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