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NR 226 Week 4 Concepts Sleep, Rest, and PainManagement.
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NR 226 Week 4 Concepts Sleep, Rest, and PainManagement.
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Week 4 Concepts: Sleep, Rest, and PainManagement
Sleep and Rest
Prepare: Sleep and Rest
The Importance of Sleep
Sleep is important for the restoration of biological processes including tissue renewal.
Parasomnias
Which of the following is true of the group of sleep disorders known as parasomnias? Select all that apply.
More common in children
Occurs when falling asleep, sleeping, or waking up
Abnormal actions while asleep
More common in older adults
Caused by brain injury or trauma
Normal Sleep Pattern
Select the correct characteristics associated with a normal sleep pattern.
Each night of sleep consists of 4 to 6 cycles of sleep.
Each sleep cycle is 90-110 minutes long.
Each cycle has three non-rapid eye movement (NREM) cycle(s) and one rapid eye movement (REM) cycle(s).
REM lasts up to 60 minutes during the last cycle of sleep.
Self-Check: Understanding Normal Sleep
Why is it important for the nurse to understand the stages and characteristics of normal sleep? Select all that appl
The quality sleep will be manifested in various symptoms.
The nurse will need to document the client's sleep cycles.
The client will require less sleep while hospitalized.
The quality of sleep impacts client's wellness while awake.
Self-Check: Sleep Characteristics of Adults
The sleep characteristics of adults include which of the following? Select all that apply.
The older adult spends less time in REM sleep
The older adult spends more time in REM sleep
Adults sleep less as age increases
Adults sleep more as age increases
Self-Check: Sleep Characteristics of Adolescents
The sleep characteristics of adolescents include which of the following?
Adolescents normally sleep less than 7 hours a night.
Adolescents require less sleep than adults.
Adolescents experience more REM sleep than school-age children.
Adolescents normally sleep 8-10 hours a night.
Self-Check: Insomnia
Which of the following statement(s) is true regarding insomnia? Select all that apply.
May signal an underlying disorder
The most common sleep disorder
, Most commonly caused by poor sleep hygiene
Characterized by one or more instances of difficulty falling asleep
Self-Check: Sleep Deprivation
Which of the following is true about sleep deprivation?
Is most commonly experienced by hospitalized patients
Typically only results psychological symptoms
Can be acute or chronic
Is typically short in duration rather than chronic
Reflect: Sleep and Rest
Factors Affecting Sleep
There are many factors that affect sleep. Which of these factors can the nurse impact to decrease the likelihood of
sleep disturbances for the hospitalized client? Select all that apply.
Silence noises inside and outside the client’s room
Cluster treatments and assessments at night
Encourage the client to practice sleep hygiene
Keep light in the hospital room minimal at night
Ensure bed linens are smooth, clean, and dry
Sleep Characteristics
Match the client’s age to the correct sleep characteristic.
1 year old high REM percentage is important for brain development
3 year old may have difficulty sleeping due to separation anxiety
5 year old bedtime fears and bed-wetting are not unusual
14 year old will likely be used to having an electronic device on when going to sleep
22 year old may have insomnia due to stress of the developmental stage
65 year old will sleep in short bursts without spending much time in a deep sleep
Proper Rest and Sleep
What impact can the nurse expect sleep disturbances to have on clients with the following issues? Match the sleep
disturbance issues to the client scenario. Issues may be pertinent to multiple scenarios.
Sleep Disorders
Which of the following sleep disorders often requires a machine providing positive pressure at night?
Chronic sleep deprivation
Narcolepsy
Nocturia
Obstructive sleep apnea
Narcolepsy
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