Question 1

According to the American Academy of Family Physicians, we need, on average, about this many hours of sleep per night:
A) 7
B) 8
C) 9
D) 1

Accepted Answer

A 2003 National Sleep Foundation survey found that fewer than half of older adults living at home actually get this much sleep.

Question 2

What percentage of older adults living at home has chronic sleep disorders?
A) 1/3
B) 1/2
C) 1/4
D) all

Accepted Answer

Older people in residential settings have even more difficulty sleeping than older adults living at home.

Question 3

Sleep patterns change with age due to physiological alterations in:
A) hormones.
B) sleep needs.
C) circadian rhythms.
D) health and well-being.

Accepted Answer

The anterior hypothalamus controls circadian rhythms which regulate hormone secretion, core body temperature, and sleep patterns.

Question 4

Sleep occurs in several stages of lighter and deeper more restful sleep. Which of the following terms refers to the lighter stages of sleep?
A) rapid eye movement
B) productive sleep
C) actual sleep
D) asleep

Accepted Answer

Time spent in the deepest and lightest stages of sleep changes somewhat in middle adulthood but stabilizes in most people by age 60.

Question 5

Which of the following is NOT a normal consequence of aging?
A) apnea
B) restless leg syndrome
C) insomnia
D) all of the above

Accepted Answer

Although sleep patterns change with age, sleep problems are not a normal consequence of aging. Disturbances are more likely due to environmental, physical, or medical conditions.

Question 6

Which of the following are true about napping?
A) Napping promotes better sleep quality.
B) Most older adults nap during the day.
C) Lack of stimulation promotes napping.
D) Adults in residential settings tend to nap less.

Accepted Answer

Research shows that, although the percentage of older adults who nap does increase slightly with age, it is by no means the norm and boredom promotes napping.

Question 7

The consequences of this are cognitive, social, and occupational, and it can threaten personal safety as well as the ability to keep a job or maintain relationships:
A) night waking
B) insomnia
C) daytime sleepiness
D) all of the above

Accepted Answer

Excessive daytime sleepiness may even cause a person to fall asleep while reading, watching television, conversing, or driving.

Question 8

According to the National Sleep Foundation, common factors related to difficulty sleeping include:
A) caffeine intake.
B) having to get up to go to the bathroom.
C) unrelieved pain.
D) all of the above

Accepted Answer

Difficulty sleeping is associated with a variety of medications, medical conditions, and behavioral patterns (see boxes 12-1, 12-2, and 12-3).

Question 9

Patients with this condition exhibit a much higher rate of sleep disturbance than older adults in general and their symptoms are more severe:
A) dementia
B) diabetes
C) hypertension
D) asthma

Accepted Answer

Sleep disturbance is more common among patients with dementia and those living in nursing homes.

Question 10

Important life changes and stressors, such as the loss of a spouse or financial problems, are cues for a nurse to ask questions about:
A) the patient's cultural beliefs.
B) whether the patient is maintaining a healthy diet.
C) if the patient has recently changed medications.
D) how well rested a patient feels.

Accepted Answer

Identifying patients who may be at risk for sleep disorders can help nurses make appropriate referrals to health professionals.

Question 11

This tool poses 30 questions that assess the impact of disorders of excessive sleepiness on five domains of everyday living:
A) the Epworth Sleepiness Scale
B) the Pittsburgh Sleep Quality Index (PSQI)
C) the Functional Outcomes of Sleep
D) the Smyth John Sleep Test

Accepted Answer

This test is available through the American Thoracic Society.

Question 12

Sleep disturbances that persist despite attempts to eliminate the underlying cause typically are treated with:
A) medication and behavior therapy.
B) diet modification and medication.
C) diet modification and exercise.
D) behavior therapy and exercise.

Accepted Answer

The goal of behavior therapy is to adjust sleep routines to a more normal pattern through education, lifestyle change, and modifications to the patient's environment.

Quiz 12: Optimizing Rest and Sleep Patterns

According to the American Academy of Family Physicians, we need, on average, about this many hours of sleep per night:

What percentage of older adults living at home has chronic sleep disorders?

Sleep patterns change with age due to physiological alterations in:

Sleep occurs in several stages of lighter and deeper more restful sleep. Which of the following terms refers to the lighter stages of sleep?

Which of the following is NOT a normal consequence of aging?

Which of the following are true about napping?

The consequences of this are cognitive, social, and occupational, and it can threaten personal safety as well as the ability to keep a job or maintain relationships:

According to the National Sleep Foundation, common factors related to difficulty sleeping include:

Patients with this condition exhibit a much higher rate of sleep disturbance than older adults in general and their symptoms are more severe:

Important life changes and stressors, such as the loss of a spouse or financial problems, are cues for a nurse to ask questions about:

This tool poses 30 questions that assess the impact of disorders of excessive sleepiness on five domains of everyday living:

Sleep disturbances that persist despite attempts to eliminate the underlying cause typically are treated with: