Fundamentals of Nursing
Quiz 45 :
Sleep is a basic biological need essential for the maintenance of normal physiological and cognitive functions. The circadian rhythm along with the reticular activating system (RAS) located in the brainstem regulates the sleep-wake cycle in an individual. Sleep can be disturbed due to physical and mental stress due to illness, financial, personal, occupational and social concerns. As given, the patient is presented with sleep disorder related to occupational anxiety and stress regarding professional performance and responsibilities. The additional data that the nurse should obtain from the patient for better assessment of his condition are as follows: 1. Medication- The nurse should enquire the patient regarding the intake of herbal or chemical remedies and medications as these drugs may interrupt the sleep-wake cycle in addition to the stress. 2. Addiction- Chronic alcoholism or smoking may indirectly cause sleep disorders and lead to increased mental as well as physiological stress. 3. Exercise- The patient's occupation may require the patient to undergo extensive physical exertion every day. Intensive exercise also interrupts the sleep-wake cycle. 4. Additional illness- The nurse should confirm any additional illness of the patient as this might affect the patient's sleep and add to stress.
Sleep is a basic biological requirement of all animals in order to maintain normal physiological functions, manage stress and continue a better lifestyle. The reticular activating system (RAS) receives nerve impulses from the sensory nerves, which are then transmitted to the cerebral cortex for processing and perception. The RAS plays important role in the sleep-wake cycle. The cerebellum regulates the motor functions and cognitive functions such as attention and language. The hypothalamus is the temperature and hormone regulation system of the brain. The cerebral cortex is the outer layer of the brain. It is composed of neural tissues and regulates memory, attention, sensory functions and consciousness. Hence, the options 1, 3 and 4 are incorrect. The brainstem contains the reticular formation as well as the RAS. An intact and functional RAS and cerebral cortex are essential for the maintenance of the normal sleep-wake cycle. Hence, the correct answer is option .
Sleep is a basic biological need which is essential to maintain normal physiological as well as cognitive activities. The circadian rhythm regulates the sleep-wake cycle along with the Reticular Activating System (RAS) located in the brain stem. The sleep-wake cycle can be disrupted due to anxiety, chronic illness, mental and physical stress. As given, the patient is presented with sleep disorders related to occupational anxiety and stress due to performance pressure and responsibilities. Following are the suggestions that the nurse could provide to the patient to develop better sleep habits: 1. Timely eating : Maintaining regularity in the meal times stimulates regulated metabolism in the body, thereby leading to better energy production and detoxification of the body. This leads to reduced physiological stress, which in turn mediates sleeping. 2. Eating light before bed: Eating a light dinner before bed reduces pressure on the digestive tract and thereby leads to relaxed body processes. Eating light also reduces the risk for acidity and gas, which also might interrupt sleeping. 3. Taking bath: Taking a cooling bath before sleep relaxes the mind and body and hence, stimulates the brain to rest. 4. Meditating: Meditation at a regular basis helps to reduce mental and physical stress, increase emotional stability and self-esteem. 5. Self-counseling: The nurse should encourage the patient to self-counsel so as to sort out the problems related to anxiety and stress. 6. Believing in one-self: The nurse should inspire the patient to maintain self-confidence and believe in his abilities and qualifications. This should reduce the patient's anxiety and thus, helps in sleeping. 7. Referring to a sleep disorder center: The nurse may suggest the patient to visit a sleep disorder center for further evaluation of the problem and to avail a permanent solution.