Question 1

Which problem is associated with obesity, heavy snoring, and shallow breathing?

Accepted Answer

Sleep apnea refers to recurrent periods of absence of breathing for 10 seconds or longer, occurring at least 5 times per hour.

Question 2

When a nurse notes that a sleeping client is demonstrating irregular respirations and is showing eye movement, the nurse identifies the stage of sleep the client is experiencing as:

Accepted Answer

In REM sleep, respirations are irregular and oxygen consumption increases.

Question 3

A nurse is speaking to a group of students regarding the effects of shift work on sleep patterns. Which pattern of work shifts has been shown to enhance work production?

Accepted Answer

Research has shown that clockwise rotation of shifts is preferable and that short naps during breaks enhance work performance. Recent studies have shown a negative relation between the number of consecutive night shifts worked and urinary levels of melatonin metabolites.

Question 4

A client has voiced concerns about her inability to fall asleep. When reviewing her history, what information would the nurse expect to find? Select all that apply.

Accepted Answer

Insomnia is associated with the consumption of stimulants (e.g., caffeine, nicotine, methamphetamine, and other drugs of abuse). Insomnia is also a side effect of hyperthyroidism. Exercising 30 to 60 minutes daily can help a client fall asleep faster.

Question 5

A nurse is preparing a presentation on sleep hygiene practices. What information should the nurse include? Select all that apply.

Accepted Answer

Adolescents need about 9 hours of sleep per night. Academic performance is negatively impacted when adolescents get less sleep. Due to irregular sleep patterns, adolescents typically sleep later on weekends in an attempt to catch up on sleep. Adolescent sleep patterns change to a more "owl-like" pattern in which they rise later and go to sleep later. Adolescent girls have a higher risk of developing insomnia than adolescent boys.

Question 6

The nurse is preparing a care plan for a client recently diagnosed with obstructive sleep apnea. The client reports daytime sleepiness, fatigue, and excessive snoring that "wakes me up." What nursing diagnosis would be appropriate for this client?

Accepted Answer

Disturbed sleep pattern related to periods of apnea as evidenced by excessive snoring is the correct nursing diagnosis. The medical diagnosis of obstructive sleep apnea should not be used in the nursing diagnosis.

Question 7

A nurse is preparing a presentation regarding hypnotic medications. What information should the nurse include? Select all that apply.

Accepted Answer

Hypnotics do not induce a normal sleep pattern and are not indicated for long-term use. Hypnotics may impair waking functions, which can cause daytime sleepiness. Due to the potentially addictive qualities of hypnotics, tapering of doses may be required after long-term use.

Question 8

The nurse is preparing a care plan for a client with insomnia. Which would be an appropriate outcome criteria for the goal of having the client report fewer problems falling asleep?

Accepted Answer

Outcome criteria for the goal should be client focused, measurable, and with a specific time frame.

Quiz 36: Sleep