Chapter 24- Sleep and Rest A+ Guides Latest .

Origin: Chapter 24- Sleep and Rest, 1 1.A nurse presents at a conference about the concept of sleep. Which of the following statements should the nurse include in the teaching? A) "Increased sleep efficiency is considered a normal, age-related change." B) "Sleep efficiency is quite consistent across different age groups." C) "Both pathologic conditions and age-related changes influence sleep efficiency." D) "Older adults often experience increased sleep latency and decreased numbers of awakenings." Ans: C Feedback: Age-related changes and pathologic conditions together contribute to the decreased sleep efficiency associated with older age. Sleep efficiency tends to decrease, not increase, with increasing age and is not generally consistent with that of younger people. Older adults tend to experience both increased sleep latency (time required to fall asleep) and increased numbers of awakenings during the night. Origin: Chapter 24- Sleep and Rest, 2 2.A nurse is responsible for the care of group of older adults on an acute medical unit. Which of the following clients should the nurse monitor closely at night for worsening symptomatology? A) A client with a diagnosis of chronic obstructive pulmonary disease (COPD) B) A client with diagnoses of osteoarthritis and failure to thrive C) A client with a diagnosis of foot cellulitis secondary to diabetic neuropathy D) A client with chronic anemia receiving transfusions of packed red blood cells Ans: A Feedback: The symptoms of individuals with COPD are often exacerbated during sleep, because of both positioning and decreased oxygen saturation that occurs during sleep. Clients with osteoarthritis, cellulitis, or anemia would not be as likely to have increased symptoms at night. Origin: Chapter 24- Sleep and Rest, 3 3.A nurse plans the care for an older adult man who consumes two alcoholic beverages each evening. Which of the following should be included in the plan of care? A) Allow for a later bedtime. B) Encourage the client to cease all alcohol intake. C) Monitor for nocturnal awakenings. D) Watch for an increased rapid eye movement (REM) sleep. Ans: C Feedback: Alcohol consumption is associated with both initial drowsiness and increased numbers of awakenings during the night, as well as overall decreases in both total sleep time and REM sleep. Individuals who are accustomed to the depressant effect of alcohol are prone to insomnia once they stop consuming it.