NUR 225 Exam 3 Study Guide with
Questions and Correct Answers
Natural chemical to help w sleep ✅-Melatonin
-Decreases wakefulness and promotes sleep
How much sleep per age range ✅-Infants: 14-24 hours and they sleep in increments of
4 hours
-Toddlers: 11-14 hours and may require 2 naps during the day,
-Pre-schoolers: 11-13 hours
-School-aged children: 10-12 hours
-Older children: 9-11 hours
-Teenagers: 8-10 hours
-Adults: 7-9 hours
-Older adults: 7-9 hours
What does a patient need that has difficulty remaining asleep? ✅-Melatonin
-OTC drugs
Sleep definition ✅-State of rest accompanied by altered consciousness and relative
inactivity
NREM sleep ✅o Stage 1:
§ Transitional stage between wakefulness and sleep
§ Person is a relaxed state
§ Involuntary muscle jerking
§ Only lasts minutes
§ 5% of total sleep
o Stage 2:
§ Falls into state of sleep
§ Can be aroused w relative ease
§ 50-55% of sleep
o Stage 3:
§ Depth of sleep increases, arousal becomes increasingly difficult
§ 10% of sleep
o Stage 4:
§ Reaches greatest depth of sleep, called delta sleep
§ Arousal from sleep is difficult
§ Slow brain waves recorded on EEG
§ Pulse, RR, BP decrease
§ Muscles are relaxed
Sleep apnea signs ✅-Absence of breathing
-Diminished breathing efforts
, -Sleepiness
-Fatigue
-Insomnia
-Snoring
Common sleep disorders ✅-Insomnia
-Sleep related breathing disorders
-Parasomnias (abnormal movements, talk, express emotions, or do unusual things)
-Wake disorders
How exercise affects sleep ✅-Occur @ least 2 hours before bedtime and can promote
restful sleep. The more tired a person is, the shorter the period of the first REM sleep.
How to keep a sleep diary ✅Write down the times you go to bed and when you wake
up throughout the night, and in the morning. Also write how you feel after waking up
from resting period.
How to promote sleep for hospitalized patient ✅-If other tests need to be done or can
be done earlier, try to avoid testing while sleeping
-Only wake patient if necessary
-Keep door shut, our outside areas quiet
-Keep lights off/dim
-Ask how patient sleeps most comfortably
Sleep hygiene ✅-Creating an optimal sleep environment to get deep, restorative rest
What body part injury could alter sleep ✅-Brain
Narcolepsy ✅-Uncontrollable desire to sleep
How to assess the senses ✅o Perform physical assessment
§ Ability to do self-care
§ Eyes and ears test
§ Stimulation
§ Reception
§ Transmission-perception-reaction
Definition of senses ✅-Senses by which people maintain contact w external
environment are vision, hearing, smell, taste, and touch
Who is at risk for sensory deprivation ✅-Patients in LTC's
-Patients w communicable diseases like AIDS
-Patients confined to a bed
-Patients w sensory alterations
-Patients who are depressed
Questions and Correct Answers
Natural chemical to help w sleep ✅-Melatonin
-Decreases wakefulness and promotes sleep
How much sleep per age range ✅-Infants: 14-24 hours and they sleep in increments of
4 hours
-Toddlers: 11-14 hours and may require 2 naps during the day,
-Pre-schoolers: 11-13 hours
-School-aged children: 10-12 hours
-Older children: 9-11 hours
-Teenagers: 8-10 hours
-Adults: 7-9 hours
-Older adults: 7-9 hours
What does a patient need that has difficulty remaining asleep? ✅-Melatonin
-OTC drugs
Sleep definition ✅-State of rest accompanied by altered consciousness and relative
inactivity
NREM sleep ✅o Stage 1:
§ Transitional stage between wakefulness and sleep
§ Person is a relaxed state
§ Involuntary muscle jerking
§ Only lasts minutes
§ 5% of total sleep
o Stage 2:
§ Falls into state of sleep
§ Can be aroused w relative ease
§ 50-55% of sleep
o Stage 3:
§ Depth of sleep increases, arousal becomes increasingly difficult
§ 10% of sleep
o Stage 4:
§ Reaches greatest depth of sleep, called delta sleep
§ Arousal from sleep is difficult
§ Slow brain waves recorded on EEG
§ Pulse, RR, BP decrease
§ Muscles are relaxed
Sleep apnea signs ✅-Absence of breathing
-Diminished breathing efforts
, -Sleepiness
-Fatigue
-Insomnia
-Snoring
Common sleep disorders ✅-Insomnia
-Sleep related breathing disorders
-Parasomnias (abnormal movements, talk, express emotions, or do unusual things)
-Wake disorders
How exercise affects sleep ✅-Occur @ least 2 hours before bedtime and can promote
restful sleep. The more tired a person is, the shorter the period of the first REM sleep.
How to keep a sleep diary ✅Write down the times you go to bed and when you wake
up throughout the night, and in the morning. Also write how you feel after waking up
from resting period.
How to promote sleep for hospitalized patient ✅-If other tests need to be done or can
be done earlier, try to avoid testing while sleeping
-Only wake patient if necessary
-Keep door shut, our outside areas quiet
-Keep lights off/dim
-Ask how patient sleeps most comfortably
Sleep hygiene ✅-Creating an optimal sleep environment to get deep, restorative rest
What body part injury could alter sleep ✅-Brain
Narcolepsy ✅-Uncontrollable desire to sleep
How to assess the senses ✅o Perform physical assessment
§ Ability to do self-care
§ Eyes and ears test
§ Stimulation
§ Reception
§ Transmission-perception-reaction
Definition of senses ✅-Senses by which people maintain contact w external
environment are vision, hearing, smell, taste, and touch
Who is at risk for sensory deprivation ✅-Patients in LTC's
-Patients w communicable diseases like AIDS
-Patients confined to a bed
-Patients w sensory alterations
-Patients who are depressed
