©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
NUR 410 Gerontological Nursing Exam 2
Practice Questions and Answers
Inadequate quality or quantity of sleep is associated with risks of what? - Ans:✔✔-physical and mental
health
Inability to fall sleep, difficulty staying asleep, or premature waking are all known as - Ans:✔✔-insomnia
A condition characterized by at least five leg jerks or movements per hour during sleep - Ans:✔✔-
nocturnal myoclonus
Nocturnal myoclonus is a condition characterized by at least _______ leg jerks or movements per
_______ during sleep - Ans:✔✔-5; hour
What is phase advance? - Ans:✔✔-falling asleep earlier in the evening and awakening earlier in the
morning
What is restless leg syndrome? - Ans:✔✔-neurological disorder characterized by an uncontrollable urge
to move the legs when one lies down
Page 1/67
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
apnea is a disorder in which at least ______ episodes of cessation of breathing, lasting at least _______
seconds, occur per hour of sleep, accompanied by _________________________________ - Ans:✔✔-5;
10; daytime sleepiness
Delay in the onset of sleep is known as - Ans:✔✔-sleep latency
What characteristics of sleep are affected by age-related changes? - Ans:✔✔-circadian sleep-wake cycles
sleep architecture (stages)
sleep efficiency
sleep quality
T or F: In phase advance, the quantity of sleep changes - Ans:✔✔-False. The quantity of sleep does not
change, but the hours in which it occurs may.
What intervention can be performed to push the circadian rhythm toward a later hour of sleep? -
Ans:✔✔-increasing natural light
What intervention can be performed to accommodate the altered biorhythms of phase advance? -
Ans:✔✔-adjusting schedules; scheduling throughout the day with plenty of rest in between
-older adults may find themselves nodding off during evening activities and wide awake in the early
morning hours
Page 2/67
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
-schedule attention-requiring activities in the morning, and more relaxing activities in the evening but
pace and disperse activity throughout the day
What are important factors to consider when caring for older adults' sleep efficiency and quality in
institutions? - Ans:✔✔--sleep latency
-more sensitive to noise
-more likely to be awakened by having lights turned on
-more likely to be awakened by changes in room temp
Insufficient Stage ____ sleep can cause emotional dysfunction - Ans:✔✔-IV and REM
What is the self-rating tool used to assess for sleep disturbances in the older adult? - Ans:✔✔-Pittsburgh
Sleep Quality Index
What is a better predictor of suicide in older adults than depressive symptoms? - Ans:✔✔-sleep quality
Insomnia is a ____________ not a _______________ - Ans:✔✔-symptom; condition/disease
Chronic insomnia - Ans:✔✔-insomnia lasting 3 or more weeks
Nocturnal myoclonus is associated with - Ans:✔✔-use of TCA and chronic renal failure
Page 3/67
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
Alterations in dopamine and iron metabolism are believed to the causes of - Ans:✔✔-restless leg
syndrome
What are some interventions that can help relieve restless leg syndrome for some individuals? -
Ans:✔✔--drinking water (dehydration worsens symptoms)
-massage
-application of heat or cold
-iron supplements
-dopaminergic drugs
-benzodiazepines
-opioids
-anticonvulsants
-adrenergics
prevalence of sleep apnea is 3 times greater in ____________; higher in persons who are
_____________________- - Ans:✔✔-men; overweight or obese
central sleep apnea - Ans:✔✔-defect in the central nervous system that affects the diaphragm
Page 4/67
FIRST PUBLISH OCTOBER 2024
NUR 410 Gerontological Nursing Exam 2
Practice Questions and Answers
Inadequate quality or quantity of sleep is associated with risks of what? - Ans:✔✔-physical and mental
health
Inability to fall sleep, difficulty staying asleep, or premature waking are all known as - Ans:✔✔-insomnia
A condition characterized by at least five leg jerks or movements per hour during sleep - Ans:✔✔-
nocturnal myoclonus
Nocturnal myoclonus is a condition characterized by at least _______ leg jerks or movements per
_______ during sleep - Ans:✔✔-5; hour
What is phase advance? - Ans:✔✔-falling asleep earlier in the evening and awakening earlier in the
morning
What is restless leg syndrome? - Ans:✔✔-neurological disorder characterized by an uncontrollable urge
to move the legs when one lies down
Page 1/67
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
apnea is a disorder in which at least ______ episodes of cessation of breathing, lasting at least _______
seconds, occur per hour of sleep, accompanied by _________________________________ - Ans:✔✔-5;
10; daytime sleepiness
Delay in the onset of sleep is known as - Ans:✔✔-sleep latency
What characteristics of sleep are affected by age-related changes? - Ans:✔✔-circadian sleep-wake cycles
sleep architecture (stages)
sleep efficiency
sleep quality
T or F: In phase advance, the quantity of sleep changes - Ans:✔✔-False. The quantity of sleep does not
change, but the hours in which it occurs may.
What intervention can be performed to push the circadian rhythm toward a later hour of sleep? -
Ans:✔✔-increasing natural light
What intervention can be performed to accommodate the altered biorhythms of phase advance? -
Ans:✔✔-adjusting schedules; scheduling throughout the day with plenty of rest in between
-older adults may find themselves nodding off during evening activities and wide awake in the early
morning hours
Page 2/67
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
-schedule attention-requiring activities in the morning, and more relaxing activities in the evening but
pace and disperse activity throughout the day
What are important factors to consider when caring for older adults' sleep efficiency and quality in
institutions? - Ans:✔✔--sleep latency
-more sensitive to noise
-more likely to be awakened by having lights turned on
-more likely to be awakened by changes in room temp
Insufficient Stage ____ sleep can cause emotional dysfunction - Ans:✔✔-IV and REM
What is the self-rating tool used to assess for sleep disturbances in the older adult? - Ans:✔✔-Pittsburgh
Sleep Quality Index
What is a better predictor of suicide in older adults than depressive symptoms? - Ans:✔✔-sleep quality
Insomnia is a ____________ not a _______________ - Ans:✔✔-symptom; condition/disease
Chronic insomnia - Ans:✔✔-insomnia lasting 3 or more weeks
Nocturnal myoclonus is associated with - Ans:✔✔-use of TCA and chronic renal failure
Page 3/67
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
Alterations in dopamine and iron metabolism are believed to the causes of - Ans:✔✔-restless leg
syndrome
What are some interventions that can help relieve restless leg syndrome for some individuals? -
Ans:✔✔--drinking water (dehydration worsens symptoms)
-massage
-application of heat or cold
-iron supplements
-dopaminergic drugs
-benzodiazepines
-opioids
-anticonvulsants
-adrenergics
prevalence of sleep apnea is 3 times greater in ____________; higher in persons who are
_____________________- - Ans:✔✔-men; overweight or obese
central sleep apnea - Ans:✔✔-defect in the central nervous system that affects the diaphragm
Page 4/67
