NURS 101 MIDTERM UPDATED ACTUAL
Exam Questions and CORRECT Answers
What are some health promotion strategies for sleep? - CORRECT ANSWER --
Environmental controls (temp., noise, lights)
- Promoting bedtime routines
- Promoting safety
- Promoting comfort
- Establishing periods of rest and sleep
- Stress reduction
- Bedtime snacks
- Pharmacological approaches (older adults)
What is a part of a sleep assessment and history? - CORRECT ANSWER - - Assessing
usual sleep patterns
- Description of sleeping problems
- Physical/psychological illness
- Current life events
- Bedtime routines
- Behaviors of sleep deprivation
What are the factors that affect sleep? - CORRECT ANSWER - - Drugs + substances
(hypnotics, antidepressants)
- Lifestyle (shift work, routine, activities)
- Usual sleep pattern (disruptions)
- Emotional stress (worries, physical health, death, losses)
- Environment (noises, routines)
- Exercise + fatigue
- Food + caloric intake (time of day, caffeine)
,What are the normal sleep requirements and patterns per age group? - CORRECT
ANSWER - Neonates: 16 hours
Infants: 12-14 hours
Toddlers: 12-14 hours
Preschoolers: 13 hours
School-aged: 9-10
Adolescents: varies - "sleep debt"
Young adults: 6-8.5
Middle age: declines
What are some sleep disorders? - CORRECT ANSWER - - Hypersomnolence
- Insomnia
- Sleep apnea
- Narcolepsy
- Parasomnias
- Sleep deprivation
What physical illnesses affect sleep? - CORRECT ANSWER - - Pain
- Anxiety and depression
- Respiratory disease
- Cardiovascular disease
- Musculoskeletal (pain)
- Nocturia
What are the functions of sleep and dreams? - CORRECT ANSWER - - Unclear reasons
- Physiological and psychological restoration
- Maintenance of biological functions
, Dreams: REM
- Important for learning, memory and adaptation to stress
What are the 4 stages of sleep? - CORRECT ANSWER - Stage 1: NREM, lightest level
(2-5%)
Stage 2: NREM, sound sleep (45-55%)
Stage 3: NREM, deepest sleep (10%)
REM (stage 4): dreams (25%)
What is sleep regulation? - CORRECT ANSWER - Sleep is regulated by a sequence of
physiological states integrated by central nervous system activities (ex: hypothalamus, ant.
pituitary)
- Regular activation system (RAS) affects wakefulness and sleep-wake transition
- Bulbar synchronizing region causes sleep
What is the circadian rhythms? - CORRECT ANSWER - - 24 hours
Factors include light, temperature, social activities, work routines
- Biological clock
- Synchronizes sleep wake cycles
What are the 3 processes that sleep is controlled by? - CORRECT ANSWER - - Ultradian
process: non-rapid eye movement (NREM) and rapid eye movement (REM)
- Homeostatic process: sleep-wake cycle
- Circadian process: maintaining wakefulness
What are the physiological conceptualizations of stress? - CORRECT ANSWER - - Fight
or flight
- General adaptation syndrome
Exam Questions and CORRECT Answers
What are some health promotion strategies for sleep? - CORRECT ANSWER --
Environmental controls (temp., noise, lights)
- Promoting bedtime routines
- Promoting safety
- Promoting comfort
- Establishing periods of rest and sleep
- Stress reduction
- Bedtime snacks
- Pharmacological approaches (older adults)
What is a part of a sleep assessment and history? - CORRECT ANSWER - - Assessing
usual sleep patterns
- Description of sleeping problems
- Physical/psychological illness
- Current life events
- Bedtime routines
- Behaviors of sleep deprivation
What are the factors that affect sleep? - CORRECT ANSWER - - Drugs + substances
(hypnotics, antidepressants)
- Lifestyle (shift work, routine, activities)
- Usual sleep pattern (disruptions)
- Emotional stress (worries, physical health, death, losses)
- Environment (noises, routines)
- Exercise + fatigue
- Food + caloric intake (time of day, caffeine)
,What are the normal sleep requirements and patterns per age group? - CORRECT
ANSWER - Neonates: 16 hours
Infants: 12-14 hours
Toddlers: 12-14 hours
Preschoolers: 13 hours
School-aged: 9-10
Adolescents: varies - "sleep debt"
Young adults: 6-8.5
Middle age: declines
What are some sleep disorders? - CORRECT ANSWER - - Hypersomnolence
- Insomnia
- Sleep apnea
- Narcolepsy
- Parasomnias
- Sleep deprivation
What physical illnesses affect sleep? - CORRECT ANSWER - - Pain
- Anxiety and depression
- Respiratory disease
- Cardiovascular disease
- Musculoskeletal (pain)
- Nocturia
What are the functions of sleep and dreams? - CORRECT ANSWER - - Unclear reasons
- Physiological and psychological restoration
- Maintenance of biological functions
, Dreams: REM
- Important for learning, memory and adaptation to stress
What are the 4 stages of sleep? - CORRECT ANSWER - Stage 1: NREM, lightest level
(2-5%)
Stage 2: NREM, sound sleep (45-55%)
Stage 3: NREM, deepest sleep (10%)
REM (stage 4): dreams (25%)
What is sleep regulation? - CORRECT ANSWER - Sleep is regulated by a sequence of
physiological states integrated by central nervous system activities (ex: hypothalamus, ant.
pituitary)
- Regular activation system (RAS) affects wakefulness and sleep-wake transition
- Bulbar synchronizing region causes sleep
What is the circadian rhythms? - CORRECT ANSWER - - 24 hours
Factors include light, temperature, social activities, work routines
- Biological clock
- Synchronizes sleep wake cycles
What are the 3 processes that sleep is controlled by? - CORRECT ANSWER - - Ultradian
process: non-rapid eye movement (NREM) and rapid eye movement (REM)
- Homeostatic process: sleep-wake cycle
- Circadian process: maintaining wakefulness
What are the physiological conceptualizations of stress? - CORRECT ANSWER - - Fight
or flight
- General adaptation syndrome
