Chapter 20: Sleep and Rest Williams: Basic Geriatric Nursing, 7th Edition

Chapter 20: Sleep and Rest Williams: Basic Geriatric Nursing, 7th Edition MULTIPLE CHOICE 1. What stage of sleep is the initial phase of deep sleep? a. Stage 1 nonrapid eye movement (NREM) b. Stage 3 NREM c. Stage 5 NREM d. Rapid eye movement (REM) sleep ANS: B 2. In what stage of sleep is sleepwalking most likely to occur? a. Stage 1 NREM b. Stage 2 NREM c. Stage 4 NREM d. REM sleep ANS: C 3. Which can attribute to a sleep-wake cycle disturbance in the older adult? a. Increase in angiotensin b. Decrease in insulin c. Increase in growth hormone d. Decrease in melatonin ANS: D 4. The older man in a long-term care facility consistently wakes at 3 AM and does not return to sleep. The nurse records this behavior as _____ insomnia. a. sleep initiation b. sleep maintenance c. terminal d. undifferentiated ANS: C 5. A newly admitted older adult asks for a sedative every night and states that she cannot fall asleep. What type of sleep disorder is the patient most likely experiencing? a. Onset related to anxiety of relocation b. Maintenance related to unfamiliar environment c. Initiation related to depression associated with relocation d. Maintenance related to episodes of nocturnal movement disorders ANS: A 6. What statement by a patient’s wife would indicate that the patient is experiencing myoclonus? a. His loud snoring and jerking awake wakes me up, too. NURSINGTB.COM Basic Geriatric Nursing 7th Edition Williams Test Bank This study source was downloaded by from CourseH on :12:30 GMT -05:00 NU RS IN GT B.CO M b. I am black and blue from his kicking me every night. c. He wakes up at 2 AM every morning and walks around the house. d. His constant leg movements tear up the covers and keep me awake. ANS: B 7. The nurse would questio