NUR 642 Final Exam Questions and Answers
Consequences of chronic sleep issues in: Children, Adult and Elderly
Children: Problems in learning and behavior, alter physical
Adults: difficulty with concentration, fatigue, lack of energy, and irritability
Elderly: Increased fall and accidents
development, and affect family functioning
What is REM cycle linked with
"Rapid Eye Movement" linked with dreaming
Is NREM or REM deeper state of sleep
NREAM is deeper
% of NREM that occupies young adults
75%, (25% is REM)
NREM pattern through life
begins to decline 2nd decade of life then stabilizes 3rd/4th but age 70 decreases may see
napping
What happens to body when in NREM
Decline in respirations, HR, b/p, muscles relaxation and diminished cognitive activity
What happens to body when in REM
changes in physiology (skeletal muscle atonia)
increased variability of HR, b/p, RR, autonomic function
, rapid eye movement
heightened cognitive activity associated with dreaming
Sleep is regulated by what two primary processes
1. Circadian rhythm- Increases in sleepiness twice during 24- hour period (midnight-7am)
2. Physiological need for sleep- Increases by sleep loss and sleep disruption
Define insomnia and acute vs chronic reasons
sleeplessness
Acute ( jet lag/work schedule) that lasts days to weeks
Chronic: Mood disorders, Anxiety disorders, ETOH issues, Stimulants, meds, CVA,
COPD, Nocturia, Pain, endocrine issues, RLS, OSA (snoring) that lasts months to years
Define parasomnia
•episodic disturbance of behavior with sleep
Define Hypersomnia
excessive sleepiness
Who is at risk for circadian sleep disturbance
•Accidents
•Ulcer disease
•Breast cancer in females
Consequences of chronic sleep issues in: Children, Adult and Elderly
Children: Problems in learning and behavior, alter physical
Adults: difficulty with concentration, fatigue, lack of energy, and irritability
Elderly: Increased fall and accidents
development, and affect family functioning
What is REM cycle linked with
"Rapid Eye Movement" linked with dreaming
Is NREM or REM deeper state of sleep
NREAM is deeper
% of NREM that occupies young adults
75%, (25% is REM)
NREM pattern through life
begins to decline 2nd decade of life then stabilizes 3rd/4th but age 70 decreases may see
napping
What happens to body when in NREM
Decline in respirations, HR, b/p, muscles relaxation and diminished cognitive activity
What happens to body when in REM
changes in physiology (skeletal muscle atonia)
increased variability of HR, b/p, RR, autonomic function
, rapid eye movement
heightened cognitive activity associated with dreaming
Sleep is regulated by what two primary processes
1. Circadian rhythm- Increases in sleepiness twice during 24- hour period (midnight-7am)
2. Physiological need for sleep- Increases by sleep loss and sleep disruption
Define insomnia and acute vs chronic reasons
sleeplessness
Acute ( jet lag/work schedule) that lasts days to weeks
Chronic: Mood disorders, Anxiety disorders, ETOH issues, Stimulants, meds, CVA,
COPD, Nocturia, Pain, endocrine issues, RLS, OSA (snoring) that lasts months to years
Define parasomnia
•episodic disturbance of behavior with sleep
Define Hypersomnia
excessive sleepiness
Who is at risk for circadian sleep disturbance
•Accidents
•Ulcer disease
•Breast cancer in females
