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