C HAPTER 19: S LEEP -W AKE D ISORDERS
Varcarolis’ Foundations of Psychiatric -Mental Health Nursing: 8th Edition
MULTIPLE CHOICE
1. A nurse counsels a patient on ways to determine the persons total sleep
requirement. Which instruction would produce the most accurate results?
a. For 1 full week, record what you remember about your dream
content and related feelings as soon as you wake up. Bring the
record to your next appointment.
b. While off work for 1 week, go to bed at your usual time and wake
up without an alarm. Record how many hours you sleep and then
average the findings.
c. For 2 full weeks, record how much time you sleep each night and
rate your daytime alertness on a scale of 1 to 10. Calculate your
average alertness score.
d. All adults need 7 or 8 hours of sleep to function prop erl y. Lets
design ways to help you reach that goal.
ANS: B
Sleep requirements are most accuratel y determined by going to bed at
the usual time and waking up without an alarm for several nights,
ideall y on vacation. The average of these findings indicates the
estimated requirements. Two distracters relate to dream content and
daytime alertness. Some adults are long sleepers or short sleepers with
different requirements for sleep from the general population.
, PTS: 1 DIF: Cognitive Level: Appl y (Application )
REF: 359 TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
2. A home care nurse assesses a very demanding patient with chronic
obstructive pulmonary disease (COPD). Afterward, the nurse talks with
the spouse who has provided this patients care for 6 years. The spouse
says, I dont need much sleep anymore. I might need to help him during the
night. Select the nurses most therapeutic response.
a. It sounds like you are very devoted to your spouse.
b. I noticed you fell aslee p while I was assessing your spouse. Im
concerned about you.
c. Your spouse is lucky to have you to provide care rather than being
placed in a nursing home.
d. If you keep going like this, your health will be impaired also. Then
who will take care of both of you ?
ANS: B
Sleep deprivation can cause accidents. The correct answer makes an
observation, gives important information about safet y, and
communicates care and compassion for the spouse. The distracters do
not invite further dialogue with the spouse.
PTS: 1 DIF: Cognitive Level: Anal yze (Anal ysis) REF: 356
TOP: Nursing Process: Implementation MSC: Client
Needs: Safe, Effective Care Environment
3. A patient with rheumatoid arthritis reports, For the past month Ive been
having a lot of trouble falling aslee p. When I finall y get to sleep, I wake
, up several times during the night. Which information should the nurse
seek initiall y?
a. What have you done to try to improve your sleep?
b. What would be a good sleep pattern for you?
c. How much exercise are you getting?
d. Do you have pain at night?
ANS: D
Patients with diseases such as arthritis may have sleep disturbance
related to nightl y pain. Because the pain is chronic, the patient may
fail to realize it is the reason for the inabilit y to sleep. The other
options do not follow the patients lead or begin problem solving
without an adequate baseline.
PTS: 1 DIF: Cognitive Level: Appl y (Application)
REF: 356 TOP: Nursing Process: Assessment MSC:
Client Needs: Physiological Integrit y
4. A 76-year-old man tells the nurse a t the sleep disorder clinic, I awaken
almost nightl y in the midst of violent dreams in which I am defending
myself against multiple attackers. Then I realize I have been hitting and
kicking m y wife. She has bruises. Which health problem is most likel y?
a. Sleep Paral ysis
b. Night Terror Disorder
c. Sleep-Related Bruxism
d. Rapid Eye Movement (REM) Sleep Behavior Disorder
ANS: D
Varcarolis’ Foundations of Psychiatric -Mental Health Nursing: 8th Edition
MULTIPLE CHOICE
1. A nurse counsels a patient on ways to determine the persons total sleep
requirement. Which instruction would produce the most accurate results?
a. For 1 full week, record what you remember about your dream
content and related feelings as soon as you wake up. Bring the
record to your next appointment.
b. While off work for 1 week, go to bed at your usual time and wake
up without an alarm. Record how many hours you sleep and then
average the findings.
c. For 2 full weeks, record how much time you sleep each night and
rate your daytime alertness on a scale of 1 to 10. Calculate your
average alertness score.
d. All adults need 7 or 8 hours of sleep to function prop erl y. Lets
design ways to help you reach that goal.
ANS: B
Sleep requirements are most accuratel y determined by going to bed at
the usual time and waking up without an alarm for several nights,
ideall y on vacation. The average of these findings indicates the
estimated requirements. Two distracters relate to dream content and
daytime alertness. Some adults are long sleepers or short sleepers with
different requirements for sleep from the general population.
, PTS: 1 DIF: Cognitive Level: Appl y (Application )
REF: 359 TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
2. A home care nurse assesses a very demanding patient with chronic
obstructive pulmonary disease (COPD). Afterward, the nurse talks with
the spouse who has provided this patients care for 6 years. The spouse
says, I dont need much sleep anymore. I might need to help him during the
night. Select the nurses most therapeutic response.
a. It sounds like you are very devoted to your spouse.
b. I noticed you fell aslee p while I was assessing your spouse. Im
concerned about you.
c. Your spouse is lucky to have you to provide care rather than being
placed in a nursing home.
d. If you keep going like this, your health will be impaired also. Then
who will take care of both of you ?
ANS: B
Sleep deprivation can cause accidents. The correct answer makes an
observation, gives important information about safet y, and
communicates care and compassion for the spouse. The distracters do
not invite further dialogue with the spouse.
PTS: 1 DIF: Cognitive Level: Anal yze (Anal ysis) REF: 356
TOP: Nursing Process: Implementation MSC: Client
Needs: Safe, Effective Care Environment
3. A patient with rheumatoid arthritis reports, For the past month Ive been
having a lot of trouble falling aslee p. When I finall y get to sleep, I wake
, up several times during the night. Which information should the nurse
seek initiall y?
a. What have you done to try to improve your sleep?
b. What would be a good sleep pattern for you?
c. How much exercise are you getting?
d. Do you have pain at night?
ANS: D
Patients with diseases such as arthritis may have sleep disturbance
related to nightl y pain. Because the pain is chronic, the patient may
fail to realize it is the reason for the inabilit y to sleep. The other
options do not follow the patients lead or begin problem solving
without an adequate baseline.
PTS: 1 DIF: Cognitive Level: Appl y (Application)
REF: 356 TOP: Nursing Process: Assessment MSC:
Client Needs: Physiological Integrit y
4. A 76-year-old man tells the nurse a t the sleep disorder clinic, I awaken
almost nightl y in the midst of violent dreams in which I am defending
myself against multiple attackers. Then I realize I have been hitting and
kicking m y wife. She has bruises. Which health problem is most likel y?
a. Sleep Paral ysis
b. Night Terror Disorder
c. Sleep-Related Bruxism
d. Rapid Eye Movement (REM) Sleep Behavior Disorder
ANS: D
