Nursing Interventions: Sleep And Rest

Front 1

A cyclical physiological process that alternates with longer periods of wakefulness.

Back 1

Sleep

Front 2

A state of mental, physical and spiritual activity that leaves a person feeling refreshed.

Back 2

Rest

Front 3

How many stages of NREM (Non-Rapid Eye Movement) sleep are there?

Back 3

4

Front 4

Stage 1 of NREM sleep is the _____ level of sleep and lasts a few minutes.

Back 4

lightest

Front 5

Stage 2 of NREM sleeep lasts about 10-20 minutes and _____ may occur as relaxation progresses.

Back 5

snoring

Front 6

Stage 3 of NREM sleep is the inital stage of _____ (slow wave) sleep.

Back 6

deep

Front 7

Growth hormone and serotonin are released during which two stages of NREM sleep?

Back 7

Stage 3 and Stage 4

Front 8

Stages 3 and 4 of NREM sleep last 15-___ minutes.

Back 8

30

Front 9

Newborns spend ____ time in NREM Stage 4 sleep and the elderly spend less time.

Back 9

more

Front 10

Sleep walking and _____ (bed wetting) may occur during NREM Stage 4 sleep.

Back 10

enuresis

Front 11

Restoration of brain tissue and cognition occur during _____ sleep.

Back 11

REM (rapid eye movement)

Front 12

The length of REM sleep _____ with each sleep cycle.

Back 12

increases

Front 13

Vivid colorful _____ occur during REM sleep.

Back 13

dreams

Front 14

While vital signs had previously been low in the earlier stages of sleep, BP, pulse, and respirations may fluctuate or _____ during REM sleep.

Back 14

increase

Front 15

RAS stands for:

Back 15

Reticular activating system

Front 16

The reticular activating system controls our ability to be awake, sleep, and pay attention and uses ______ such as serotonin, acetylcholine, or norepinephrine.

Back 16

neurotransmitters

Front 17

The neurotransmitter _____ promotes sleep and sustaining sleep.

Back 17

serotonin

Front 18

The 24 hour day/night cycle is known as the _____ _____.

Back 18

Circadian rhythm

Front 19

A person's Circadian rhythm is affected by light, temperature, social activity, work routine, and whether the person is in a _____ or extended care facility or not.

Back 19

hospital

Front 20

Three factors affecting sleep and rest are need, _______, and relationships.

Back 20

environment

Front 21

Foods high in proteins and __ - ______ such as milk, cheese,and eggs, can increase Stage 4 sleep.

Back 21

L-tryptophan

Front 22

Factors such as work, nutrition, exercise, and parenting also affect _____ and rest.

Back 22

sleep

Front 23

During acute and chronic illnesses clients are vulnerable to loss of Stage __ sleep.

Back 23

3

Front 24

Diuretics and _____ may interfere with REM sleep.

Back 24

hypnotics

Front 25

At least __ million Americans each year suffer from chronic, long-term sleep disorders each year.

Back 25

40

Front 26

_____ is the most common sleep disorder.

Back 26

Insomnia

Front 27

Insomnia is described as chronic difficulty falling asleep or frequent ______.

Back 27

awakenings

Front 28

The inability of the nervous system to maintain the boundaries between wakefulness and sleep is ______.

Back 28

narcolepsy

Front 29

Narcolepsy affects 1 in every ____ people in the US.

Back 29

2000

Front 30

REM sleep can occur within ___ minutes of falling asleep in a person with narcolepsy.

Back 30

15

Front 31

Lack of airflow through the nose and mouth for periods of 10 seconds or longer during sleep is ____ ____.

Back 31

sleep apnea

Front 32

Sleep apnea affects __ million people in the US.

Back 32

18

Front 33

There are __ different types of sleep apnea.

Back 33

3

Front 34

The most common type of sleep apnea is _______ sleep apnea.

Back 34

obstructive

Front 35

The risk factors for obstructive sleep apnea are being male, being obese, and being over the age of ___.

Back 35

40

Front 36

_____ factors are external factors that, if removed, can lead to the resolution of sleep disorders.

Back 36

Extrinsic

Front 37

_____ leg syndrome is characterized by periodic limb movements.

Back 37

Restless

Front 38

______-rhythm sleep disorders examples include time zone changes and shift work disorders.

Back 38

Circadian

Front 39

If a behavior is normal during wakefulness but abnormal during sleep it is called a ______.

Back 39

parasomnia

Front 40

Examples of parasomnia include sleep talking, sleep _____, and bed wetting.

Back 40

walking

Front 41

Nursing diagnoses for sleeping problems can include disturbed sleep pattern, sleep deprivation, or _____ related to difficulty sleeping.

Back 41

anxiety

Front 42

CPAP, or Continuous Positive _____ Pressure, is a device that prevents airway collapse in patients with sleep apnea.

Back 42

Airway