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39 Cards in this Set

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chronic inability to sleep or remain asleep during the usual sleep period?
Insomnia
dream period, paralysis of muscles and therefore cannot act out dreams?
REM(rapid eye movement)
difficulty maintaining/initiating sleep for at least one month not due to a mental d/o or substance abuse?
Primary insomnia
Name the 3 ways sleep can be assessed?
1.self report(7-8hrs,good,avg)
2.behavioral-alertness
3.a Polysomnograph-sleep EEG
Sleep can be changed by?
1.behavioral(depression)
2.situaltional/developmental:
(work,weather,stress,exercise
3.Physiological:meds,REM rebound,
difficulty initiating/maintaining sleep or excessive sleepiness?
Dyssomnias
prolonged or excessive sleep that interferes with function?
hypersomnia
absence of breathing,:occurs 200-300x/nt, snoring,feels tired during day, dx via EEG, tx with Bipap?
OSA
brief episodes of deep sleep?
Narcolepsy
sudden collapse of muscle tone associated with intense emotion?
Cataplexy
sense of being unable to move after waking or at sleep onset?
Sleep paralysis
dreamlike images that appear before sleep onset?
Hypnagogic hallucinations
Name causes of circadian rhythm sleep d/o?
-jet lag
-shift work
programmed to stay up late and sleep late?
delayed sleep phase
early evening sleepiness and early awakening?
advanced sleep phase
leg jerking causing awakening?
Periodic limb movement d/o
inability to get back to sleep without eating or drinking?
Nocturnal eating/drinking syndrome
abnormal sleep disorders that intrude into sleep including diorders of arousal and sleep stage transition?
Parasomnias
(sleep walking)-ensure safety
somnambulism
Person recalls dream, client is a/o when awaken?
Nightmares
arousal of ANS(HR,RR,sweating,No dream assoc,confused,not oriented?
Sleep terrors: do not wake up
teeth grinding)see dentist?
sleep bruxism
(bed wetting)?
How is it treated?
1.Sleep enuresis
2.DDAVP,immipramine or behavioral method
1.When do parasomnia most often occur?
2.when do they decrease?
3.Can they reoccur and why?
1.childhood & adolescence
2.with age
3.yes, due to stress
Client with psychoses how is sleep affected?
Decreased REM
Frightening hallucinations
Client with mood d/o how is sleep affected?
antidepressants suppress REM
depression either decrease or increases sleep
mania decrease sleep without complaint
Client with anxiety d/o how is sleep affected?
insomnia, usually difficulty falling asleep(worries before bedtime)
Client with panic d/o how is sleep affected?
sudden awakenings
Client with PTSD how is sleep affected?
nightmares
What medical condition cause sleep d/o?
Dementia:sundowning(agitated,verbal and restless as nighttime approaches)
What substance can induce sleep d/o?
Anxiolytics
caffeine
cocaine
ETOH
Hypnotics
Physiologic theory about sleep d/o?
Higher core body temp and increased vasoconstriction at HS lead to insomnia also increased HR and met rate
Psychological theory about sleep d/o?
anxiety
cognitive arousal
racing thoughts
grief loss
birth of new baby
Environmental condition theory about sleep d/o?
bedroom: negative stimulus
memories of boyfriend/spouse
Explain Sleep d/o nursing process?
ASSESSMENT:
# HRS of sleep/night
hx of insomnia
contributory factors
disturbances and relaxation techniques attempted
Explain sleep d/o nursing process:
PLANNING/INTERVENTION?
normalize sleep schedule
relaxation techniques
education
reduce stimulation and stimulants
Excessive sleepiness?
Hypersomnia
Explain the Nsg process for hypersomnia:
Assessment:
1.apnea & restlessness(ask bed partner)
determine ETOH use
Encourage to keep sleep log
Explain the NSg process for hypersomnia:
planning/intervention?
1.Referral
2.tx mental/physical d/o
3.safety(loss of concentration
4.schedule
5.daylight/environmental cues