Chapter 19: Sleep–Wake Disorders Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical Approach, 8th Edition MULTIPLE CHOICE 1. A nurse cares for these four patients. Which patient has the highest risk for problems with
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sleep physiology? a. Retiree who volunteers twice a week at Habitat for Humanity b. Corporate accountant who travels frequently c. Parent with three teenagers d. Lawn care worker ANS: B
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The corporate accountant is likely to work long hours and have significant stress associated with work demands. Compounded by travel, these factors are likely to precipitate unstable sleep patterns and inadequate sleep time. The retiree and lawn care worker engage in physical activity during the day, which will promote natural fatigue and sleep. The parent’s sleep is unlikely to be disturbed; teenagers sleep through the night.
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PTS: 1 DIF: Cognitive Level: Analyze (Analysis) REF: Page 19-12 TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
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2. Which comment is most likely from a patient with chronic sleep deprivation? a. “I turn on the television every night to get to sleep. I set the timer so it goes off in
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ANS: B
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30 minutes.” b. “I have diarrhea frequently and not much energy, so I stay at home most of the time.” c. “I only sleep about 7 hours a night, but I know I should sleep 8 or 9 hours.” d. “When my alarm clock goes off every morning, it seems like I am dreaming.”
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A discrepancy between hours of sleep obtained and hours required leads to sleep deprivation. Adults with less than 6 hours of sleep per night often suffer from chronic sleep deprivation. Common complaints include poor general health, physical and mental distress, limitations in ADLs, depressive or anxious symptoms, and pain. One distracter indicates a problem with sleep hygiene (television). The remaining distracters do not indicate a problem.
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PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Pages 19-3, 4, 22, 23 TOP: Nursing Process: Assessment MSC: Client Needs: Physiological Integrity
3. The nurse provides health education for an adult experiencing sleep deprivation. Which
instruction has the highest priority? a. “It’s important to limit your driving to short periods. Sleep deprivation increases your risks for serious accidents.” b. “Sleep deprivation is usually self-limiting. See your health care provider if it lasts more than a year.” c. “Turn the radio on with a soft volume as you prepare for bed each evening. It will
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