Rest Flashcards

1
Q

REST

A

Rest is tranquility, calmness, freedom from anxiety,
repose, relaxation without stress, feeling of well being,
decreased state of activity.

Rest is a condition in which the body is inactive

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2
Q

Sleep is an

A

is an active, complex, rhythmic state involving a progression of repeated
cycles, each representing different phases of body and brain activity

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3
Q

WHY DO WE NEED SLEEP? (5 )

A
  • Essential to well-being – brain, growth/stress hormones,
    appetite, weight control, strengthens immune system
  • Regulator of energy metabolism – restoration and repair during
    sleep,
  • Improve learning and adaptation – review of facts/situations
    during sleep
  • Reduce stress and anxiety – improve ability to cope
  • Sleep/rest and illness interrelated – reduction of sleep
    compromises immune system, restore energy to repair tissue.
    Often have difficulty sleeping due to illness.
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4
Q

Sleep wake cycle influenced by:
* External forces

  • Internal forces
A

Light, Dark, Activity, Habits, Work, Environment

Growth and development, health, drugs, caffeine, diet, stress,
fear, losses

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5
Q

Circadian rhythms

A

Biological rhythms that run a full cycle in 24 hr period.
Biologic clock- an internal system that regulate behavior in a rhythmic manner, affects overall level of functioning
Ex: body temp, B/P, eating, sleeping
Vary among individual (night owls vs early birds)

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6
Q

Stages (types) of sleep : stage 1

A

Stage 1: EASILY WOKEN “I WASNT SLEEPING”. very light sleep/realized, slowed eye movement.

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7
Q

Stage 2

A

light sleep/easily awakened/bodily processes slow/heart rate and BP goes down / Temp decrease

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8
Q

Stage 3: ( state importance)

A

Deep sleep, further slowing of TPR and BP but remain regular, more difficult to awaken (may be confused if awaken).
-Skeletal muscles relaxed.
-Reflexes are diminished.
-Snoring.
-This stage is thought to physically restore the body (healing & tissue renewal) and releases important growth hormones.

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9
Q

No stage 3 for ______ in their 70’s.

A

males

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10
Q

REM

Also referred to as:

A

after stage 3.

starts 90 minutes after sleep, recurs every 90 minutes and averages 20 minutes
Muscles are relaxed, rapid eye movement.
Also referred to as Paradoxical sleep  there is increased brain activity and sleep occurring at the same time.

youre sleeping atp

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11
Q

REM sleep stimulates

A

the brain regions used in learning, thinking, and organizing information, and adult sleep cycles are typically 70-90 minutes in length.

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12
Q

If i wake up in the night I will immediately back to the stage I was just in.

T or F

A

F. You start over

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13
Q

Neonates: up to age 3 months appx.

Infants:

Toddlers & Preschoolers:

Middle & late childhood (5-12yrs): varies; appx.

Adolescents (12-18yrs) appx.

young adults/middle aged

older

A

16hrs

appx. 15hrs (prolong REM periods)

appx. 12hrs (trouble falling asleep, night terrors, difficulty “winding down”)

10-11hrs (difficulty falling asleep thinking about next day, stress, social concerns)

8- 9 hrs

7/8 hrs

7/9 hrsqw

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14
Q

Factors affecting the composition of sleep ( 10 factors)

A
  1. Age = Younger  more sleep is needed
  2. Environment= Promote or hinder sleep~ noisy, quiet, light, dark
  3. Fatigue = moderately fatigue leads to restful sleep.
  4. Lifestyle =ability to relax before sleep can impact a person’s sleep ~new job, emotional problems, financial problems
  5. Emotional Stress
    -Anxiety and depression > experience less stage III NREM and REM sleep

6.Alcohol and Stimulants
-Alcohol disrupts REM sleep
-Caffeine acts as a stimulant

7.Diet
-L-tryptophon found in milk and cheese may induce sleep, carbohydrates promote relaxation
Factors affecting the composition of sleep (con’t)

8.Smoking
Stimulant effect on the body
Smokers have more difficult falling asleep
Smokers are easily awakened (light sleeper)
Sleep improves if no smoking after dinner

9.Motivation
A person can be motivated to stay awake

10.Illness
Pain, respiratory conditions, hot flashes, anxiety, depression
Medications

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15
Q

Medications affect quality of sleep ( 3)

A

Lasix ( diuretic) -
Beta – blockers = cause insomnia and nightmares
Bronchodilators- CNS stimulation/avelioi

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16
Q

Clinical conditions and relation to :During REM (3)

A

increase stimulation (HR)  more heart attacks

increase gastric secretions  gastric pain
I
rregular respirations cause apnea or bronchospasm

17
Q

Clinical condtions and relation to:
Stage III (3)

A

-Decrease in stage III NREM associated with depression d/t irregular sleep pattern

-With tissue damage or catabolism: increase need for sleep, repair

-Sleep deprivation: behavior changes memory lapse, apathy, irritability, lowers pain threshold

18
Q

SLEEP DISORDERS
Insomnia:

Hypersomnia:

Narcolepsy:

Sleep Apnea:

Parasomnias:

Bruxism

Enuresis

A

inability to obtain adequate amt of quality sleep; difficulty falling asleep, staying asleep

excessive sleep especially in daytime

brain’s inability to regulate sleep-wake cycle normally, sudden uncontrollable urge to sleep lasting from seconds to minutes, sleeps well at night

periodic cessation of breathing during sleep; last from 10 sec to 2 mins, occurs several times/night

behaviors that occur during sleep (sleep walking, talking, nightmares, Bruxism(teeth grinding), Enuresis ( bed-wetting)

(teeth grinding),

( bed-wetting)

19
Q

List two types of Parasomnias

A

Bruxism

Enuresis

20
Q

Assessment of sleep needs
(4)

A

Number of hours needed
Usual bedtime
Usual bedtime routine
Number of pillows

21
Q

Nursing interventions

A

Regular bedtime and wake up time
Daily exercise (not before bed, at least 2 hrs prior)
Establish bedtime routine
Use bed for sleep and sex only
No fluids 2-4 hours before HS
No ETOH or caffeine 4 hrs before HS
Pain meds 30 minutes before HS
Proper positioning for breathing
Proper temperature, lighting, noise, ventilation

22
Q

shorten REM indicates what from a patient

A

Excessive sleepiness

23
Q

a patient experiences anxiety where the difficultly sleeping going to be at :

A

ONSET

24
Q

Biorhythms

A

are “biological clocks” that are controlled within the body and synchronized with environmental factors (e.g., gravity, electromagnetic forces, light, and darkness). Biorhythms influence many physical and mental functions.

25
Q

nocturia

A

getting up at night to urinate

26
Q

loss of muscle tone occcurs in:

A

REM

27
Q

______ accounts for 20% to 25% of sleep

A

REM

28
Q

Cataplexy

A

a sudden loss of muscle tone usually triggered by an emotional event (e.g., laughter, surprise, or anger)

29
Q

Which sleep disorder involves a person suddenly waking up thrashing about and hallucinating?

A

night terrors

30
Q

Which part of the brain controls circadian rhythm?

A

Hypothalamus