Sleep: 2

Question 1

light sleep to deep sleep, after pre sleep. Brain activity, vitals signs, metabolism all slows down during NREM. Growth hormones release, cells repaired and removed

Answer 1

Non-Rapid Eye Movement

Question 2

After NREM, getting vivid dreams, hard to wake, eyes rapidly moving, heart rate reps rate and BP fluctuate. Skeletal muscles in REM completely lose tone. Helps continuation, memory, early brain development

Answer 2

Rapid Eye Movement

Question 3

Sleep Cycle

Answer 3

Presleep - first 10-30 minutes
NREM and REM - 90-110 minutes
Sleep cycle number depends on amount of time spent sleeping.

Question 4

Mental relaxation, freedom from anxiety, & state of mental, physical, and spiritual activity.
Best rest doesn’t mean a patient will feel rested.
Yoga, stretching, walking, sitting quietly will all help you to feel rested.

Answer 4

Rest

Question 5

40% have sleeping problems. REM time shortens, more light than deep sleep. take more nap in day to compensate for sleep they aren’t getting

Answer 5

Older Adults

Question 6

Chronic difficulty falling asleep, frequent waking, short sleep, nonrestorative sleep.

Excessive daytime drowsiness. May feel sleepy, fatigues, anxious, depressed in day time. Associated with poor sleep habits or other conditions they might have going on.

Answer 6

Insomnia

Question 7

Inability to breathe and sleep at the same time

Answer 7

Sleep Apnea

Obstructive sleep apnea (OSA) - Airflow gets interrupted despite effort to breathe. Structures of neck & mouth relax & close airway

Central sleep apnea (CSA) - no signal being sent to breathe

Snoring is common sign of sleep apnea. Obese & hypertension increase risk for this. Irritable, morning headaches, fatigues, can’t concentrate, daytime sleepiness, decreased sex drive. CV issues

Question 8

Type of hypersomnia
REM will happen in 15 minutes

Answer 8

Narcolepsy

Question 9

condition caused by decrease in amount, quality, consistency of sleep.

Answer 9

Sleep Deprivation

Question 10

Sleep problems during REM and NREM

More common in kids, confused when waking up, sleep walking, SIDS, nightmares, night terrors, body rocking, bruxism (teeth grinding)

Answer 10

Parasomnias

Question 11

Blurred vision, clumsy, slow response time, decreased reasoning, ptosis, cardiac arrhythmias, confusion, irritable, hyperactive, excessively sleepy.
These are signs of what

Answer 11

Signs of Sleep Deprivation

Question 12

Medications, lifestyle/sleep patterns, emotional stress, environment, exercise, fatigue, and food/caloric intake all influence what?

Answer 12

Sleep

Question 13

Respiratory disease, heart disease, hypertension, nocturnal, restless leg syndrome, GI disorders

Answer 13

Physical illnesses thast cause pain, discomfort, anxiety, and repression which result in sleep problems

Question 14

How and why does hospitalization affect sleep?

Answer 14

Patients are in a strange environment, with people making noise and going in and out of them room.

Question 15

Eating small protein snacks and avoiding sugar, caffeine, and alcohol help to what?

Answer 15

Promote sleep

Question 16

Creating an environment with temperature, ventilation, noise level, bed, and lighting helps promote what?

Answer 16

Sleep

Question 17

Does blue light help with sleep?

Answer 17

NO

Question 18

Promote comfort, limit time spent in bed, encourage to eat in dining room, limit daytime naps to 30 mins or less, get sunshine exposure, make sure we are treating Illness symptoms before going to bed, make sure they are positioned comfortably.

Answer 18

Continuing care interventions for sleep

Question 19

What is the recommended nap time for they day?

Answer 19

30 minutes