Sleep-Insomnia

Question 1

transient sleep

Answer 1

Non-REM 1

Question 2

light sleep

Answer 2

Non-REM 2

Question 3

deeper sleep; longer at the beginning of the sleep cycle

Answer 3

Non-REM 3

Question 4

deep sleep; gets longer as the night progresses (towards end of sleep)

Answer 4

REM 4

Question 5

what are the 2 stages of sleep classified as

Answer 5

non-REM and REM

Question 6

how many cycles do we typically have a night

Answer 6

5-6

Question 7

how many hours should adults get of sleep

Answer 7

7-8hrs

Question 8

how many hrs of sleep should teenagers get a night

Answer 8

10hrs

Question 9

who can handle sleep deprivation better

Answer 9

adults

Question 10

what regulates the sleep-wake cycle and regulates secretion of melatonin

Answer 10

reticular activating system (RAS)

Question 11

what is the body clock triggered by light

Answer 11

circadian rhythm (hypothalamus)

Question 12

what age is there a decrease in N3 and REM sleep

Answer 12

middle age

Question 13

middle age has ______ awakenings, ______, and phase _________

Answer 13

increased; arousals; advancement

Question 14

what decreases as we age

Answer 14

sleep efficiency (amount of time of sleep/ time in bed)

Question 15

difficulty falling asleep, staying asleep and waking up feeling unrefreshed

Answer 15

insomnia

Question 16

what are the 7 causes of insomnia

Answer 16

• Psych
• medical illness
• stress
• medications
• substances
• environmental
• exercise

Question 17

what are risk factors of insomnia

Answer 17

women higher risk than men
increasing age
depression/anxiety
low income
travel

Question 18

what assessments can be done for pt with insomnia

Answer 18

have pt track sleep (2 week diary)
how did the pt feel the next day
how was their sleep environment
pittsburgh sleep quality test
epworth sleepiness scale

Question 19

what are treatments of insomnia

Answer 19

cognitive behavioral therapy
therapist
medication

Question 20

for insomnia you should ____ the ______ cause first

Answer 20

treat; underlying

Question 21

what are over the counter medications a pt with insomnia can take

Answer 21

benadryl (diphenhydramine)

Unisom ( doxylamine succinate)

Question 22

what develops quickly with short term management of sleep insomnias

Answer 22

tolerance

Question 23

melatonin mimics the body’s natural production of hormone and what surpasses melatonin secretion

Answer 23

light

Question 24

what prescriptions are given for pt with insomnia

Answer 24

sedative-hypnotic

benzodiazepines

Question 25

loss of neuropeptide that regulates arousal, wakefulness and appetite

Answer 25

narcolepsy

Question 26

what is the neuropeptide that is lost in narcolepsy

Answer 26

hypocretin (orexin)

Question 27

narcolepsy is also known as destruction of the cells that produce

Answer 27

hypocretin

Question 28

what happens with narcolepsy

Answer 28

``` fragmented sleep may or may not go into REM wake with bad nightmares night terrors sleep walking sleep paralysis ```

Question 29

caused by a strong emotion or laughter and can cause an attack (protruding tongue to full body collapse)

Answer 29

cataplexy (can happen with narcolepsy)

Question 30

how can a pt that has narcolepsy be hungry

Answer 30

signals for sleep associated with signals for hunger can over lap and a side effect of this is obesity

Question 31

what is the treatment for narcolepsy

Answer 31

at least 8 hrs of sleep a night limiting alcohol napping during day medications

Question 32

what are the IOM recommendations for nurse fatigue

Answer 32

no more than 12 hours a day in a 24 hour period | limit to 60 hrs in a 7 day period

Question 33

who is at risk for nurse fatigue

Answer 33

the pt and the nurse themselve

Question 34

if a nurse is awake for 17 hours this equals same cognition as a blood alcohol level of

Answer 34

0.5

Question 35

if a nurse is awake for 24 hours this equals same cognition as a blood alcohol level of

Answer 35

0.10

Question 36

what are DO'S to avoid nurse fatigue

Answer 36

1. take at least one break with addition of lunch break 2. use caffeine therapeutically to stay awake 3. good nutrition (complex carbs and protein) 4. exercise

Question 37

what are DONT's to help nurse fatigue

Answer 37

drinking alcohol because its a depressant