Sleep-test 2

Question 0

Sleep deprivation outcomes

Answer 0

Difficult to concentrate, focus, and make judgements

Question 1

Sleep is important for _________ and __________ health

Answer 1

Physical and emotional

Question 2

Sleep is necessary for _______ and ________

Answer 2

Healing and growth

Question 3

If you don’t get enough sleep you will gain or lose weight?

Answer 3

Gain weight

Question 4

What is the state of being mentally relaxed free of anxiety and physically calm

Answer 4

Rest

Question 5

What can being confined to a bed do?

Answer 5

Increase anxiety

Question 6

If you get less than ____ hours of sleep a night you will have a higher BMI

Answer 6

6 hours

Question 7

If you are sleep deprived how many hours does it take to show cognitive changes?

Answer 7

24 hours

Question 8

What are some measurements you could implement to promote rest

Answer 8

Comfortable position, shut door to hallway, cluster your care, turn down lights

Question 9

What is the sleep-wake cycle controlled by

Answer 9

Nervous system

Question 10

What is Circadian Rhythms

Answer 10

24 hour day/night cycle

Question 11

How are circadian rhythms synchronized?

Answer 11

By environmental light and dark periods

Question 12

Bright light early in the morning=?

Answer 12

Sleep-wake rhythm to earlier

Question 13

Bight light late in evening=?

Answer 13

Sleep-wake rhythm to later

Question 14

What type of people have free running circadian rhythms

Answer 14

• people in ICU (lights on no windows)

* blind people (no light stimulation)

Question 15

Most can transition from sleep to wake in ____ to ______ minutes

Answer 15

10 to 20 minutes

Question 16

75-80% of sleep time is what type of sleep

Answer 16

NREM

Question 17

What are the 3 stages of NREM

Answer 17

Stage 1- transition from being awake to being asleep, 10-20 min transition, easily aroused

Stage 2- decreased HR, sound sleep, decreased body temperature, 10-25 min

Stage 3- deep sleep, 20-40 minutes, deepest sleep of NREM

Question 18

Deepest sleep of NREM

Answer 18

Stage 3

Question 19

What is REM sleep important for

Answer 19

Memory

Question 20

What often does REM sleep occur

Answer 20

3 to 4 times a night

Question 21

What % of sleep time is REM

Answer 21

20% to 25% of sleep time

Question 22

What part of sleep is when you have most vivid dreams

Answer 22

REM

Question 23

When do most heart attacks happen

Answer 23

Toward early morning

Question 24

Insomnia is experience by ___ in ____ adults

Answer 24

1 in 3 adults

Question 25

How long must you have symptoms to be diagnosed with acute insomnia

Answer 25

Symptoms for at least 3 nights/wk over a 2 week period

Question 26

How long must you have symptoms of insomnia to be diagnosed with chronic insomnia

Answer 26

Nighttime and daytime symptoms for 1 month or longer

Question 27

What is insomnia aggravated by

Answer 27

Inadequate sleep hygiene

Question 28

What ways can chronic insomnia be classified

Answer 28

Primary (idiopathic): lifelong difficulty in initiating and maintaining sleep, resulting in poor daytime functioning Secondary: insomnia due to a psychiatric illness, a medical condition, medications, or substance abuse.

Question 29

What is frequent awakening called

Answer 29

Fragmented sleep

Question 30

How is insomnia diagnosed

Answer 30

Through self report, actigraphy (a small watch that is worn and records movement), polysomnography (sleep lab)

Question 31

What is the first line of therapy for treatment of insomnia

Answer 31

Cognitive behavior

Question 32

What kind of foods should be avoided when taking sleep medications

Answer 32

Avoid High-fat foods will affect absorption

Question 33

What are the best kind of questions to ask some one to get information

Answer 33

Open-ended therapeutic communication

Question 34

What age groups is narcolepsy most common in

Answer 34

Adolescents and 30 yr olds

Question 35

What is the cause of narcolepsy

Answer 35

Brains inability to regulate sleep-wake cycles normally

Question 36

What are the two categories of narcolepsy

Answer 36

With and without cataplexy Cataplexy- sudden loss of skeletal muscle tone

Question 37

Drugs used to manage narcolepsy

Answer 37

Amphetamine - like stimulants to relieve excessive daytime sleepiness Antidepressant drug therapy to control cataplexy

Question 38

Jet lag disorder is considered to be what type of disorder

Answer 38

Circadian rhythm disorder

Question 39

What can be used to treat jet lag

Answer 39

Melatonin and exposure to daylight assist in synchronization of body clock

Question 40

What is obstructive sleep apnea

Answer 40

Partial or complete upper airway obstruction during sleep . Apneic period may include hypoxemia and hypercapnia

Question 41

Who is obstructive sleep apnea most common in

Answer 41

Smokers and obese

Question 42

What is a big symptom of obstructive sleep apnea

Answer 42

Snoring

Question 43

What are used to manage mild sleep apnea

Answer 43

``` Sleeping on side Elevating HOB Avoiding sedatives and alcohol 3 to 4 hrs before sleep Weight loss***** Oral appliance ```

Question 44

What can be used to manage severe sleep apnea

Answer 44

CPAP (continuous) BiPAP (pressure to open up then lower pressure to exhale against) Surgery (try to take out excess tissue in throat)

Question 45

What is a CPAP machine

Answer 45

Continuous flow for sleep apnea | Keeps tissues in throat open

Question 46

What does Periodic Limb Movement Disorder (RLS) cause?

Answer 46

Poor sleep quality

Question 47

What is Periodic Limb Movement Disorder ?

Answer 47

Involuntary continual movement of the legs/arms that affects individuals during sleep

Question 48

What is enuresis

Answer 48

Bed wetting

Question 49

What is older age associated with when it comes to sleep

Answer 49

- Overall shorter sleep time - Decreased sleep efficiency - More awakenings - Insomnia Sx that typically occur with depression, heart disease, pain, and cognitive problems

Question 50

What are some considerations for drug therapy for sleep with older adults

Answer 50

Avoid long acting benzodiazepines Hypnotics should be used briefly Start drugs at a lower dose and monitor carefully

Question 51

What are parasomnias

Answer 51

Unusual and often undesirable behaviors that occur with sleep or during arousal from sleep

Question 52

What are examples of parasomnias

Answer 52

Enuresis, hallucinations, eating, sleepwalking,sleep tremors, and nightmares