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REST/SLEEP NURS 115

CHAPTER 40

QUESTION?ANSWER:
WHAT IS REST? *CONDITION IN WHICH THE BODY IS IN A DECRESSED STATE OF ACTIVITY, WITH THE RESULTING OF FEELING REFRESHED
WHAT IS SLEEP? *A STATE OF REST ACCOMPAINED BY ALTERED CONSIOUSNESS AND RELATIVE INACTIVITY
WHAT ARE TWO SYSTEMS IN THE BRAIN THAT ARE BELIEVED TO WORK TOGWTHER TO CONTROL THE CYCLICNATURE OF SLEEP? *RETICULAR ACTIVATING SYSTEM(RAS) *BULBAR SYNCHRONZING REGION
WHAT DOES THE RETICULAR ACTIVATING SYSTEM DO? *EXPERENCES FEW STIMULI *WAKEFULLNESS OCCURES WHEN THIS SYSTEM IS ACTIVATED
WHAT DOES THE BULBAR SYNCHRONZING REGION DO? *ACTIVITY OF THIS REGION INCREASES WITH ONSET OF SLEEP *WORKS WITH (RAS) TO CONTROL SLEEP CYCLE
WHERE IS THE CONTROL CENTER FOR INVOLUNTARY ACTIVITIES, INCLUDING SLEEPING AND WALKING? *HYPOTHALAMUS (INJURY TO THE HYPOTHALAMUS MAY CAUSE A PERSON TO SLEEP FOR ABNORMALLY LONG PERIODS(HYPERSOMNIA)
WHAT IS CARCADIN RYTHMS AND WHAT IS THEIR INFLUENCE ON BIOLOGICAL FUNCTION? *BIOLOGICAL CLOCK THAT REGULATES BEHAVIORAL FINCTIONS *COMPLETES A FULL CYCLE EVERY 24 HOURS *AFFECTED BY LIGHT, TEMP, SOCIOLGICAL AND OCCUPATIONAL HABITS *DAY/NIGHT CYCLE IS THE RHYTHM THAT MOST AFFECTS SLEEP *SLEEP RYTHMS ARE CYCLICAL
WHAT IS NREM SLEEP AND HOW MANY STAGES DOES IT CONSIST OF? *NON-RAPID EYEMOVEMENT *HAS FOUR STAGES
WHAT DOES STAGE 1 OF NREM SLEEP CONSIST OF? *5% OF TOTAL SLEEP *LAST ONLY A FEW MINUTES *RELAXED BUT STILL AWARE *EASL AROUSAL
WHAT DOES STAGE 2 OF NREM SLEEP CONSIST OF? *50-55% OF TOTAL SLEEP *LAST 10-20 MINUTES PERCYCLE *FALLS INTO A SLEEP STATE *EASLY AWAKENED
WHAT DOES STAGE 3 OF NREM SLEEP CONSIST OF? *10% OF TOTAL SLEEP *LAST 15-30 MINUTES *INTIAL STAGE OF SLEEP *DIFFICULTY IN AROUSING *RARELY MOVES
WHAT DOES STAGE 4 OF NREM SLEEP CONSIST OF? *10% OF SLEEP *LAST 15-30 MINUTES *DELTA/DEEPEST SLEEP *EXTREMELY DIFFICULTY IN AROUSING
WHAT ARE THE PHYSIOLOGIC CHANGES DURING STAGE 1 OF SLEEP? *INVOLUNTARY MUSCLE JERKING MAY OCCUR AND WAKEN THE PERSON *TRANSITIONAL STAGE
WHAT ARE THE PHYSIOLOGIC CHANGES DURING STAGE 4 OF SLEEP?(stage 2 or 3 was not listed in my book) *DECREASED BLOOD PRESSURE, RESPIRATORY RATE, HEART RATE, BRAIN WAVES, PULSE AND METABOLISM *MUSCLES ARE RELAXED *SLEEPWALKING AND BED WETTING MAY OCCUR *IF DEPRIVED DEPRESSION MAY OCCUR
WHAT IS REM SLEEP? *RAPID EYE MOVEMENT
WHAT DOES REM SLEEP CONSIST OF? *20-25% OF SLEEP *LAST 20 MINUTES PER CYCLE *MOST DIFFICULT TO AROUSE
WHAT ARE THE PHYSIOLOGIC CHANGES IN REM SLEEP? *INCREASE HEART RATE, BLOOD PRESSURE, PULSE, RESPIRATIONS, GASTRIC SECREATIONS, METABOLISM *IRREGULAR RESPIRATION RATE *DECREASE MUSCLE TONE AND DEEP TENDON REFLEXES(PARALYSIS)
WHAT ARE THE PHYSIOLOGIC CHANGES THAT OCCUR IN REM SLEEP? *BURSTS OF RAPID EYE MOVEMENTS *MOST DREAMS OCCUR IN THIS STAGE *BELIEVED TO BE ESSENTIAL TO MENTAL AND EMOTIONAL EQUILIBIUM *APNEA OCCURS IN THIS STAGE *IF DEPRIVED MAY RESULT IN IRRITABILITY AND ANXIETY
HOW LONG DOES A SLEEP CYCLE NORMALLY LAST? *70-110 MINUTES(LECTURE) *90-100 MINUTES(BOOK)
WHAT IS THE SLEEP CYCLE? *THE PERSON PASSES CONSECUTIVELY THROUGH THE FOUR STAGES OF NREM SLEEP, THE PATTERN IS THEN REVERSED AND THEN THE PERSON RETURNS TO STAGE 4 TO STAGE 3 TO STAGE 2, INSTEAD OF REENTERING STAGE 1 AND AWAKENING THE PERSON ENTERS INTO THE REM, THEN 2, 3, 4....
HOW MANY SLEEP CYCLES DOES A PERSON NORMALLY GO THROUGH *4-5 CYCLES WITH REM SLEEP ENTERING FROM STAGE 2 OF NREM SLEEP
WHAT IS THE SLEEP PATTERN AMOUNG PATIENTS WHO ARE NEWBORNS? *AVERAGE 16 HOURS EVERY 24 HOURS, 4 HOURS AT A TIME
WHAT IS THE SLEEP PATTERN AMOUNG PATIENTS WHO ARE INFANTS? *10-12 HOURS AT NIGHT WITH SEVERAL NAPS IN THE DAY *REM SLEEP CONTRIBUTES MUCH OF THE SLEEP CYCLE
WHAT IS THE SLEEP PATTERN AMOUNG PATIENTS WHO ARE TODDLERS? *THROUGH OUT NIGHT 8-10 HOURS WITH 1-2 NAPS DURING THE DAY
WHAT IS THE SLEEP PATTERN AMOUNG PATIENTS WHO ARE PRESCHOOLERS? *9-16 HOURS AT NIGHT AVERAGE 12 HOURS *REINFORCE A BEDTIME ROUTINE
WHAT IS THE SLEEP PATTERN AMOUNG PATIENTS WHO ARE SCHOOL AGE CHILDERN? *10-12 HOURS AT NIGHT *ENCOURAGE ROUTINE
WHAT IS THE SLEEP PATTERN AMOUNG PATIENTS WHO ARE ADOLESCENTS? *8-9 HOURS A NIGHT; VARIES BECAUSE THEY DONT GET ENOUGH
WHAT IS THE SLEEP PATTERN AMOUNG PATIENTS WHO ARE ADULTS? *TOTAL SLEEP DECREASES *STAGE 4 DECREASES *LONGER PERIODS OF WAKEFULLNESS WHILE IN BED
WHAT IS THE SLEEP PATTERN AMOUNG PATIENTS WHO ARE OLDER ADULTS? *AVERAGE 5-7 HOURS A NIGHT IS NORMAL *STAGE 4 DECREASED OR ABSENT *PROBLEMS WITH FALLING ASLEEP AND STAYING ASLEEP
WHAT ARE THE FUNCTIONS OF SLEEP? *RESTORE HEALTH *RELIEVE STRESS AND ANXIRTY *RESTORE ABILITY TO COPE AND CONCENTRATE ON ADL'S
WHAT ARE THE FACTORS THAT AFFECT SLEEP? *PSYCHOLOGICAL: STRESS *MOTIVATION: DESIRE TO BE AWAKE OVERCOMES SLEEPINESS *CULTURE: CERTAIN MEDICATIONS *LIFESTYLE/HABITS: SHIFT WORK(MAJOR CAUSE) ALCOHOL(LIMIT REM) TV SHOWS *PHYSICAL ACTIVITY: INCREASE FATIGUE, ACTIVITY PERFORMED 2HRS BEFORE SLEEP
WHAT ARE THE FACTORS THAT AFFECT SLEEP? *DIETARY HABITS(TURKEY (^ALTERNESS) PROTEIN, CAFFEINE(CNS STIMULANT) *ENVIROMENT: MOST PPL SLEEP BETTER IN FAMILAR SURROUNDINGS *ILLNESS: STRESS, ^GASTRIC SECREASTIONS, PAIN R/T CARDIAC DISEASE IN REM, SEIZURES ^ IN NREM, LIVER FAILURE DAY/NIGHT REVERSES
WHAT ARE THE FACTORS THAT AFFECT SLEEP? MEDICATIONS: BARBITURATED, ANTIDEPRESSENTS, AMPHETAMINES ALL DECREASE REM SLEEP
WHAT MEDICATIONS LEAST PROMOTE SLEEP? *CHLORAL HYDRATE *ZOLPIDEM TARTRATE (AMBLEN) *DIURETICS(BATHROOM ALL THE TIME)
WHAT ARE TO COMMON SLEEP DISORDERS? (1) DYSSOMNIA: INSOMNIA OR EXCESSIVE SLEEPYNESS (2) PARASOMNIA: PATTERNS OF WAKING BEHAVIORS
WHAT IS INSOMNIA? *DIFFICULTY FALLING ASLEEP *MOST COMMON SLEEP DISORDER
WHAT IS HYPERSOMNIA? EXCESSIVE SLEEPINESS
WHAT IS SLEEP APNEA? *BREATHING CEASES 10-20 SECONDS UP TO 2 MINUTES, CAUSE CARDIAC EVENTS,COMMON IN OBESE MIDDLEAGE MEN WITH SHORT THICK NECKS, INCREASE B/P, O2 LEVELS DROP
WHAT IS SLEEP DEPRIVATION? *DECREASE AMOUNT, CONSISTANCY OR QUALITY OF SLEEP
WHAT ARE PHARMACOLOGIC THERAPY TREATMENTS FOR DYSOMNIA? *SEDATIVES AND HYPNOTICS
WHAT ARE SOME NON PHARMACOLOGIC THERAPY TREATMENTS FOR DYSSOMNIA? *STIMULUS CONTROL *SLEEP RESTRICTION *SLEEP HYGIENE *COGNITIVE THERAPY *RELAXATION THERAPY
WHAT IS SOMNAMBULISM? *SLEEP WALKING
WHAT ARE SOME SLEEPING DISORDERS R/T PARASOMNIA? *SLEEP TALKING *ENURESIS(BEDWETING) *BRUXISM(GRINDING TEETH) *NOCTURNAL EMISSIONS(YOUNG MALE)
WHAT ARE SOME SLEEP DISORDERS R/T MEDICAL OR PSYCHIATRIC DISORDERS? *HYPO/HYPERTHYRIODISM(DECREASES SATE 3 AND 4 NREM) *CHRONIC RENAL INSUFFICIENCY *DEPRESSION *SCHIZOPHRENIA(DECREASES REM, STAGE 3 AND 4 NREM)
WHAT IS KLEINE-LEVIN? *RARE OVERSLEEPING *FOOD AND OVEREATING *LAST SEVERAL HOURS UP TO 3-4 WEEKS A YEAR
WHAT ARE SOME NURSING INTERVENTIONS TO PROMOT SLEEP? (1) PREPARE RESTFUL ENVIROMENT (2) PROMOTE BEDTIME RITUALS (3)BED TIME SNACKS (4) RELAXATION AND COMFORT (5) RESPECT NORMAL SLEEP/WAKE PATTERNS (6) SCHEDULE NURSING CARE AROUND SLEEP (7) USE MEDICATIONS (8) YEACH PATIENTS ABOUT REST AND SLEEP
WHAT ARE SOM PHARMACOLOGICAL MANAGEMENTS TO HELP WITH SLEEP? SEDATIVES AND HYPNOTICS: DIAZEPAM(VALIUM) DIPHENHYDROMINE(BENADRYL) PHENO BARBITOL
WHAT DOES SEDATIVES DO? USUALLY PROMOTES RELAXATION ANS ALLOWS SLEEP IN LOW DOSES
WHAT DOES HYPNOTICS DO? *PRODUCES SLEEP WITH HIGH DOSE
Created by: tmitchell0019
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