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REST/SLEEP NURS 115
CHAPTER 40
QUESTION? | ANSWER: |
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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 |