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Sleep

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
recurrent, altered state of consciousness that occurs for sustained periods   show
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24-hour, day-night cycle known as   show
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_____________ affect all circadian rhythms, including seep-wake cycle   show
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External factors such as _____________ also affect circadian rhythms.   show
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natural secretion of ________________________ supports circadian Rhythm in sleep-wake cycle by helping to ensure a smooth transition from wakefulness to sleep   show
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Every person has a _____________ that is normally synchronized by exposure to light & activity.   show
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show normal rhythm of sleep  
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Normal variations in _____________ correlate w/sleep-wake patterns.   show
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show disrupted  
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show sufficient sleep  
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show control & regulation; two cerebral mechanisms  
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The neurons in the _____________ maintain a state of wakefulness.   show
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show parasympathetic control centers  
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As you fall asleep, stimuli to _____________ in the upper brain stem decline.   show
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show bulbar synchronizing region (BSR)  
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show non-rapid eye movement (NREM) sleep & rapid eye movement (REM) sleep  
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During _____________ an individual progresses through four stages during a typical 90-minute sleep cycle.   show
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The quality of sleep from stage _____________ becomes increasingly deep.   show
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show stages 1 & 2  
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_____________ involve a deeper sleep called slow-wave sleep from which a person is more difficult to arouse.   show
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show REM  
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show REM  
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_____________ sleep is not divided into stages.   show
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show pre-sleep period  
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show 10 to 30 minutes  
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Individuals experiencing difficulty falling asleep often remain in _____________ for an hour or more.   show
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show four to six  
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The cyclical pattern of sleep usually progresses from stage 1 through stage 4 of NREM, followed by a _____________, ending with a period of REM sleep.   show
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With each successive cycle of sleep, _____________ sleep shorten & the period of _____________ lengthens.   show
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_____________ lasts up to 60 minutes during the last sleep cycle.   show
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show NREM stages 2, 3, & 4  
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The _____________ depends on the total amount of time that the person spends sleeping.   show
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show restoration & preparation  
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During _____________ sleep, biological functions slow.   show
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A healthy adult's normal heart rate throughout the day averages _____________ beats per minute.   show
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show 60  
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Sleep is also a part of maintaining normal _____________ & optimal _____________.   show
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During _____________ sleep, the body releases human growth hormone for the repair and renewal of epithelial and specialized cells such as brain cells.   show
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_____________ and _____________ for the renewal of tissues also occur during rest and sleep.   show
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show REM  
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show cerebral; cortical; oxygen; epinephrine  
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During REM sleep, the changes in cerebral blood flow, increased cortical activity, increased oxygen consumption, & epinephrine release assists with _____________ & _____________.   show
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show REM; NREM  
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_____________ dreams progress in content throughout the night from dreams about current events to emotional dreams of childhood or the past.   show
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_____________ help people sort out immediate concerns or erase certain fantasies or nonsensical memories.   show
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B/c most dreams are _____________, many people have little dream recall & do not believe they dream at all.   show
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show consciously think  
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show REM  
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The neonate & infant up to the age of 3 months average about _____________ of sleep a day.   show
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show 50%  
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show 3 months  
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Infants sometimes take several naps during the day but usually sleep an average of _____________ during the night.   show
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Infants spend about _____________ of sleep time in the REM cycle.   show
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show 2 years  
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Total sleep for 2 year-olds averages _____________ a day.   show
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Some children stop taking naps altogether at _____________.   show
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show REM  
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show toddlers  
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A preschooler sleeps an average of _____________ a night with about _____________ is REM.   show
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By the age of _____________, the preschooler rarely takes daytime naps except in cultures where a siesta is the custom.   show
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show preschooler  
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show preschooler  
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The _____________ child usually does not require a nap.   show
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A _____________ averages 11 to 12 hours of sleep nightly.   show
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An 11-year-old averages about _____________ hours of sleep nightly.   show
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show 6- or 7-year old  
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The _____________ often resists sleeping b/c of an unawareness of fatigue or a need to be independent.   show
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show 8.5 & 9.5 hours  
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Although sleep needs should go up, typical teenagers get about _____________ of sleep per night.   show
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show lessen  
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show Teens  
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B/c of lifestyle demands that shorten the time available for sleep & physiological needs, teens often experience _____________.   show
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show EDS  
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show young adults  
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show young adults  
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show 20%  
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During _____________ the total time spent sleeping at night begins to decline.   show
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show stage 4 sleep  
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show age 65 or older  
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Older adults spend more time in _____________ and have less _____________ sleep.   show
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Some older adults have almost no _____________, or deep sleep.   show
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show REM  
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show older adults  
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show sleep efficiency  
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show older adults  
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show older adults  
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Tests show that older adults do not have an _____________ for sleep, but have a reduction in the ability to sleep.   show
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As people age, their circadian clock advances, causing _____________.   show
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_____________ is common in older adults and often is the reason behind the complaint of waking early in the morning and being unable to get back to sleep.   show
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People with _____________ get sleepy early in the evening say around 8 or 9 pm and wake up around 4 or 5 am.   show
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When people with _____________ stay up until their customary 10 or 11 pm, their bodies still awaken at 4 or 5 am.   show
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A number of factors affect the quantity and quality of sleep; often more than one factor combined to cause a sleep problem.   show
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show illness or condition  
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show physical illness  
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_____________ also force patients to sleep in positions to which they are unaccustomed.   show
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show drugs  
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_____________ prescribed for sleep often cause more problems than benefits.   show
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_____________ is a natural protein found in foods such as milk, cheese, and meats & sometimes helps a person sleep.   show
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show L-Tryptophan  
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A persons' daily routine influences sleep patterns.   show
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show day and night shifts  
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Other alterations in routine that disrupt sleep patterns include performing _____________, engaging in _____________, & changing _____________.   show
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On average, adults sleep _____________ per nights on weeknights & _____________ hours per night on weekends.   show
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show sleep deprivation; EDS (excessive daytime sleepiness)  
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_____________ often results in impairment of waking function, poor work or school performance, accidents while driving or using equipment, and behavioral or emotional problems.   show
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show Feelings of sleepiness  
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Persons who temporarily experience sleep deprivation as a result of an active social evening or lengthened work schedule usually feel sleepy the _____________.   show
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_____________ is much more serious than temporary sleep deprivation and causes serious alterations in the ability to perform daily activities.   show
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_____________ is most difficult to overcome during sedentary tasks (e.g., driving).   show
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The _____________ in which a person sleep has significant influence on the ability to fall and remain asleep.   show
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show ventilation; temperature; darkened or softly  
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The _____________, _____________, and _____________ of a bed also affect sleep quality.   show
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_____________ are often harder than those at home.   show
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show wakefulness  
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Sleeping with a _____________ bed partner also disrupts sleep.   show
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_____________ affects sleep activity by decreasing REM activity.   show
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show noise  
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show health care facilities  
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Some persons require _____________ to fall asleep, whereas others prefer _____________ such as soft music or television.   show
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show health care facilities  
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show intensive care setting  
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A person who is moderately fatigued usually achieves restful sleep, especially if the fatigue results from _____________.   show
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Completing _____________ within 2 hours or more before bedtime allows the body to cool down and maintains a state of fatigue that promotes relaxation.   show
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_____________ right before bedtime interferes with sleep onset duet to increased body temperature.   show
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show Excess fatigue  
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show 3 to 4 hours  
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_____________ consumed in the evening has insomnia-producing and diuretic effects.   show
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show caffeine and xanthines  
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show obstructive sleep apnea  
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Weigh loss causes _____________ and decreased amounts of sleep.   show
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Certain sleep disorders are the result of the _____________ popular in a weight-conscious society.   show
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_____________ are conditions that, if untreated, cause disturbed nighttime sleep that results in one of three problems: insomnia, abnormal movements or sensation during sleep or when awakening at night; or excessive daytime sleepiness.   show
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_____________ is a symptom experienced by patients who have chronic difficulty falling asleep, frequent awakenings from sleep, and/or a short sleep or non-restorative sleep.   show
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The person with _____________ complains of EDS, as well as insufficient quantity and quality of sleep.   show
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show insomnia  
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Often people experience _____________ insomnia as a result of situational stresses such as work or family problems.   show
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A temporary case of _____________ caused by a stressful event has the ability to lead to chronic difficulty in obtaining sufficient sleep.   show
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_____________ is often associated with poor sleep habits.   show
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During the day a person with _____________ feels sleepy, fatigued, depressed, and anxious.   show
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show direct treatments  
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_____________ is a disorder in which the individual is unable to breathe and sleep at the same time.   show
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show sleep apnea  
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show sleep apnea  
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_____________ is a cessation or stopping of airflow despite the effort to breathe.   show
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show obstructive sleep apnea  
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show structural abnormalities  
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Cessation of diaphragmatic and intercostal respiratory effort causes _____________.   show
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_____________ is a result of dysfunction of the brain's respiratory control center.   show
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_____________ is found in patients with congestive heart failure, brain stem injury, muscular dystrophy, and encephalitis, as well as in people who breathe normally during the day.   show
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show central sleep apnea  
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EDS is the most common complaint of people with _____________.   show
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Patients with _____________ are at risk for cardiac dysrhythmias, right heart failure, pulmonary hypertension, angina attacks, stroke, & hypertension.   show
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show sleep apnea  
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show nasal continuous positive airway pressure (CPAP)  
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The _____________ pushes positive air pressure into the airway in an attempt to reduce the apnea periods the patient experiences during sleep by serving a s splint for the airway.   show
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show narcolepsy  
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show EDS  
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show narcolepsy  
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show cataplexy  
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If the _____________ is severe, the patient loses voluntary muscle control and falls to the floor.   show
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A person with _____________ often falls asleep uncontrollably at inappropriate times.   show
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_____________ can be misunderstood for laziness, lack of interest in activities, or drunkenness.   show
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show sleep deprivation  
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show sleep deprivation  
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_____________ occurs from insufficient sleep or disrupted sleep.   show
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show intensive care units  
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show sleep deprivation  
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show sleep deprivation  
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show sleep deprivation  
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The _____________ are sleep disorders that produce abnormal sleep movements, behaviors, emotions, perceptions, and dreaming as a result of autonomic nervous system changes and skeletal muscle activity during sleep.   show
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