Chapter 33- Sleep and Rest
The nurse is preparing a care plan for a patient with insomnia. Which of the following
would be an appropriate outcome criteria for the goal that the patient will report fewer
problems falling asleep.
1.
The patient will fall asleep faster.
A)
The patient will report a decrease in sleep latency to 10 to 15 minutes within 30
days.
B)
The nurse will administer the patient‟s hypnotic at bedtime each night.
C)
The nurse will give the patient a backrub at bedtime each night.
D)
Ans: B
Feedback:
Outcome criteria for the goal should be patient focused, measurable and with a specific
time frame.
A student nurse is preparing a presentation regarding hypnotic medications. What
information should the student nurse include? Select all that apply.
2.
Hypnotics induce a normal sleep pattern.
A)
Hypnotics may impair waking in a patient.
B)
Hypnotics are safe for long-term use.
C)
, Hypnotics may be addictive.
D)
Tapering of doses may be required after long-term use.
E)
Ans: B, D, E
Feedback:
Hypnotics do not induce a normal sleep pattern and are not indicated for long-term use.
Hypnotics may impair waking functions, which can cause daytime sleepiness. Due to the
potentially addictive qualities of hypnotics, tapering of doses may be required after long-
term use.
The nurse is preparing a care plan for a patient recently diagnosed with obstructive sleep
apnea. The patient complains of daytime sleepiness, fatigue and excessive snoring that
“wakes me up”. What nursing diagnosis would be appropriate for this patient?
3.
Disturbed Sleep Pattern as evidenced by complaints of daytime sleepiness
A)
Disturbed Sleep Pattern related to obstructive sleep apnea as evidenced by
excessive snoring
B)
Disturbed Sleep Pattern related to periods of apnea as evidenced by excessive
snoring
C)
Disturbed Sleep Pattern related to obstructive sleep apnea
D)
Ans: C
Feedback:
Disturbed Sleep Pattern related to periods of apnea as evidenced by excessive snoring is
, the correct nursing diagnosis. The medical diagnosis of obstructive sleep apnea should not
be used in the nursing diagnosis.
A school nurse is speaking to a group of parents regarding the sleep needs of adolescents.
Which statement by a parent indicates a need for further education?
4.
“Adolescents naturally develop an „owl like‟ sleep pattern in which they go to bed
later and sleep later in the morning.”
A)
“Academic performance in adolescents is good when they sleep about 7 hours per
night.”
B)
“Adolescents catch up on sleep on the weekends, when they typically sleep later.”
C)
“Adolescent girls are more likely to develop insomnia than boys.”
D)
Ans: B
Feedback:
Adolescents need about 9 hours of sleep per night. Academic performance is negatively
impacted when adolescents get less sleep. Due to irregular sleep patterns, adolescents
typically sleep later on weekends in an attempt to catch up on sleep. Adolescent sleep
patterns change to a more „owl-like‟ pattern in which they rise later and go to sleep later.
Adolescent girls have a higher risk of developing insomnia than adolescent boys.
A student nurse is preparing a presentation on sleep hygiene practices. What information
should the nurse include? Select all that apply.
5.
Eliminate caffeine intake 6 hours prior to bedtime.
A)
The nurse is preparing a care plan for a patient with insomnia. Which of the following
would be an appropriate outcome criteria for the goal that the patient will report fewer
problems falling asleep.
1.
The patient will fall asleep faster.
A)
The patient will report a decrease in sleep latency to 10 to 15 minutes within 30
days.
B)
The nurse will administer the patient‟s hypnotic at bedtime each night.
C)
The nurse will give the patient a backrub at bedtime each night.
D)
Ans: B
Feedback:
Outcome criteria for the goal should be patient focused, measurable and with a specific
time frame.
A student nurse is preparing a presentation regarding hypnotic medications. What
information should the student nurse include? Select all that apply.
2.
Hypnotics induce a normal sleep pattern.
A)
Hypnotics may impair waking in a patient.
B)
Hypnotics are safe for long-term use.
C)
, Hypnotics may be addictive.
D)
Tapering of doses may be required after long-term use.
E)
Ans: B, D, E
Feedback:
Hypnotics do not induce a normal sleep pattern and are not indicated for long-term use.
Hypnotics may impair waking functions, which can cause daytime sleepiness. Due to the
potentially addictive qualities of hypnotics, tapering of doses may be required after long-
term use.
The nurse is preparing a care plan for a patient recently diagnosed with obstructive sleep
apnea. The patient complains of daytime sleepiness, fatigue and excessive snoring that
“wakes me up”. What nursing diagnosis would be appropriate for this patient?
3.
Disturbed Sleep Pattern as evidenced by complaints of daytime sleepiness
A)
Disturbed Sleep Pattern related to obstructive sleep apnea as evidenced by
excessive snoring
B)
Disturbed Sleep Pattern related to periods of apnea as evidenced by excessive
snoring
C)
Disturbed Sleep Pattern related to obstructive sleep apnea
D)
Ans: C
Feedback:
Disturbed Sleep Pattern related to periods of apnea as evidenced by excessive snoring is
, the correct nursing diagnosis. The medical diagnosis of obstructive sleep apnea should not
be used in the nursing diagnosis.
A school nurse is speaking to a group of parents regarding the sleep needs of adolescents.
Which statement by a parent indicates a need for further education?
4.
“Adolescents naturally develop an „owl like‟ sleep pattern in which they go to bed
later and sleep later in the morning.”
A)
“Academic performance in adolescents is good when they sleep about 7 hours per
night.”
B)
“Adolescents catch up on sleep on the weekends, when they typically sleep later.”
C)
“Adolescent girls are more likely to develop insomnia than boys.”
D)
Ans: B
Feedback:
Adolescents need about 9 hours of sleep per night. Academic performance is negatively
impacted when adolescents get less sleep. Due to irregular sleep patterns, adolescents
typically sleep later on weekends in an attempt to catch up on sleep. Adolescent sleep
patterns change to a more „owl-like‟ pattern in which they rise later and go to sleep later.
Adolescent girls have a higher risk of developing insomnia than adolescent boys.
A student nurse is preparing a presentation on sleep hygiene practices. What information
should the nurse include? Select all that apply.
5.
Eliminate caffeine intake 6 hours prior to bedtime.
A)
