Chapter 41: Sleep Potter et al: Canadian
Fundamentals of Nursing, 6th Edition
1. The physiological processes of sleep are complex. Which of the following statements is the most
appropriate one regarding this process?
a. Circadian rhythms occur in a cycle longer than 24 hours.
b. Non-rapid eye movement (NREM) refers to the cycle that most people experience when in a high-
stimulus environment.
c. The reticular activating system is partly responsible for the level of consciousness of a person.
d. The bulbar synchronizing region causes the rapid eye movement (REM) sleep in most normal adults.
c. The reticular activating system is partly responsible for the level of consciousness of a person.
The nurse is alert to patients who may be predisposed to obstructive sleep apnea. This includes which
of the following individuals?
a. Patients with heart disease.
b. Patients with respiratory infections.
c. Patients with nasal polyps.
d. Patients who are obese..
c. Patients with nasal polyps.
When a patient is deprived of sleep, the nurse might assess which of the following symptoms?
a. Elevated blood pressure.
b. Confusion and irritability.
c. Inappropriateness and rapid respirations.
d. Decreased temperature and talkativeness.
b. Confusion and irritability.
The parents of a newborn wonder when she should start to sleep through the night. The nurse's
response should be that in infants, a nighttime pattern of sleep usually develops by which age?
6 months.
The mother of a preschooler tells the nurse that the child has started crying and resisting going to
sleep at the scheduled bedtime. Which of the following actions should the nurse advise the parent to
take?
a. Offer the child a bedtime snack.
b. Eliminate one of the naps during the day.
c. Allow the child to sleep longer in the mornings.
d. Maintain consistency in the same bedtime ritual.
d. Maintain consistency in the same bedtime ritual.
, An 11-year-old child in middle school is currently experiencing fatigue related to sleep deprivation
during classes. Which of the following responses by the school nurse is the most appropriate one
when counselling the child's parents regarding this assessment?
"What are the child's usual sleep patterns?"
In describing the sleep patterns of older persons, the nurse recognizes that which of the following
statements is true?
Older persons have a decline in slow-wave or deep sleep.
A patient who is currently taking a diuretic should be informed by the nurse that he or she may
experience which of the following effects?
Nocturia
9. As a result of recent studies regarding infant safety during sleep, which of the following instructions
does the nurse give the parents?
Place the infant on his or her back.
A 74-year-old patient reports having sleeping difficulties. To have a better idea of the patient's
problem, how should the nurse respond?
"What do you do just before going to bed?"
Which of the following information provided by the patient's bed partner is most associated with
sleep apnea?
a. Restlessness.
b. Talking during sleep.
c. Sleepwalking.
d. Excessive snoring.
d. Excessive snoring.
12. Which of the following instructions does the nurse give the patient in teaching methods to
promote positive sleep habits at home?
Use the bedroom only for sleep or sexual activity.
13. The nurse is discussing sleep habits with the patient in the sleep assessment clinic. Of the
following activities performed before sleeping, the nurse informs the patient that which one of the
following can potentially interfere with the patient's sleep?
Finishing office work.
The patient needs pharmacological treatment to assist with his sleep patterns. The nurse anticipates
that treatment with an anxiety-reducing, relaxation-promoting medication will include the use of
which one of the following?
a. Barbiturates.
b. Amphetamines.
Fundamentals of Nursing, 6th Edition
1. The physiological processes of sleep are complex. Which of the following statements is the most
appropriate one regarding this process?
a. Circadian rhythms occur in a cycle longer than 24 hours.
b. Non-rapid eye movement (NREM) refers to the cycle that most people experience when in a high-
stimulus environment.
c. The reticular activating system is partly responsible for the level of consciousness of a person.
d. The bulbar synchronizing region causes the rapid eye movement (REM) sleep in most normal adults.
c. The reticular activating system is partly responsible for the level of consciousness of a person.
The nurse is alert to patients who may be predisposed to obstructive sleep apnea. This includes which
of the following individuals?
a. Patients with heart disease.
b. Patients with respiratory infections.
c. Patients with nasal polyps.
d. Patients who are obese..
c. Patients with nasal polyps.
When a patient is deprived of sleep, the nurse might assess which of the following symptoms?
a. Elevated blood pressure.
b. Confusion and irritability.
c. Inappropriateness and rapid respirations.
d. Decreased temperature and talkativeness.
b. Confusion and irritability.
The parents of a newborn wonder when she should start to sleep through the night. The nurse's
response should be that in infants, a nighttime pattern of sleep usually develops by which age?
6 months.
The mother of a preschooler tells the nurse that the child has started crying and resisting going to
sleep at the scheduled bedtime. Which of the following actions should the nurse advise the parent to
take?
a. Offer the child a bedtime snack.
b. Eliminate one of the naps during the day.
c. Allow the child to sleep longer in the mornings.
d. Maintain consistency in the same bedtime ritual.
d. Maintain consistency in the same bedtime ritual.
, An 11-year-old child in middle school is currently experiencing fatigue related to sleep deprivation
during classes. Which of the following responses by the school nurse is the most appropriate one
when counselling the child's parents regarding this assessment?
"What are the child's usual sleep patterns?"
In describing the sleep patterns of older persons, the nurse recognizes that which of the following
statements is true?
Older persons have a decline in slow-wave or deep sleep.
A patient who is currently taking a diuretic should be informed by the nurse that he or she may
experience which of the following effects?
Nocturia
9. As a result of recent studies regarding infant safety during sleep, which of the following instructions
does the nurse give the parents?
Place the infant on his or her back.
A 74-year-old patient reports having sleeping difficulties. To have a better idea of the patient's
problem, how should the nurse respond?
"What do you do just before going to bed?"
Which of the following information provided by the patient's bed partner is most associated with
sleep apnea?
a. Restlessness.
b. Talking during sleep.
c. Sleepwalking.
d. Excessive snoring.
d. Excessive snoring.
12. Which of the following instructions does the nurse give the patient in teaching methods to
promote positive sleep habits at home?
Use the bedroom only for sleep or sexual activity.
13. The nurse is discussing sleep habits with the patient in the sleep assessment clinic. Of the
following activities performed before sleeping, the nurse informs the patient that which one of the
following can potentially interfere with the patient's sleep?
Finishing office work.
The patient needs pharmacological treatment to assist with his sleep patterns. The nurse anticipates
that treatment with an anxiety-reducing, relaxation-promoting medication will include the use of
which one of the following?
a. Barbiturates.
b. Amphetamines.
