Chapter 20: Sleep and Rest
Williams: Basic Geriatric Nursing, 8th Edition
MULTIPLE CHOICE
1. Which statement by a patient’s spouse would indicate that the patient is experiencing
myoclonus?
a. “His loud snoring and jerking awake wakes me up, too.”
b. “I am black and blue from his kicking me every night.”
c. “He wakes up at 2 AM every morning and walks around the house.”
d. “His constant leg movements tear up the covers and keep me awake.”
ANS: B
Myoclonus is a periodic kicking movement of the lower extremities, which can be
severe.
PTS: 1 DIF: 6 REF: p. 355 OBJ: 2
TOP: Myoclonus KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation NOT:
Applying
2. The nurse would question the order for a sedative for a patient with which diagnosis?
a. Chronic obstructive pulmonary disease (COPD)
b. Any form of dementia
c. Hypertension
d. Sleep apnea
ANS: D
, Sedation may prevent the patient with sleep apnea to awaken to restore respiration.
PTS: 1 DIF: 6 REF: p. 357 OBJ: 3
TOP: Pharmacologic Approach KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies NOT:
Applying
3. Which stage of sleep is the initial phase of deep sleep?
a. Stage 1 nonrapid eye movement (NREM)
b. Stage 3 NREM
c. Stage 5 NREM
d. Rapid eye movement (REM) sleep
ANS: B
Stage 3 NREM is the initial phase of deep sleep in which there is complete muscular
relaxation and vital signs begin to decline.
PTS: 1 DIF: 3 REF: Box 20-1 | p. 354
OBJ: 1 TOP: Deep Sleep KEY: Nursing Process Step: Data
Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation NOT:
Remembering
4. A 75-year-old resident in a long-term care facility has problems with sleep onset. Which
action would be an appropriate nursing intervention to aid with sleep?
a. Provide a back rub at bedtime.
b. Provide a heavy snack at bedtime.
c. Coach the resident in 10 minutes of exercise before bedtime.
d. Provide a cola drink at bedtime.
Williams: Basic Geriatric Nursing, 8th Edition
MULTIPLE CHOICE
1. Which statement by a patient’s spouse would indicate that the patient is experiencing
myoclonus?
a. “His loud snoring and jerking awake wakes me up, too.”
b. “I am black and blue from his kicking me every night.”
c. “He wakes up at 2 AM every morning and walks around the house.”
d. “His constant leg movements tear up the covers and keep me awake.”
ANS: B
Myoclonus is a periodic kicking movement of the lower extremities, which can be
severe.
PTS: 1 DIF: 6 REF: p. 355 OBJ: 2
TOP: Myoclonus KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation NOT:
Applying
2. The nurse would question the order for a sedative for a patient with which diagnosis?
a. Chronic obstructive pulmonary disease (COPD)
b. Any form of dementia
c. Hypertension
d. Sleep apnea
ANS: D
, Sedation may prevent the patient with sleep apnea to awaken to restore respiration.
PTS: 1 DIF: 6 REF: p. 357 OBJ: 3
TOP: Pharmacologic Approach KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies NOT:
Applying
3. Which stage of sleep is the initial phase of deep sleep?
a. Stage 1 nonrapid eye movement (NREM)
b. Stage 3 NREM
c. Stage 5 NREM
d. Rapid eye movement (REM) sleep
ANS: B
Stage 3 NREM is the initial phase of deep sleep in which there is complete muscular
relaxation and vital signs begin to decline.
PTS: 1 DIF: 3 REF: Box 20-1 | p. 354
OBJ: 1 TOP: Deep Sleep KEY: Nursing Process Step: Data
Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation NOT:
Remembering
4. A 75-year-old resident in a long-term care facility has problems with sleep onset. Which
action would be an appropriate nursing intervention to aid with sleep?
a. Provide a back rub at bedtime.
b. Provide a heavy snack at bedtime.
c. Coach the resident in 10 minutes of exercise before bedtime.
d. Provide a cola drink at bedtime.
