Adult 1 Exam 3 | Questions and Answers
1. What is NREM sleep?: non-rapid eye movement sleep; encompasses all sleep stages except for REM sleep
2. What are the 4 stages of NREM sleep?: - Stage 1 - lightest sleep level, occurs after pre-sleep sleepiness
- Stage 2 - moderate sleep
- Stage 3 - deeper sleep
- Stage 4- deepest sleep
3. How long does a sleep cycle normally last?: - 90-100 minutes
- People usually reach REM sleep 90 min. into the cycle
4. How much time is spent in NREM sleep?: 75-80% of sleep time
5. What happens with each successive sleep cycle?: - stages 3 and 4 shorten
- REM sleep lengthens - lasts up to 60 min during the last sleep cycle
6. How many sleep cycles per night do we usually go through?: 4-5
7. What happens to sleep with aging?: - sleep become more fragmented
- person spends more time in lighter sleep stages
8. What is the purpose of sleep?: The purpose is unclear. May be associated with healing, it contributes to
physiological and psychological restoration; restoring cognitive function. Lack of sleep (REM) can lead to feelings of
confusion, mistrust and suspicion.
9. When do dreams occur?: In both NREM and REM sleep. One will most likely remember their dream if they
wake up during REM stage.
10.During rounds on the night shift, you note that a patient stops breathing for 1 to 2 minutes several times
during the shift. This condition is known as
A. Cataplexy.
B. Insomnia.
C. Narcolepsy.
D. Sleep apnea.: D. sleep apnea
11.What is rest good for?: - mental relaxation
- freedom from anxiety
- state of mental, physical, and spiritual activity
12.True or False: Bed rest guarantees a patient will feel rested?: FALSE
13.What is insomnia and what causes it?: - Difficulty falling or staying asleep.
- Adjustment sleep disorder (acute insomnia)
- Inadequate sleep hygiene
- Behavioral insomnia of childhood
, Adult 1 Exam 3 | Questions and Answers
- Insomnia caused by medical condition
14.What is Sleep Apnea and what causes it?: - A potentially serious sleep disorder in which breathing
repeatedly stops and starts.
- Primary central sleep apnea
, Adult 1 Exam 3 | Questions and Answers
- Central sleep apnea caused by medical condition
- Obstructive sleep apnea syndromes
- Excessive daytime sleepiness
15.What is narcolepsy and what causes it?: - A sleep disorder characterized by uncontrollable sleep attacks. The
sufferer may lapse directly into REM sleep, often at inopportune times.
- Cataplexy - sudden and uncontrollable muscle weakness or paralysis that comes on during the day and is often
triggered by a strong emotion, such as excitement or laughter
- Sleep paralysis
16.What is sleep deprivation and what causes it?: - decrease in amount, con- sistency, or quality of sleep
- emotional stress
- medications
- environmental disturbances
- other symptoms
17.What is parasomnias and what causes it?: - all abnormal things that can happen while asleep a part from
sleep apnea
- somnambulism - sleep walking
- night terrors
- nightmares
- nocturnal enuresis - bedwetting
- body rocking
- bruxism - grinding/clenching teeth
18.A 4-year old pediatric patient resists going to sleep. To assist this patient, the best action to take would be:: -
maintaining the child's home sleep routine
19.What factors influence sleep?: - Drugs/Substances
- Lifestyle
- Usual sleep patterns
- Emotional Stress
- Environment
- Exercise and fatigue
- Food and calorie intake
20.What should the sleep history include?: - description of sleeping problems
- usual sleep pattern
, Adult 1 Exam 3 | Questions and Answers
- current life events
- physical and psychological illness
- emotional and mental status
- bedtime routines
1. What is NREM sleep?: non-rapid eye movement sleep; encompasses all sleep stages except for REM sleep
2. What are the 4 stages of NREM sleep?: - Stage 1 - lightest sleep level, occurs after pre-sleep sleepiness
- Stage 2 - moderate sleep
- Stage 3 - deeper sleep
- Stage 4- deepest sleep
3. How long does a sleep cycle normally last?: - 90-100 minutes
- People usually reach REM sleep 90 min. into the cycle
4. How much time is spent in NREM sleep?: 75-80% of sleep time
5. What happens with each successive sleep cycle?: - stages 3 and 4 shorten
- REM sleep lengthens - lasts up to 60 min during the last sleep cycle
6. How many sleep cycles per night do we usually go through?: 4-5
7. What happens to sleep with aging?: - sleep become more fragmented
- person spends more time in lighter sleep stages
8. What is the purpose of sleep?: The purpose is unclear. May be associated with healing, it contributes to
physiological and psychological restoration; restoring cognitive function. Lack of sleep (REM) can lead to feelings of
confusion, mistrust and suspicion.
9. When do dreams occur?: In both NREM and REM sleep. One will most likely remember their dream if they
wake up during REM stage.
10.During rounds on the night shift, you note that a patient stops breathing for 1 to 2 minutes several times
during the shift. This condition is known as
A. Cataplexy.
B. Insomnia.
C. Narcolepsy.
D. Sleep apnea.: D. sleep apnea
11.What is rest good for?: - mental relaxation
- freedom from anxiety
- state of mental, physical, and spiritual activity
12.True or False: Bed rest guarantees a patient will feel rested?: FALSE
13.What is insomnia and what causes it?: - Difficulty falling or staying asleep.
- Adjustment sleep disorder (acute insomnia)
- Inadequate sleep hygiene
- Behavioral insomnia of childhood
, Adult 1 Exam 3 | Questions and Answers
- Insomnia caused by medical condition
14.What is Sleep Apnea and what causes it?: - A potentially serious sleep disorder in which breathing
repeatedly stops and starts.
- Primary central sleep apnea
, Adult 1 Exam 3 | Questions and Answers
- Central sleep apnea caused by medical condition
- Obstructive sleep apnea syndromes
- Excessive daytime sleepiness
15.What is narcolepsy and what causes it?: - A sleep disorder characterized by uncontrollable sleep attacks. The
sufferer may lapse directly into REM sleep, often at inopportune times.
- Cataplexy - sudden and uncontrollable muscle weakness or paralysis that comes on during the day and is often
triggered by a strong emotion, such as excitement or laughter
- Sleep paralysis
16.What is sleep deprivation and what causes it?: - decrease in amount, con- sistency, or quality of sleep
- emotional stress
- medications
- environmental disturbances
- other symptoms
17.What is parasomnias and what causes it?: - all abnormal things that can happen while asleep a part from
sleep apnea
- somnambulism - sleep walking
- night terrors
- nightmares
- nocturnal enuresis - bedwetting
- body rocking
- bruxism - grinding/clenching teeth
18.A 4-year old pediatric patient resists going to sleep. To assist this patient, the best action to take would be:: -
maintaining the child's home sleep routine
19.What factors influence sleep?: - Drugs/Substances
- Lifestyle
- Usual sleep patterns
- Emotional Stress
- Environment
- Exercise and fatigue
- Food and calorie intake
20.What should the sleep history include?: - description of sleeping problems
- usual sleep pattern
, Adult 1 Exam 3 | Questions and Answers
- current life events
- physical and psychological illness
- emotional and mental status
- bedtime routines
