NSG 3023 Chapter 31 QUIZ

NSG 3023 Chapter 31 QUIZMULTIPLE CHOICE 1. A college student who is working in northern Alaska during the summer reports that he or she has an increase in difficulty sleeping since moving north. During a pre-employment physical, the patient asks the health care provider what could be causing this. The health care provider suspects the sleep disturbance is most likely because of which factor? a. Stress of the new job b. Increased daylight hours in Northern Alaska c. Physical demands of the new job d. Change in diet ANS: B Northern Alaska has extended daylight hours. Light and temperature affect all circadian rhythms, including the sleep-wake cycle. The most familiar rhythm is the 24-hour, day-night cycle known as the diurnal or circadian rhythm. When the sleep-wake cycle becomes disrupted (e. g., by working rotating shifts), other physiological functions change as well. Stress of the new job, physical demands of the new job, and a change in diet are not the issues. The patient stated that the difficulty started when he or she moved north. PTS: 1 DIF: Cognitive Level: Analyzing (Analysis) REF: 847 OBJ: Explain the effect the 24-hour sleep-wake cycle has on biological function. TOP: Nursing Process: Assessment MSC: Client Needs: Physiological Integrity 2. The health care provider is seeing a 16-year-old boy at the local clinic. The guardian is concerned about the patient’s lack of sleep. The guardian states that the patient “goes to school, works at a part-time job until 10 PM, and then stays up doing homework until after midnight. I am worried that he is not getting enough sleep.” What is the best response for the health care provider to give the patient and his guardian? a. “I don’t get enough sleep either; I spend most of my time studying.” b. “You need to discuss this with the primary health care provider.” c. “Sleep deprivation can cause a person to get sick or have excessive daytime sleepiness.” d. “High school is a tough time in life, but I’m sure he will be fine.” ANS: C