Exam 31: Sleep

A primary health care provider prescribes eszopiclone (Lunesta)for a patient.Which classification of drug will the nurse be administering to the patient?

A patient recently came to the clinic with complaints of having difficulty sleeping.After the primary health care provider assesses the patient the nurse instructs the patient and partner on how to keep a sleep-wake diary.Entries in the diary often include _____ of sleep-wake activities.

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 2-year-old child in the pediatric unit resists going to sleep.To promote sleep,which is the best action for the nurse to take?

A new mother has brought in her week-old infant to the health care provider for a 1-week well-baby checkup.She is breastfeeding and has only been sleeping a couple of hours at a time during the night between feedings.She asks the nurse,"When can I expect the baby to sleep through the night?" What is the nurse's best response?

When visiting the clinic,a nurse takes the patient's sleep history and notes the appearance of a deviated septum.The nurse knows that this structural abnormality predisposes the patient to which condition?

During a sleep study test,the patient states,"I never dreams anymore." The health care provider tells the patient that everyone dreams,but most people forget about them upon awakening.The health care provider tells the patient that the best way to remember dreams is to do which of the following?

A patient arrives at the ambulatory clinic for a routine physical.The nurse inquires about the patient's sleep pattern.The patient has a history of sleep pattern disturbances.The nurse evaluates that the patient is sleeping better when he or she states which of the following?

A patient asks the nurse to explain how sleep occurs.The nurse explains to the patient that the physiology of sleep is a complex process.However,in simple terms,what is the nurse's best response?

A nurse is caring for an elderly patient with a sleeping disorder.When formulating a care plan for this patient it was determined that the goal will be that "the patient establishes a healthy sleep pattern." Which of the following is the best example of a measurable outcome to meet this goal?

The nurse manager for a busy medical unit in an acute care hospital noticed a trend of complaints regarding the restful environment of the unit in the patient satisfaction reports.At the staff meeting,this issue was discussed with the staff,and they decide that the best thing to do is which of the following?

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 nurse has been temporarily assigned to the night shift.A change in this circadian rhythm may cause which of the following? (Select all that apply.)

A primary health care provider has diagnosed the patient with having a parasomnia.The patient asks the nurse to explain what that means.What is the best explanation?

A 6-year-old girl is being seen at the clinic for a well-child checkup.The guardian tells the nurse that the child is having difficulty getting to sleep at night and asks for suggestions.What is the nurse's best response?

A 67-year-old farmer is at the clinic because he has been sleepy during the day.Which sleep change occurs with age?

A patient's vital signs are significantly lower than normal while sleeping.The nurse understands this to be a normal finding when the patient is in what stage of the sleep cycle?

Which of the following bedtime snack(s)helps to promote sleep in a patient?

A nurse is caring for a patient who suffers from a sleep pattern disturbance.To promote adequate sleep,what are the most appropriate nursing interventions? (Select all that apply.)

A patient has returned from back surgery.The family has brought in the patient's continuous positive airway pressure (CPAP)machine.What is the best rationale for allowing the patient to use the CPAP machine at night?