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Sleep DisordersPsychiatric Nursing: Contemporary Practice

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Question Answer
The deepest state of sleep is called ________ sleep and is thought to have a restorative function.
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Slow wave sleep
What stages of sleep does the deepest, most restorative sleep occur in?
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Stages 3 & 4
What brain waves are seen in stage 3 and 4 of sleep?
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Delta waves, stage 3 has 20-50% of delta waves and stage 4 has more than 50%.
What happens to the brain during REM sleep?
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It is very active, more blood flows to the brain and brain temperature increases.
Why is there a paralysis of the head and neck during REM sleep?
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Nerve impulses from the spinal cord are blocked allowing for only strong impulses are relayed including impulses controlling heart rate and respirations (both become irregular).
T/F People don't sweat or shiver during REM sleep.
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TRUE, temperature regulation is impaired
T/F As people age, the need for sleep decreases.
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False, the need to sleep doesn't decrease but the ability to sleep does.
How long does it typically take for sleepiness to dissapate once a sleep disturbance is corrected?
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4-6 days
What activities are known to decrease REM sleep?
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Rising early, alcohol intake before bed, and CNS-acting medications/drugs.
________ occurs when there is recurrent long term sleep deprivation.
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Sleep debt
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How does the body compensate for lost REM sleep?
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The body compensates by an earlier occurrence of REM sleep during the next night.
What implies REM deprivation?
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Onset of REM at sleep onset
If a body is deficient in slow wave sleep and REM sleep, which does it make up first?
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Slow wave sleep
_________ are disorders initiating or maintaining sleep, whereas _______ are disorders of particular physiologic or behavioral reactions during sleep.
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Dyssomnias are disorders initiating or maintaining sleep, whereas parasomnias are disorders of particular physiologic or behavioral reactions during sleep.
What are the hallmark symptoms of insomnia?
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The patient's intense focus and anxiety regarding the inability to fall asleep or maintain sleep.
How long must a person experience insomnia-like symptoms before being diagnosed with insomnia?
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At least one month
What are the most common treatments for primary insomnia?
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OTC antihistamines like Benadryl, alcohol and prescription medications
What is the priority care issue for people with insomnia?
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Safety. Sleep deprivation can lead to accidents, falls, and injuries.
What are the components of a sleep history?
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Sleeping pattern during health, current sleep problems, medical problems, current medications, current life events, use of alcohol, caffeine or nicotine and emotional or mental status that might be affecting sleep.
Exercise should never occur within _______ hours of going to bed.
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2-3 hours
What are some changes in eating habits that can aid sleep?
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Avoid spicy foods, alcohol, and caffeine. Warm milk can help induce sleep.
  
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