EAQ #1, WEEK 2
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Questions and Answers

For up to what age in children should benzodiazepines be used with caution?

12

A patient states that he does not believe in the existence of God. What does this statement indicate about the patient?

  • atheist (correct)
  • Agonistic
  • Academic
  • Anarchist

how long before bedtime should a patient take melatonin

2

Which instruction does the nurse provide to the caregiver of an older patient who has sleep deprivation? Select all that apply.

<p>&quot;You should keep your path to the bathroom free of obstacles.&quot; (A), &quot;You should increase exposure to bright light during the day.&quot; (B), &quot;You should eat some carbohydrates or drink milk as a light snack before bed.&quot; (C)</p> Signup and view all the answers

In the FICA assessment tool for evaluating spirituality, what does the letter A stand for?

<p>Adress (A)</p> Signup and view all the answers

A patient has a hiatal hernia. Which position for sleeping is comfortable for the patient?

<p>Semi-sitting (D)</p> Signup and view all the answers

Which patient can safely receive benzodiazepines for sleep?

<p>30 year old patient (C)</p> Signup and view all the answers

Which measure would the nurse suggest to promote sleep in a patient?

<p>Void before going to sleep (A), Use extra blankets if necessary (B), Wear soft, cotton nightclothes (C)</p> Signup and view all the answers

NREM sleep is divided into how many stages according to the American Academy of Sleep Medicine?

<p>3</p> Signup and view all the answers

Which action would the nurse take to address the "F" portion of the FICA assessment tool during an assessment of a patient's spiritual needs?

<p>Determine the patient's belief in a higher power. (B)</p> Signup and view all the answers

Which guideline would a nurse share with a patient who is stressed and has insomnia? Select all that apply.

<p>Try to avoid worrisome thinking when going to bed and to use relaxation exercises (A), Use warm water to bathe before bedtime (B), Consume milk or a light snack before bedtime (C), Get out of the bed if your unable to fall asleep in 15 to 30 minutes (D)</p> Signup and view all the answers

Which measure would the nurse teach the mother to promote sleep in the newborn? SATA

<p>Rock the baby gently (B), Sing a lullaby to the baby (C), Hold the baby snugly in a blanket (D)</p> Signup and view all the answers

Which symptom is the most common complaint by patients who have narcolepsy?

<p>Excessive daytime sleepiness (C)</p> Signup and view all the answers

Which factor influences a patient's spirtuality? SATA

<p>Age (A), Gender (B), Culture, Religion (C), Education (D)</p> Signup and view all the answers

Which information would the nurse include when teaching the patient about the effects of alcohol on sleep? SATA

<p>Causes awakening from sleep (A), Causes difficulty returning to sleep (B), reduces rapid eye movement(REM) sleep (C)</p> Signup and view all the answers

Which activity would the nurse include when teaching about sleep-promoting activities to a patient? Select all that apply.

<p>Using relaxation exercises and meditation (A), Consuming a light snack before bedtime (B)</p> Signup and view all the answers

Which activity would the nurse encourage for a patient with insomnia

<p>Perform muscle relaxation techniques before bedtime (C)</p> Signup and view all the answers

Which information is true regarding sleep regulation?

<p>The hypothalamus is the major sleep center of the body (B)</p> Signup and view all the answers

What percentage of sleep time in young adults is rapid eye movement (REM) sleep?

<p>20%</p> Signup and view all the answers

Which class of medication does the nurse expect to have caused a patient to report disturbed sleep because of frequent nighttime voiding?

<p>Diuretics (A)</p> Signup and view all the answers

Which statement is true regarding spirituality?

<p>Spirituality has five overlapping constructs. (A)</p> Signup and view all the answers

Which dimension of spirituality includes "a sense of authentically connecting to one's inner self"?

<p>self- transcendence (D)</p> Signup and view all the answers

Which action would the nurse perform during the evaluation phase of a patient with a sleep disturbance?

<p>Ask the patient if expectations of care are being met (C)</p> Signup and view all the answers

Which class of drugs does the nurse suspect is responsible for the patient reporting daytime drowsiness and a lack of dreams?

<p>Opiates (C)</p> Signup and view all the answers

Which effect will likely occur in a patient who takes an antidepressant for depression?

<p>Decreased total sleep time (A)</p> Signup and view all the answers

Which belief is consistent with atheism?

<p>God does not exist (C)</p> Signup and view all the answers

which question would the nurse ask during the assessment of a patient with suspected sleep apnea? SATA

<p>&quot;Do you snore loudly&quot;? (A), &quot;Do you experience headaches after awakening?&quot; (C)</p> Signup and view all the answers

A patient who is hospitalized with heart failure states that she sees her illness as an opportunity and a challenge. Despite her illness, she is still able to see that life is worth living. This is an example of:

<p>Hope (A)</p> Signup and view all the answers

Which action by the assistive personnel at bedtime requires the nurse to intervene?

<p>Giving a patient a cup of coffee (B)</p> Signup and view all the answers

Which measure would the nurse suggest to a parent to promote sleep in a preschooler?

<p>Offer warm milk before sleeping (A)</p> Signup and view all the answers

Which dietary practice is followed by a Hindu patient?

<p>Not eating any meat (D)</p> Signup and view all the answers

Which concept related to spiritual health is a patient experiencing when she states that she knows God exists?

<p>Faith (A)</p> Signup and view all the answers

Which sleep deprivation symptom is psychological?

<p>increased sensitivity to pain (C)</p> Signup and view all the answers

which question would assess a patient's level of connectedness with others

<p>Whom do you consider to be the most important person in your life at this time? (A)</p> Signup and view all the answers

A patient is diagnosed with end-stage renal disease. The patient tells the nurse, "I know I am going to be all right, and I will be healthy again. I believe in God, and He will make things right. My spouse and I are yet to tour the world." What kind of spiritual belief does this patient exhibit?

<p>Hope (A)</p> Signup and view all the answers

Which information would the nurse likely obtain from parents while preforming a sleep assessment of a 3 month old infant?

<p>Infants eating pattern (A)</p> Signup and view all the answers

Which psychologic symptom is associated with a sleep-deprived patient? SATA

<p>Agitation (A), Hyperactivity (B), Disorientation (C)</p> Signup and view all the answers

Which question would the nurse ask a patient who reports suddenly feeling drowsy and falling asleep at inappropriate times during the day?

<p>Do you experience loss of muscle control or falling on the floor? (C)</p> Signup and view all the answers

The nurse enters the room of a patient who is crying after receiving news of a life-threatening illness. Which question by the nurse may provide comfort?

<p>Would you like me to pray or sit with you? (A)</p> Signup and view all the answers

Which statement made by an older adult best demonstrates understanding regarding taking a sleep medication?

<p>&quot;I'll talk to my health care provider before I use an over-the-counter sleep medication.&quot; (C)</p> Signup and view all the answers

Which statement by a patient with end-stage cancer indicates the need for spiritual intervention?

<p>&quot;I would like to ask my pastor about a final blessing&quot; (C)</p> Signup and view all the answers

The nurse teaches a patient taking a benzodiazepine that this group of medications cause which side effect?

<p>Hungover feeling (C)</p> Signup and view all the answers

Which action would the nurse perform during the evaluation phase of the nursing process?

<p>Discusses the patients connectedness with family after providing spiritual care (C)</p> Signup and view all the answers

Which assessment question does the nurse ask the patient to determine predeisposing facotrs associated with sleep problems?

<p>&quot;Do you have a physical illness that affects your sleep&quot; (D)</p> Signup and view all the answers

Which nursing measure best promotes sleep in a school-age child?

<p>Use quiet activities consistently before bedtime (D)</p> Signup and view all the answers

which statement made by a patient whose spouse recently died indicates the need for follow-up by the nurse?

<p>&quot;I have been unable to talk to my children lately&quot; (B)</p> Signup and view all the answers

Which physiological symptoms would the nurse expect to find in a patient with sleep deprivation? SATA

<p>Blurred vision (A), diminishes reflexes (B), decreased hearing (C), cardiac arrhythmia (D)</p> Signup and view all the answers

Which questions would help the nurse assess the patient's spirituality? SATA

<p>&quot;Do you attend a religious service on a regular basis?&quot; (A), &quot;What do you want to achieve in your life?&quot; (B), &quot;Whom do you feel is the closest to you?&quot; (C)</p> Signup and view all the answers

Which statement by the patient indicates effective learning about the use of herbs for sleep? SATA

<p>&quot;They may interact with prescribed medications&quot; (C), &quot;Herbal medicines are not regulates by the US Food and Drug Administration&quot; (D)</p> Signup and view all the answers

Which type of anemia will likely lead to restless legs ssyndrome?

<p>Iron (D)</p> Signup and view all the answers

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