1. Cyclical physiological process that alternates with longer periods of wakefulness? There are 2 stages, name them?
    • Sleep
    • NREM - contributes to body tissue restoration
    • REM - where dreams occur (vivid)
  2. This form of sleep contributes to body tissue restoration?
  3. This form of sleep is where dreams occur (vivid) dreams and is important for functionoing, learning, processing, and adapting to stressors in life?
  4. The 24-hour day/night cycle/rhythms that influence the pattern of major biological and behavioral funtions is called your?
    Circadian rhythm
  5. This clock synchronizes sleep cycles?
    Bilogical clocks
  6. What does your biological clock do?
    Synchronizes sleep cycles
  7. Define the stages in NREM?
    • Stage 1 - lightest sleep/easy to arouse
    • Stage 2 - sound sleep/relaxation
    • Stage 3 - deepest sleep/difficult to arouse
    • Stage 4 - vivid full color dreaming/90 min after sleep cycle
  8. This stage of REM is the lightest sleep stage, lasts minutes, and the individual gradually has their vital signs fall. They are easy to arouse, name this stage?
    Stage 1
  9. This stage is sound sleep and relaxation. The individual progresses easily into sleep as their vitals gradually fall, they are easy to arouse, it lasts 10-20 minutes and body functions begin to this stage of sleep?
    Stage 2
  10. This stage of sleep is the deepset stage of sleep. The individual is difficult to arouse, the cycle lasts 15-30 minutes and vital signs significantly lowers. This is the stage where sleepwalking and bedwetting sometimes occur?
    Stage 3
  11. This stage of sleep the individual experiences vivid full color dreaming. It occurs 90 minutes after sleeping. This is called the REM stage of sleep where loss of skeletal muscle/gastric secretions increase and the individual is difficult to arouse. The stage lasts 20 minutes on this sleep stage?
    Stage 4
  12. Urination at night, dirupts the sleep cycle, is called?
  13. Disruption in adults of either quantity or quality of sleep is called?
  14. Involves the use of EEG, EMG, and EOG machines to monitor stages of sleep in wakefulness during the nightime sleep. This machine is called a?
  15. Chronic difficulty falling asleep, frequent awakenings from sleep and/or a short sleep or nonrestorative sleep is called?
  16. Practices clients associate with sleep (worry, anxiety, stress) is called?
    Sleep hygiene
  17. This disorder is characterized by lack of airflow through the nose and mouth for periods of 10 seconds or longer during sleep, what is it called?
    Sleep apnea
  18. Name the 3 kinds of sleep apnea?
    • 1. Central sleep apnea (CSA)
    • 2. Obstructive sleep apnea (OSA)
    • 4. Mixed sleep apnea (MSA)
  19. This form of sleep apnea is where there is a dysfunction in the brain's control over the respiratory center during sleep?
    Central Sleep Apnea
  20. This form of sleep apnea affects 10-15% of middle adults; muscles or oral cavity of the throat relax during sleep obstructing airway (this can also happen in postmenopausal women and children); snoring and restless sleep is a symptom?
    Obstructitive Sleep apnea
  21. This is a dysfunction of mechanixms that regulate the sleep and wake states; REM occurs w/in 15 min of falling asleep. This can occur anytime of day - a wave of sleep comes over a person?
  22. This is a sudden muscle weakness during intense emotions such as anger, sadness or laughter - occurs anytime of the day is called?
  23. This is a problem clients experience a s a result of dyssomnia (causes include fever, difficulty breathing, pain, emotinal stressors, medications and evironmental disturbances). This is?
    Sleep deprivation
  24. This form of insomnia is experienced as a result of situational stress such as family, work, school problems, jet lag, ilness, and loss of a loved one?
    Transient insomnia
  25. This type of insomnia is a misalignment of timing of sleep and is what the individual desires or is the societal norm?
  26. This type of insomnia is an undesirable behavior that occurs usually during sleep?
  27. What can OSA cause physiologically in a client?
    • decline in arterial oxygen saturation
    • places them at risk for cardiac dysrythmia
    • can cause right-sided heart failure
    • can cause pulmonary hypertension
    • can cause angina attacks
    • can cause stroke
    • can cause hypertension
  28. A young adult needs how many hours of sleep? Spend how much time in REM? What are common components that disrupt sleep?
    • 6-8.5 hours of sleep
    • 20% REM
    • Stress of jobs, family, social life
    • Medications, pregnancy,
  29. A middle adult needs how many hours of sleep? What is the total hours spent in REM sleep? What are common components that disrupt sleep/
    • 6-8 hours (more on the lower end - time spent sleeping declines)
    • REM sleep begins to fall (Stage 4)
    • Insomnia is commone
  30. What is the total number of hours needed for older adults sleep? How many hours are spent in REM? What are common components that disrupt sleep?
    • Hours spent sleeping greatly interupted; 3-4 hours possibly straight sleep before arise
    • REM significantly shortened
    • 50% of older adults report problems with sleeping
    • wake more often at night/take more naps during day
  31. What are some substances that can cause sleepiness, insomnia and fatigue?
    • Hypnotics
    • antidepressants and stimulants
    • alcohol
    • caffeine
    • diureticcs
    • Beta-Adrenergic Blockers
    • Benzodiazephines
    • Narcotics
    • Anticonvulsants
  32. What assessment questions would you ask to determine sleep pattern in client/
    • Time you go to bed?
    • Time it takes you to fall asleep?
    • Times you awaken at night?
    • Average hours of sleep you receive?
  33. What contributing factors can affect sleep?
    • Environmental noise
    • Relationship difficulties
    • Ask client to rate sleep on a analog scale (0-10)
  34. Questions to ask to determine if client has insomnia?
    • How easily do you fall asleep?
    • Have difficulty staying asleep?
    • How do you prepare for sleep?
    • How often do you face troubles with sleep?
  35. Questions you ask to determine if client has sleep apnea?
    • Do you snore?
    • Has anyone told you you stop breathing?
    • Headaches when you awaken?
    • Difficulty staying awake during the day?
  36. Questions you would ask to determine if client has narcolespsy?
    • Do you fall asleep at inappropriate times?
    • Does your body feel paralyzed during the day?
    • Episodes of losing muscle control or falling to the floor occur?
  37. How can you begin to approach a client's sleep disturbance and address change?
    • Determine preexisting problems
    • Determine what is going on in their life
    • Feeling anxious/worried/stressed?
    • Current sleep hygiene/routine?
    • Environment they sleep in?
    • Expectations/outcomes they'd like to see?
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