A relative complains that an older adult patient takes frequent naps late in the day and awakens frequently during the night and wants to know if this is normal.
The nurse explains that an older adult:.

will awaken more often during the night but may nap more often during the day.

should be given hypnotics to induce better sleep.

needs at least 10 hours of sleep a day to prevent fatigue.

requires less napping during the day to sleep better at night.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

True. As people age, it is common for them to experience more frequent awakenings during the night. This is often due to changes in sleep patterns, such as a decreased ability to maintain deep sleep, which can result in waking up more easily. Additionally, older adults may nap more during the day, which can affect their nighttime sleep patterns.

Choice B rationale:

False. Giving older adults hypnotics to induce better sleep is not a recommended approach as it may have adverse effects, including dependency and increased risk of falls. The focus should be on understanding and addressing the underlying causes of sleep disturbances in older adults.

Choice C rationale:

False. While it is important to assess and address sleep concerns in older adults, there is no fixed requirement of needing at least 10 hours of sleep a day to prevent fatigue. Sleep needs can vary, and older adults may require less sleep than younger individuals.

Choice D rationale:

False. Older adults may nap more during the day, but reducing daytime napping is not a guaranteed solution to improve nighttime sleep. Sleep patterns can change with age, and individual variations in sleep needs and habits should be considered.

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Correct Answer is D

Explanation

Choice A rationale:

Excessive NREM sleep does not cause periodic pauses in breathing. NREM (Non-Rapid Eye Movement) sleep consists of stages 1 through 4 and is characterized by a decrease in physiological activity, including a decrease in muscle tone. There is no direct association with breathing interruptions in NREM sleep.

Choice B rationale:

Insomnia is a sleep disorder characterized by difficulty falling asleep or staying asleep, but it does not involve periodic pauses in breathing. It is unrelated to the symptoms described in the question.

Choice C rationale:

Narcolepsy is a sleep disorder characterized by excessive daytime sleepiness and sudden episodes of muscle weakness (cataplexy). It is not associated with periodic pauses in breathing, as described in the question.

Choice D rationale:

Sleep apnea is the correct answer. Sleep apnea is a sleep disorder characterized by repeated episodes of paused or shallow breathing during sleep. The patient may stop breathing for brief periods, then start breathing again. This pattern is consistent with the symptoms described in the question. Sleep apnea can have serious health implications and is important to recognize and address.

A. perception. B. transmission. C. translation. D. modulation. E. transduction.

Correct Answer is ["A","B","D","E"]

Explanation

Choice A rationale:
Perception is one of the phases of nociceptive pain. It involves the awareness of pain, where the brain recognizes and interprets the pain signals. During this phase, the individual becomes conscious of the painful sensation.
Choice B rationale:
Transmission is another phase of nociceptive pain. It involves the propagation of pain signals from the site of injury or damage to the central nervous system. Nerve fibers carry the pain signals to the spinal cord and brain for processing.
Choice D rationale:
Modulation is also a phase of nociceptive pain. It refers to the body's ability to modify or regulate the pain signals. This can involve the release of endorphins or other natural pain-relieving substances that help dampen the pain perception.
Choice E rationale:
Transduction is the last phase of nociceptive pain. It is the process where the noxious stimulus (injury or damage) is converted into electrical nerve signals that the body can understand. This conversion allows the pain signal to travel through the nervous system.
Choice C rationale:
Translation is not typically considered one of the phases of nociceptive pain. While translation may refer to the process of converting one form of information to another, it is not a recognized phase in the context of pain perception.

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A relative complains that an older adult patient takes frequent naps late in the day and awakens frequently during the night and wants to know if this is normal. The nurse explains that an older adult:.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A sleeping patient has periodic pauses in breathing, then starts to breathe again.The nurse recognizes this sleep pattern is consistent with:.

Correct Answer is D

Explanation

The nurse outlines the four phases of nociceptive pain as: (Select all that apply.).

Correct Answer is ["A","B","D","E"]

Explanation

A nurse is reinforcing teaching with a client about using a PCA for postoperative pain management.Which of the following statements should the nurse make?

A nurse evaluating the effectiveness of an Aquathermia K pad for the leg is aware that the patient who has the least risk for burn injury from this device would be the patient with:.

Going to bed hungry or overly full does not interfere with sleep. It helps the patient reach REM state of sleep faster.

A nurse is reinforcing teaching with a client about the use of transcutaneous electrical nerve stimulation (TENS) to manage chronic pain.Which of the following statements by the client indicates the need for further teaching?

The patient with a recent abdominal incision has an abdominal binder applied. The nurse explains that this appliance helps reduce pain by:.

There are three types of sleep apnea: obstructive, central, and mixed complex. Obstructive apnea is the most common type. It is caused by the relaxation of the soft tissues, which allows partial to total obstruction of the airway.

IM injections of pain medication may be contraindicated for patients who:.

A patient who has difficulty falling asleep at night because of anxiety over family problems asks if he should start taking sedative pills from the pharmacy to sleep better.The best advice to give this patient is that these pills can be used for:.

A relative complains that an older adult patient takes frequent naps late in the day and awakens frequently during the night and wants to know if this is normal.
The nurse explains that an older adult:.