fscj nur 1023 test 3 Questions With Complete Solutions
- Circadian rhythm sleep disorder Correct Answer A disruption
of the normal circadian sleep pattern occurs when the person
cannot sleep when sleep is wanted, needed, or expected.
Common in shift work and time-zone change.
- Hypersomnia Correct Answer Excessive daytime sleepiness
lasting at least one month that causes impairment in the ability
to function in occupational or other areas of the affected person's
life. Can be caused by various medical conditions.
- Insomnia Correct Answer The most common dyssomnia,
characterized by difficulty falling asleep or staying asleep, sleep
that is too light, or early-morning awakenings. Occurrence
increases with age and affects more women than men.
- Narcolepsy Correct Answer Chronic neurologic disorder
caused by the brain's inability to regulate the sleep-wake cycle
normally, resulting in an uncontrollable desire to sleep. Sleep
starts with the REM phase. Affected persons may experience
overwhelming sleepiness and fall asleep for periods of seconds
to minutes throughout the day. This can occur at any time and is
particularly hazardous when driving. Major symptoms include
cataplexy, vivid hallucinations during sleep or when awakening,
and brief episodes of total paralysis at beginning or end of sleep.
- Obstructive Sleep Apnea (OSA) Correct Answer Condition in
which the person experiences the absence of breathing (apnea)
or diminished breathing during sleep between snoring intervals.
,Characterized by a lack of airflow through the mouth and nose
for at least 10 seconds, lasting up to 2 minutes during sleep.
- Restless legs syndrome Correct Answer A familial sleep
disorder characterized by disagreeable-feeling leg movements
resulting from intense, abnormal, lower-extremity sensations of
crawling or tingling. More common in the elderly and can cause
insomnia.
- Shift-work sleep disorder Correct Answer Work schedule
does not match person's biologic rhythms as can occur with
rotating shifts or periodic assignment to night shift. This
frequently interferes with sleep. Younger adults may adjust to
shift work more easily than older adults who are more set in
sleep patterns. Accumulated sleep loss may affect decision
making, as well as patient safety in health care.
- Sleep deprivation Correct Answer Occurs from prolonged
lack of sleep of good quality and adequate quantity. This can
cause a variety of effects on the patient
- Sleep terrors Correct Answer A parasol is in which a person
quickly awakens from sleep in a terrified state. These occur
during deep sleep, most common in children, especially boys 5-
7 years of age.
- Somnambulism Correct Answer Sleepwalking. Sleepers will
sit up with glassy eyes and get up and walk around, they will
avoid anyone's who attempts to talk to them
, - Time-zone change Correct Answer Jet lag, occurs when there
is travel to a different time zone and it may take several days or
sleep cycles to get caught up or back on a good sleep cycle.
• Neuropathic pain Correct Answer results from nerve injury,
and the pain continues even after the painful stimuli are gone.
Sometimes referred to as pathologic pain, neuropathic pain may
stem from injury to nerves in the central or peripheral nervous
system. Characteristically, neuropathic pain may be burning,
aching, crushing, stabbing, shooting, tingling, or numbing.
• Phantom pain Correct Answer occurs when the brain
continues to receive messages from the area of an amputation.
Over time, the brain adapts to the loss of the limb, and the pain
stops. This adaption is called plasticity
• Psychogenic pain Correct Answer Pain that is perceived by
an individual but has no physical cause. It may be caused,
increased, or prolonged by mental, emotional, or behavioral
factors. Some patients may report headaches, back pain, or
stomach pain that is psychogenic pain
• QSEN Correct Answer competencies are patient-centered
care, teamwork and collaboration, evidence-based practice,
quality improvement, safety, and informatics. Knowledge, skills,
and attitudes for each competency were developed for use in
pre-licensure nursing education and graduate education.
• Radiating pain Correct Answer extends from the source to an
adjacent area of the body. For example, in gastroesophageal
reflux, pain in the stomach radiates up the esophagus.