4.List the information that should be determined
in a sleep history when a sleep disturbance is
noted.5.Describe four physical findings that either
confirm that a patient is getting sufficient rest
to provide energy for the day’s activities or val-
idate the existence of a sleep disturbance that
is decreasing the quantity or quality of sleep.
a.
b.
c.
d.
6.Describe how you would prepare a restful
environment for a home healthcare patient
who is experiencing a sleep disorder.7.Write a sample nursing diagnosis for the
following sleep problems.
a.Mr. Smith is admitted to the hospital for
surgery. He normally has no problem
falling asleep, but the noise of the hospital
and the need for periodic treatments keep
him awake at night.b.Mr. Loper, a 74-year-old patient in a long-
term care facility, is bored during the day
and takes a nap in the afternoon and early
evening. He cannot sleep at night.c. Dr. Harris, a resident working varying
shifts in the emergency room, complains
that he is sleepy all the time but cannot
sleep when he lies down after work.d.Mrs. Maher, age 28, consumes four
alcoholic drinks when watching television
at night before bedtime. After eliminating
the alcohol from her diet, she complains
of waking after a short period and not
being able to fall back to sleep.e.Mrs. Eichorn, age 45, has two teenage sons
who are often out late at night. She cannot
get to sleep until they are both home
safely, and even then she continues to
worry about them.8.Describe how each of the following is
affected by REM sleep.
a.Eyes:
b.Muscles:
c. Respirations:
d.Pulse:
e.Blood pressure:
f. Gastric secretions:
g.Metabolism:
h.Sleep cycle:
9.List three measures a nurse can take to help
alleviate a patient’s sleep problem.
a.
b.
c.
10.Give an example of a question you would
ask a patient to assess for the following sleep
factors.
a.Usual sleeping and waking times:b.Number of hours of undisturbed sleep:c. Quality of sleep:d.Number and duration of naps:220 UNIT VII PROMOTING HEALTHY PHYSIOLOGIC RESPONSES
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