Author Question: A client is working two jobs, caring for aged parents, and maintaining a household for the family. ... (Read 36 times)

V@ndy87 · **on:** Jul 23, 2018

A client is working two jobs, caring for aged parents, and maintaining a household for the family. The nurse realizes that this emotional stress will have what impact on the client's sleep?

1. More REM sleep.
2. Less Stage 1 and Stage II NREM sleep.
3. More NREM sleep.
4. Less deep sleep and more awakenings during the night.

Question 2

The nurse, seeing a client asleep, turns off the television in the room. The client opens her eyes and says I was watching that. I wasn't sleeping. The nurse realizes that the client was demonstrating which stage of NREM sleep?

1. IV.
2. III.
3. II.
4. I.

kaylee05 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: Chemical changes result in less REM sleep.
Rationale 2: Chemical changes result in less NREM sleep in Stages III and IV.
Rationale 3: Chemical changes affect deep and REM sleep.
Rationale 4: Stress is considered by most sleep experts to be the number one cause of short-term sleeping difficulties. A person preoccupied with personal problems might be unable to relax sufficiently to get to sleep. Anxiety increases the norepinephrine blood levels through stimulation of the sympathetic nervous system. This chemical change results in less deep and REM sleep and more stage changes and awakenings.

Answer to Question 2

Correct Answer: 4
Rationale 1: Stage IV is the deepest stage of sleep, and the sleeper is difficult to arouse.
Rationale 2: Stage III is a deeper stage of sleep, and the sleeper is difficult to arouse.
Rationale 3: Stage II is the stage of light sleep during which body processes continue to slow down. The eyes are generally still, the heart and respiratory rates decrease slightly, and body temperature falls. An individual in stage II requires more intense stimuli than in stage I to awaken, such as touching or shaking.
Rationale 4: Stage I is the stage of very light sleep, and lasts only a few minutes. During this stage, the person feels drowsy and relaxed, her eyes roll from side to side, and her heart and respiratory rates drop slightly. The sleeper can be readily awakened, and might deny that she was sleeping.