Disorders Part 3: The Elderly

1) Adults in their late 70s need approximately ______sleep each night when compared to a young adult in their early 20s. a) 30 to 60 minutes more b) 2 to 3 hours more c) 30 to 60 minutes less d) 2 to 3 hours less

2) Apnea is defined as an absence of breathing for _____ seconds or more. a) 2 b) 5 c) 10 d) 15

3) Positional therapy involves a) elevating the foot of the so that it is higher than the head. b) sleeping in a position facing a window to take in extra light. c) positioning the bed so that it is close to the bathroom. d) changing a patient’s sleeping position to avoid airway obstruction.

4) ______is the most commonly reported among older adults. a) Obstructive b) c) REM behavior disorder d)

5) Which of the following is a causative factor and a symptom of insomnia? a) Depression b) Weight loss c) Low blood pressure d)

6) Which of the following statements best describes REM sleep? a) During REM sleep, a person experiences a decrease in heart rate and blood pressure. b) REM sleep consists of 4 stages, each consecutively longer than the last. c) During REM sleep, a person experiences an increase in heart rate and blood pressure. d) REM sleep begins approximately 3 hours after falling asleep.

ce4less.com ce4less.com ce4less.com ce4less.com ce4less.com ce4less.com 7) Which of the following patients would be more likely to develop ? a) A person with a neck circumference of 14 inches or more b) A pregnant woman c) A person with geographic tongue d) An obese patient

8) Which of the following statements best describes microsleep associated with narcolepsy? a) Brief periods of falling asleep while performing routine activities b) Short bursts of sleep intermixed with periods of REM sleep c) A shortened period of stage 1 NREM sleep d) Short bursts of REM sleep interspersed with NREM sleep

9) Group 1 primary hypersomnia is best described as a condition a) that inflicts people recovering from a viral infection. b) most likely connected to a family history. c) with symptoms of excessive daytime sleepiness combined with . d) that is idiopathic with no known cause.

10) Sleep-related eating disorder may most likely lead to a) anorexia. b) injuries from falls. c) weight gain and obesity. d) muscle atrophy.

11) Which condition is most closely associated with REM behavior disorder? a) Alzheimer’s disease b) Chronic obstructive pulmonary disease c) Parkinson’s disease d) Heart failure

12) At least _____ percent of people who have dementia also suffer from sleep problems. a) 10 b) 50 c) 70 d) 95

ce4less.com ce4less.com ce4less.com ce4less.com ce4less.com ce4less.com 13) The current exercise recommendations for older adults are _____ minutes of moderate-intensity exercise per week. a) 30 b) 60 c) 120 d) 150

14) According to the American Geriatric Society, the first and foremost drug recommended for pain control in patients who are able to tolerate it is a) ketorolac b) ibuprofen c) acetaminophen d) demerol

15) Which of the following is a risk associated with estrogen-only hormone therapy taken for menopause? a) blood clots b) lung cancer c) hemorrhage d) hyperpigmentation

16) ______is often prescribed for people with excessive daytime sleepiness, including those with narcolepsy. a) Epinephrine b) c) Ritalin d) Methamphetamine

17) A polysomnogram is used to test a) body movements that occur during a period of sleep. b) seizure activity. c) pain level impeding sleep. d) Both b., and c., above

18) Patients that suffer from overactive bladder may benefit from antimuscarinic medications such as a) lorazepam. b) . c) tolterodine and oxybutynin. d) clonazepam.

ce4less.com ce4less.com ce4less.com ce4less.com ce4less.com ce4less.com 19) Which of the following body structures produces the hormone melatonin? a) The pineal gland b) The thyroid gland c) The supra-chiasmatic nucleus d) The parathyroid gland

20) A person with who maintains a sleep and voiding diary would be expected to trend a) the number of times they awaken to use the bathroom. b) how much they voided when using the bathroom. c) how urgently they needed to use the bathroom. d) All of the above

21) is a) typically treated with medications. b) a form of lock jaw. c) treated by using mouth guards or dental appliances. d) a condition that rarely returns after treatment.

22) When an older adult with no prior history of sleep disorders suddenly starts exhibiting , a clinician should a) determine whether the change is due to dementia. b) immediately cease any benzodiazepines or antidepressants the patient may be taking. c) recognize that this is a common result of a person aging. d) recognize that a patient’s bad habits are usually to blame.

23) Sleep-related eating disorder occurs more frequently in a) women. b) men. c) elderly men. d) None of the above

24) Cognitive-behavioral therapy for insomnia (CBT-I) considers a) each person’s ideas about sleep as realistic. b) the patient’s frequent thoughts that may contribute to insomnia. c) the reality that a person cannot change his or her thoughts. d) All of the above

ce4less.com ce4less.com ce4less.com ce4less.com ce4less.com ce4less.com 25) ______is the second most common behavior manifestation associated with dementia. a) Wandering b) Psychosis c) Sundowning d) Insomnia

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