Exam Preview for 104: Sleep: The Challenge of Aging July 20, 2020

Sleep: The Challenge of Aging

Please note: exam questions are subject to change.

1. In normal sleep architecture, when does the deepest sleep occur? space evenly throughout the sleep cycle space unevenly throughout the sleep cycle in the front half of the sleep cycle in the back half of the sleep cycle
2. In normal sleep architecture, (not including going down to bed and waking up in the morning) a person wakes up how many times? one – just a few minutes after falling asleep two—after about 4 hours, and again after about 6 hours three—after about 1 hour, and again at 3 hours and 5 hours zero – it is not normal to wake up in the middle of the sleep cycle
3. Which of the following statements relates to Process S? affected by sunlight called the Circadian Pacemaker connected to the release of Melatonin dependent upon hours of wakefulness
4. Which statement about Dim Light Melatonin Onset (DLMO) is FALSE? Melatonin release is not affected by artificial light or light bulbs. Bright blue-enhanced light can delay melatonin release up to an hour or more. Screen time at night can delay melatonin release even when using blue filters. Melatonin begins to be secreted by the pineal glad about 2 hours before sleep onset.
5. How should you respond to a ‘sleep terror’? Attempt to reason with them so they understand it isn’t real. Let them hang out with the night staff until they’re alert and ready to go back to bed. Walk them around the facility until they feel tired again. ‘Steer’ them back to bed and sleep with minimal interaction.
6. Which of the following is an EXTRINSIC factor in dyssomnia/insomnia? normal aging process Restless Leg Syndrome ambient noise hip or back pain
7. Which statement about Sleep Disordered Breathing is FALSE? It is a fairly common occurrence and associated with aging. It is usually treated with bed positioning and medications. May be associated with cognitive decline in Residents younger than 80. The more severe the dementia, the greater the disordered breathing.
8. Sleep Culture in a Residential Community may be impacted by all of the following EXCEPT: Medical severity of its Residents. Nighttime interactions of the staff. Opportunities for Residents to receive natural daytime light. Scheduling and programs to preserve the ‘Wake Maintenance Zone.
9. Providers tend to avoid medications for sleep problems in the elderly due to: adverse cognitive side effects daytime sedation increased fall risk all of the above
10. Which statement about CPAP is TRUE: Cures any respiratory problems occurring during sleep. CPAP = Constant Proactive Aspiration Protection Reduces the number of respiratory events occurring during sleep. Needs to be donned at least two hours before bedtime.