A nurse is assisting with teaching a class about physiological changes that occur during sleep. The nurse should include that which of the following changes occur during non-rapid eye movement (NREM) sleep?
Increase in basal metabolic rate
Reduced secretion of growth hormones
Decrease in body temperature
Constriction of peripheral blood vessels
The Correct Answer is C
Choice A reason : Increase in basal metabolic rate.During NREM sleep, particularly in the deeper stages, the basal metabolic rate (BMR) actually decreases. This reduction in BMR is part of the restorative processes that occur during sleep, conserving energy for the body to use in repair and growth.
Choice B reason : Reduced secretion of growth hormones.Contrary to this statement, the secretion of growth hormones increases during NREM sleep, particularly during the deep stages (stage N3). These hormones play a crucial role in tissue growth and muscle repair.
Choice C reason : Decrease in body temperature.During NREM sleep, there is a decrease in body temperature as part of the body's thermoregulation process. This helps to conserve energy and is a characteristic physiological change during this phase of sleep.
Choice D reason : Constriction of peripheral blood vessels.Peripheral blood vessels do not typically constrict during NREM sleep. Instead, there is generally a decrease in sympathetic nervous system activity, which can lead to the dilation of blood vessels and a decrease in blood pressure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason : Cultural bias can negatively impact data collection by causing healthcare providers to make assumptions based on stereotypes rather than individual assessments. This can lead to incomplete or inaccurate data, as certain symptoms or health issues may be overlooked or misattributed to cultural factors.
Choice B reason : Cultural bias can significantly impair the therapeutic relationship between healthcare providers and clients. When providers have preconceived notions about a patient's culture, they may communicate less effectively, make incorrect assumptions, or fail to build trust. This can result in a lack of adherence to treatment plans and decreased patient satisfaction.
Choice C reason : While spending more time with each client could be seen as beneficial, cultural bias does not inherently lead to this outcome. In fact, bias may cause providers to spend less time with clients from certain backgrounds due to misconceptions or communication barriers.
Choice D reason : Cultural bias is a known contributor to healthcare disparities, not a solution to them. Biases can lead to unequal treatment, access, and outcomes across different cultural groups.
Correct Answer is B
Explanation
Choice A reason : Repression is a defense mechanism that involves unconsciously blocking unpleasant feelings, desires, or experiences from one's awareness. It is a way for the ego to protect itself from things that the individual cannot cope with at the moment. In the scenario provided, the client does not seem to be unconsciously blocking out the stress but is instead consciously choosing to focus on different aspects of their life at different times.
Choice B reason : Compartmentalization is a defense mechanism where an individual separates different aspects of their life, allowing them to handle conflicting values or emotions by keeping these aspects in separate 'compartments' in their mind. This seems to be what the client is doing by separating work stress from family life, thus being able to concentrate on family when at home despite the stress at work.
Choice C reason : Regression is a defense mechanism that leads an individual to revert to an earlier stage of development when faced with stress. An example would be an adult throwing a tantrum when they don't get their way, which is not what the client is demonstrating in the scenario⁴.
Choice D reason : Projection is a defense mechanism where an individual attributes their own unacceptable thoughts, feelings, or motives to another person. For instance, someone who is angry at their colleague may accuse the colleague of being hostile towards them. The client's statement does not indicate that they are projecting their feelings onto others⁵.
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