A nurse is teaching a class about physiological changes that occur during non-rapid eye movement sleep. Which of the following changes occur during non-rapid eye movement sleep?
Decrease in body temperature
Constriction of peripheral blood vessels
Reduced secretion of growth hormones
Increase in basal metabolic rate
The Correct Answer is A
Choice A reason: During non-rapid eye movement (NREM) sleep, the body’s core temperature decreases as part of the circadian rhythm’s regulation of thermoregulation. The hypothalamus reduces heat production and promotes heat loss, lowering body temperature by about 0.5-1°C. This physiological change conserves energy, supports restorative processes, and aligns with the reduced metabolic demands of NREM sleep stages.
Choice B reason: Peripheral blood vessels dilate, not constrict, during NREM sleep to facilitate heat loss, contributing to the decrease in body temperature. Vasodilation enhances blood flow to the skin, promoting heat dissipation. Constriction would retain heat, counteracting the body’s thermoregulatory goal during NREM sleep, making this an incorrect physiological change for this sleep stage.
Choice C reason: Growth hormone secretion increases, not decreases, during NREM sleep, particularly in slow-wave sleep (Stage 3). The pituitary gland releases growth hormone to support tissue repair, growth, and metabolism. Reduced secretion would impair these restorative processes, which are critical during NREM sleep, making this an inaccurate description of physiological changes in this phase.
Choice D reason: Basal metabolic rate decreases, not increases, during NREM sleep due to reduced energy demands. The body conserves energy by lowering heart rate, respiratory rate, and overall metabolic activity. An increase in metabolic rate would occur during wakefulness or rapid eye movement sleep, not NREM, making this an incorrect physiological change for this sleep stage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Palliative care is not limited to hospitals; it is provided in various settings, including home or outpatient clinics, focusing on symptom relief and quality of life. It addresses pain, nausea, or emotional distress, engaging neural pathways to reduce suffering, regardless of care location or disease stage.
Choice B reason: Palliative care complements chemotherapy by managing side effects like nausea or pain, improving quality of life. It does not interfere with cancer treatment, as it targets symptom relief through medications or counseling, supporting patients’ physical and emotional well-being during active therapies like chemotherapy.
Choice C reason: Palliative care is not limited to terminal illness; it supports patients with serious conditions (e.g., cancer, heart failure) at any stage. It reduces symptoms like pain or dyspnea, enhancing quality of life via pharmacological and psychological interventions, addressing physical and emotional distress across disease trajectories.
Choice D reason: Palliative care does not replace other treatments but complements them, focusing on symptom management and quality of life. It integrates with curative therapies, using medications or counseling to alleviate suffering, supporting patients’ physiological and psychological needs without halting disease-specific treatments like surgery or chemotherapy.
Correct Answer is A
Explanation
Choice A reason: Identity involves how individuals perceive themselves and how they believe others perceive them, shaped by social interactions and self-reflection. Asking how others describe the client assesses their perceived social identity, engaging the prefrontal cortex in processing self-concept and external feedback, central to identity formation.
Choice B reason: Self-esteem reflects personal judgment of self-worth, influenced by internal beliefs and achievements, not directly by others’ descriptions. While identity includes external perceptions, self-esteem focuses on self-evaluation, involving emotional regulation in the amygdala and prefrontal cortex, not the primary focus of this question.
Choice C reason: Role performance relates to fulfilling societal or personal roles (e.g., parent, employee), assessed through actions or responsibilities, not others’ descriptive words. It involves behavioral evaluation, not identity perception, and engages different cognitive processes, like executive function, rather than social identity reflection.
Choice D reason: Body image concerns perception of physical appearance, typically assessed through questions about self-perceived looks or body satisfaction, not others’ verbal descriptions. It involves visual and somatosensory cortex processing, distinct from the social and cognitive aspects of identity assessed by external perceptions.
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