A nurse is teaching the staff about the sleep cycle. Which period lasts 10 to 30 minutes?
Pre-sleep.
NREM Stage 2.
REM.
NREM Stage 1.
The Correct Answer is B
Choice A reason: Pre-sleep, the transition to sleep, is not a distinct sleep cycle stage and varies widely, not consistently lasting 10-30 minutes. NREM Stage 2 has a defined duration. Misidentifying pre-sleep risks confusing staff, potentially leading to inaccurate sleep assessments and interventions in patients with sleep disorders.
Choice B reason: NREM Stage 2, lasting 10-30 minutes per cycle, involves light sleep with sleep spindles and K-complexes, consolidating memory and transitioning to deeper sleep. Accurate teaching ensures staff recognize this stage’s role in restorative sleep, guiding monitoring and interventions for patients with disrupted sleep patterns in clinical settings.
Choice C reason: REM sleep, lasting 10-20 minutes initially but up to 60 minutes later in the night, does not consistently fall within 10-30 minutes. NREM Stage 2 is more accurate. Misidentifying REM risks staff misunderstanding sleep cycles, potentially affecting sleep assessments and management in patients with insomnia or neurological conditions.
Choice D reason: NREM Stage 1, lasting 5-10 minutes, is shorter than 10-30 minutes, involving light sleep and easy arousability. NREM Stage 2 better fits the duration. Misidentifying Stage 1 confuses sleep cycle education, risking inaccurate monitoring and interventions for sleep quality, critical for patient recovery and health outcomes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: While hospice provides pain management, this is not the primary criterion. Many patients receive pain management outside hospice. The defining factor is a prognosis of less than 6 months, making this choice incomplete and less accurate for explaining hospice eligibility.
Choice B reason: Having a terminal illness like cancer is relevant, but not all terminal patients qualify for hospice. The key criterion is a life expectancy of 6 months or less, as determined by a physician. This choice is too broad and lacks specificity, making it incorrect.
Choice C reason: An advance directive is not required for hospice eligibility, though it may guide care decisions. Hospice focuses on prognosis, not legal documentation. This criterion is irrelevant to qualifying for hospice services, making it an incorrect choice for the nurse to share.
Choice D reason: Hospice care is for patients with a prognosis of 6 months or less, as certified by a physician. This criterion, per Medicare and hospice guidelines, defines eligibility for terminal cancer patients, ensuring comprehensive end-of-life care. This is the most accurate information for the nurse to share.
Correct Answer is ["A","B","C","D"]
Explanation
Choice A reason: Documenting the time of body transfer and destination ensures accurate tracking of the deceased, maintaining chain of custody and compliance with legal and hospital protocols. This information supports coordination with morgue or funeral services, preventing errors in body handling and ensuring respectful, organized end-of-life care per regulatory standards.
Choice B reason: Special preparations, like cleaning or cultural rituals, must be documented to reflect respectful care aligned with patient or family wishes. This ensures continuity of care, legal compliance, and sensitivity to cultural or religious practices, preventing oversight of specific requests and supporting dignified handling of the deceased in medical records.
Choice C reason: Time and date of death are critical for legal and medical documentation, establishing the official record required for death certificates and hospital reporting. Accurate recording ensures compliance with regulations, supports family closure, and prevents discrepancies in legal or insurance processes, making it essential in end-of-life care documentation.
Choice D reason: Location of body identification tags is documented to ensure proper identification, preventing errors during transfer or postmortem procedures. This complies with hospital policies and legal standards, ensuring traceability and respect for the deceased. Accurate tagging documentation supports safe, organized handling, critical for ethical end-of-life care management.
Choice E reason: Reason for death may be noted by physicians but is not typically required in nursing end-of-life documentation unless specified. Nurses focus on procedural details like time of death or body preparation. Including this risks role confusion, as determining cause is a medical responsibility, potentially leading to inaccurate or incomplete nursing records.
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