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AJN, American Journal of Nursing:
doi: 10.1097/01.NAJ.0000431268.16450.93
Feature Articles

CE Test 2.1 Hours: Assessing Sleep in Adolescents Through a Better Understanding of Sleep Physiology

Contrada, Emily

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Continued Education
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TEST INSTRUCTIONS

* To take the test online, go to our secure Web site at www.nursingcenter.com/ce/ajn.

* To use the form provided in this issue, record your answers in the test answer section of the CE enrollment form below. Each question has only one correct answer. You may make copies of the form.

* Complete the registration information and course evaluation. Mail the completed enrollment form and registration fee to: Lippincott Williams and Wilkins, CE Group, 74 Brick Blvd., Bldg. 4, Suite 206, Brick, NJ 08723. You will receive your certificate in four to six weeks. For faster service, include a fax number and we will fax your certificate within two business days of receiving your enrollment form. You will receive your CE certificate of earned contact hours and an answer key to review your results. There is no minimum passing grade.

* Registration deadline is June 30, 2015.

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DISCOUNTS AND CUSTOMER SERVICE

* Send in together two or more tests from any nursing journal published by Lippincott, Williams and Wilkins (LWW), and deduct $0.95 from the price of each test.

* We also offer CE accounts for hospitals and other health care facilities online at www.nursingcenter.com. Call 1-800-787-8985 for details.

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PROVIDER ACCREDITATION

LWW, publisher of AJN, will award the number of contact hours indicated for each continuing nursing education activity. LWW is accredited as a provider of continuing nursing education by the Commission on Accreditation of the American Nurses Credentialing Center (ANCC).

These activities are also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for the number of contact hours indicated. LWW is also an approved provider of continuing nursing education by the District of Columbia and Florida #50-1223. Your certificate is valid in all states.

The ANCC's accreditation status of the LWW Department of Continuing Education refers to its continuing nursing educational activities only and does not imply Commission on Accreditation approval or endorsement of any commercial product.

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CE TEST QUESTIONS

GENERAL PURPOSE:

To provide information about sleep physiology and its influence on adolescent health, along with assessment, education, and intervention strategies nurses can use to assess sleep and risk factors for disrupted sleep.

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LEARNING OBJECTIVES:

After reading this article and taking this test, you will be able to

* explain the need for improving adolescents' sleep.

* outline the characteristics of the various stages of sleep and their variations in children and adolescents.

* plan assessments and make appropriate recommendations for improving adolescents' sleep.

1. According to the National Sleep Foundation, which of the following is an appropriate duration of sleep for teens?

a. 7.5 hours

b. 8.2 hours

c. 9 hours

d. 10.2 hours

2. According to McKnight-Eily and colleagues, what percentage of high school students reported getting less than 8 hours of sleep on school nights?

a. about 40%

b. nearly 50%

c. about 60%

d. nearly 70%

3. McKnight-Eily and colleagues agreed with other experts that a common cause of chronic sleep deprivation in adolescents is

a. recreational pressure.

b. substance abuse.

c. parental demands.

d. poor nutrition.

4. A study of American high school students found that, on average, older students reported getting about how much sleep on school nights?

a. 5.5 hours

b. 6 hours

c. 6.5 hours

d. 7 hours

5. The National Heart, Lung, and Blood Institute has reported a link between sleep disruption and an increased risk of

a. cancer.

b. asthma.

c. diabetes.

d. bowel disorders.

6. McKnight-Eily and colleagues associated insufficient sleep with many high-risk behaviors, including

a. physical fighting.

b. extreme sports.

c. school truancy.

d. gun violence.

7. In which sleep stage does the sleeper have frequent bursts of low-voltage, fast-frequency electroencephalographic (EEG) waveforms and high-voltage, slow-frequency EEG spikes?

a. stage 1 non–rapid eye movement (NREM) sleep

b. stage 2 NREM sleep

c. stage 3 NREM sleep

d. rapid eye movement (REM) sleep

8. In which sleep stage does the sleeper have more or less continuous high-voltage activity in the slowest frequency range?

a. stage 1 NREM sleep

b. stage 2 NREM sleep

c. stage 3 NREM sleep

d. REM sleep

9. REM sleep typically has EEG activity that

a. shows intense muscle tone.

b. is high voltage.

c. is synchronized.

d. has mixed frequencies.

10. Compared with younger children, adolescents spend increasingly

a. more time in stage 2 NREM sleep and less time in stage 3 NREM sleep.

b. less time in stage 2 NREM sleep and more time in stage 3 NREM sleep.

c. more time in both stage 2 and stage 3 NREM sleep.

d. less time in both stage 2 and stage 3 NREM sleep.

11. How many times per night do adolescents typically cycle through the sleep stages?

a. 2 to 3

b. 3 to 4

c. 4 to 5

d. 5 to 6

12. Compared with younger children, adolescents tend to

a. fall asleep faster.

b. get more REM sleep.

c. sleep later in the morning.

d. go to sleep earlier in the evening.

13. Toh and colleagues found a genetic link to familial advanced sleep phase syndrome, which is characterized by advancing of the sleep–wake pattern by how many hours?

a. 1

b. 2

c. 3

d. 4

14. Assessment of the quality of sleep involves asking which of the following questions?

a. Do your activities change the time you awaken or your bedtime?

b. How often do you get up out of bed to answer a text message?

c. What time do you awaken on school days?

d. How long does it take for you to fall asleep?

15. Assessment of the architecture of sleep involves asking which of the following questions?

a. On weekends, do you sleep more or less than you do during the school week?

b. How often do you wake up in the middle of the night or early morning?

c. What time would you get up if left to awaken on your own?

d. How many hours of sleep do you get on most nights of the week?

16. An appropriate strategy for promoting good sleep habits in adolescents is to suggest that they

a. study just before bedtime.

b. vary their awakening time on weekdays.

c. open window blinds immediately upon awakening.

d. exercise moderately in the evening.

© 2013 Lippincott Williams & Wilkins, Inc.

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