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Nursing Management:
doi: 10.1097/01.NUMA.0000453205.83988.2a
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Sleep deprivation in children: A growing public health concern

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INSTRUCTIONS Sleep deprivation in children: A growing public health concern

TEST INSTRUCTIONS
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PROVIDER ACCREDITATION

Lippincott Williams & Wilkins, publisher of Nursing Management, will award 2.0 contact hours for this continuing nursing education activity.

LWW is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.0 contact hours, the District of Columbia, and Florida #50–1223. Your certificate is valid in all states.

Sleep deprivation in children: A growing public health concern

GENERAL PURPOSE: To identify the etiology and impact of sleep disorders in children and explore approaches to improving sleep patterns. LEARNING OBJECTIVES: After reading this article and taking this test, you should be able to: 1. Describe the etiology and types of sleep disorders in children. 2. Identify approaches to improve sleep patterns in children.

  1. Recommended hours of sleep for children between ages 5 and 10 are
    1. 7 to 8.
    2. 8.5 to 9.5.
    3. 10 to 11.
    4. 12 to 14.
  2. What percentage of children in the United States is estimated to have sleep issues?
    1. 5%
    2. 10%
    3. 15%
    4. 20%
  3. Untreated sleep disorders can predispose or exacerbate health conditions such as
    1. renal dysfunction.
    2. urinary tract infection.
    3. diabetes and obesity.
    4. anemia.
  4. Inadequate sleep is a contributing factor in the death of adolescents, especially from
    1. substance overdose.
    2. motor vehicle accidents.
    3. suicide.
    4. eating disorders.
  5. SDB peaks in children ages
    1. 2 to 6.
    2. 7 to 9.
    3. 10 to 12.
    4. 13 to 16.
  6. The most significant behavior change in children with SDB is
    1. loss of appetite.
    2. difficulty waking at the appropriate time.
    3. sleepwalking.
    4. hyperactivity.
  7. SDB is more likely to occur in
    1. Black children.
    2. children of higher economic status.
    3. White children.
    4. children living in rural communities.
  8. Which statement about sleepwalking is accurate?
    1. It affects more girls than boys.
    2. It usually begins between ages 4 and 6.
    3. It's more frequent and intense in chronically sleep-deprived children.
    4. It has no known association with emotional factors.
  9. Which statement about nightmares is accurate?
    1. They're more common in girls than boys.
    2. They occur in mid-sleep cycle before REM sleep.
    3. They're usually not remembered.
    4. It's usually difficult to comfort the child afterward.
  10. All the following are correct about night terrorsexcept
    1. the child may not remember them in the morning.
    2. the child can easily be comforted.
    3. they usually occur within 4 hours of bedtime.
    4. the child isn't aware of parental presence.
  11. Which isn't a sign of childhood sleep problems?
    1. bruxism
    2. talking during sleep
    3. secondary enuresis
    4. taking 15 to 30 minutes to fall asleep
  12. Parents who work long hours may contribute to sleep deprivation in children because they may
    1. not enforce regular bedtimes or may set inconsistent bedtime rules.
    2. take advantage of later hours to visit with their children.
    3. help their children with homework late in the evening.
    4. expect their children to adjust to their working hours.
  13. A child's cognitive processing may be negatively impacted by a reduction of sleep time of as little as
    1. 30 minutes.
    2. 60 minutes.
    3. 90 minutes.
    4. 120 minutes.
  14. Violent video games and other electronic activities interfere with sleep because they
    1. are compelling and difficult to put down.
    2. trigger nightmares or night terrors.
    3. interfere with relaxing, REM sleep.
    4. put the body in a stressful state.
  15. How should parents use a sleep diary for their child?
    1. Record nighttime activities for 3 days.
    2. Record time to sleep and time at waking for 2 consecutive weeks.
    3. Record sleep time over a 24-hour period for 2 consecutive weeks.
    4. Record all sleep time for 4 consecutive weeks, including weekday and weekend naps.
  16. Children are most receptive to health education classes during
    1. elementary school.
    2. upper elementary school.
    3. middle school.
    4. senior high school.
  17. A child's bedroom should be
    1. the center of activities including play with friends, homework, and sleep.
    2. warm and quiet with a small, soft light for safety.
    3. used for sleeping only.
    4. near the parents' room so they can readily assess sleep difficulties.
  18. Which of the following may increase suicidal tendencies in children with anxiety or mood disorders?
    1. antidepressants
    2. melatonin
    3. energy drinks
    4. sedatives
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