Sleep and the Older Adult: Assessment
About the Lecture
The lecture Sleep and the Older Adult: Assessment by Kimberly Posey, AGPCNP-BC, DNP, PhD, GS-C is from the course Common Geriatric Syndromes (APRN).
Included Quiz Questions
Which of the following is a normal age-related change in sleep for older adults?
- Reduced deep sleep and more frequent awakenings
- Increased deep sleep and less frequent awakenings
- Decreased light sleep and later sleep onset
- Increased deep sleep and decreased light sleep
- Earlier sleep onset and reduced REM sleep
Which psychiatric or neurological condition is most commonly associated with sleep disturbances in older adults?
- Restless leg syndrome
- Obstructive sleep apnea
- Chronic obstructive pulmonary disease
- Type 2 diabetes
- Heart failure
Which of the following treatments is the gold standard for sleep-related breathing disorders, such as sleep apnea, in older adults?
- CPAP (Continuous Positive Airway Pressure)
- Cognitive-behavioral therapy (CBT)
- Melatonin supplements
- Benzodiazepines
- Gabapentin
How do cardiovascular conditions such as heart failure typically affect sleep in older adults?
- They result in nocturnal dyspnea and fragmented sleep.
- They increase sleep duration and quality.
- They cause nocturnal hypoxia and REM sleep deprivation.
- They reduce the quantity of stage N2 sleep.
- They only impact circadian rhythm, not sleep quality.
Which of the following is an effective subjective method for assessing sleep disturbances in older adults?
- Bed partner interviews and patient sleep logs
- Polysomnography
- Actigraphy
- Blood tests for ferritin levels
- Home sleep apnea test
What is the main difference between primary and secondary sleep disorders?
- Primary sleep disorders are not linked to other medical or psychiatric conditions.
- Medications cause primary sleep disorders but do not cause secondary ones.
- Primary sleep disorders occur only at night, while secondary occur during the day.
- Primary sleep disorders only occur in younger adults.
- Secondary sleep disorders are untreatable in older adults.
Which of the following medication classes should be taken with caution at bedtime due to potential effects on sleep?
- Diuretics
- ACE Inhibitors
- Non-steroidal anti-inflammatories
- Statins
- Biguanides
What is a key risk associated with the chronic use of over-the-counter sleep aids, particularly those containing antihistamines, in older adults?
- Increased cognitive decline
- Decreased REM sleep
- Worsened sleep quality
- Increased risk of falls
- Increased risk of depression
Author of lecture Sleep and the Older Adult: Assessment
Kimberly Posey, AGPCNP-BC, DNP, PhD, GS-C
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