Restraint and Alt
Safety First
This or That
Who needs sleep?
Sleepy time
100

identify the effect of a chemical restraint 

What is: it changes the patients behavior 
100

the organization responsible for evaluating and accrediting health-care organizations and programs in the United States.

Who is Joint Commission 

100

    Grinding of teeth during sleep

What is bruxism 

100
Define restorative sleep 
What is allows one to awaken refreshed and relaxed to start the day 
100

in this stage, the eye move, vivid dreaming occurs 

What is REM 

200

Name the guidelines required by Joint commission to use a restraint. 

What is: Release q 2 hours. Offer hydration, toileting, nutrition and ROM (Document on all) 

200
Name the fall assessment that we used in class. 
what is Morse fall assessment. 
200

Chronic inability to fall asleep or stay asleep

 What is insomnia 

200

Name the two sleep cycles 

what is REM and NREM 

200
This is the lightest stage of sleep 

What is NREM 1

300

name the required time to check on a patient in restraints. 

What is every 30 mins 

300
to use a restraint, name the person who gives the order and how long is that order good for 

What is physician and for 24 hours 

300

    

Inability to maintain breathing while sleeping; the patient usually snores, accompanied by periods of apnea lasting from 10 seconds to 2 minutes; can be life-threatening

What is sleep apnea? 

300

Define how much sleep an older person requires 

What is  5.5 to 6 hours of sleep with naps

300

 The body rests and is restored during this deep sleep

What is NREM 4

400
Define a restraint alternative 

What is: less restrictive ways to help patients remember not to get up and try to walk or to alert nursing staff that the patient is attempting to do so.

400

Name the Seven goals for NPSGs. 

What is: 

 identifying patients correctly, improving staff communication, using medicines safely, using alarms safely, preventing infections, identifying patient safety risks, and preventing mistakes in surgery

400

    

Condition causing uncontrollable, recurrent daytime episodes of sleepiness; can hinder driving and operating dangerous equipment

What is narcolepsy 

400

name the effects of sleep deprivation

what is 

decrease immune system 

agitation, moody, irritable 

foggy brain

emotional 

400

Deep sleep begins as muscles are now completely relaxed. The parasympathetic nervous system slows vital signs further and the body becomes immobile

What is NREM 3 

500

Name the strategies to use instead to prevent falls in a patient. 

What is: 

Offer a snack/drink
Offer toileting /dont leave alone in the bathroom 

Room close to the nurses station 

500

restraints can only be used for this reason

What is protecting the patient from harming themselves or harming others. 

Never for staff convenience or discipline 

500

    

Confusion and disorientation in older adults that occurs in the evening hours; the patient is at higher risk for injury

What is sundowning?

500
name of the 24 hour wake sleep cycle 

What is the circadian rhythm 

500

name things that disturb our sleep

what is pain, kids, noise, temps, environment, hunger, stress, anxiety, phones, social media 

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