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Sleep in Pediatric Occupational Therapy Practice: A Family-Centered Approach

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1.  Which of the following accurately describes sleep, according to the American Sleep Association?
  1. A passive process that simply provides rest so we can engage in occupations.
  2. A passive process that serves as a restorative method for the body and mind.
  3. An altered state of consciousness that is both a restorative and passive process.
  4. A natural state of the mind and body with altered consciousness. It is an active and restorative process.
2.  School-aged children need between
  1. 7-8 hours of sleep
  2. 9-11 hours of sleep
  3. 11-14 hours of sleep
  4. 14+ hours of sleep
3.  Which of the following statements is accurate with respect to the neuroscience of sleep?
  1. REM sleep deprivation inhibits long term potentiation induction and maintenance
  2. Non-REM and learning are connected; 6 hours of reduced Non-REM restricts learning
  3. The amount of REM sleep is the most important, not the REM sleep augmentation
  4. Non-REM involves high activity in the hippocampus which affects memory
4.  Which of the following statements regarding symptoms of sleep is accurate?
  1. Maggy experiences decreased REM sleep and complains of being tired
  2. Jason experiences decreased Non-REM sleep and complains of anxiety
  3. Tyrese experiences decreased Non-REM and mother complains he is irritable
  4. Sonica experiences decreased Non-REM sleep and complains of being tired
5.  What is the outcome of the intersection between the three aspects of the Person-Environment-Occupational Model by Law et al.?
  1. Occupational participation
  2. Sleep
  3. Occupational performance
  4. Family Centered Care
6.  According to Blunden, which of the following sleep disorder categorizations is accurate?
  1. Inadequate sleep hygiene refers to ADLs that are inconsistent with maintenance of good quality sleep and full daytime alertness
  2. Adjustment Sleep Disorder involves an acute stress, conflict, or environmental change that causes emotional arousal and temporary sleep problems
  3. Limit-Setting Sleep Disorder refers to inadequate enforcement of bedtimes by a caretaker, with child then stalling or refusing to go to bed at an appropriate time
  4. All of the above
7.  Which of the following family centered implications involving sleep occupations are important to consider?
  1. Parental marriage issues
  2. Conflict and stress
  3. Disruption of sleep for other family members
  4. All of the above
8.  Which of the following best describes the PAL method for family centered care?
  1. Using a plan (P) through assessment, interview, and collaborative problem solving and goal setting
  2. Provide Access (A) to practice, problem solving, and skill acquisition with opportunities in safe (non-judgment) space and context
  3. Learning (L) involves ongoing, scaffolded, and graded occupational opportunities that emphasize dignity and respect, information sharing, participation, and collaboration
  4. All of the above
9.  Using a person-based approach intervention in the PEO model, which of the following interventions could be used to increase REM sleep?
  1. Lighting
  2. Door chimes
  3. Positioning
  4. Clutter/overstimulation
10.  Under person-based (P) and occupation-based (O) interventions of PEO model, all of the following help with sleep EXCEPT
  1. Fasting
  2. Massage
  3. Sleep games
  4. Worry shell