A client complains of an inability to sleep through the night since admission three days ago. Which of the following factors is most likely to negatively affect the patient's sleep patterns?

Moderate fatigue

Ability to talk about day's events

Presence of pain

Absence of unfamiliar stimuli

Answer and Explanation

The Correct Answer is C

Choice A reason: Moderate fatigue typically encourages sleep as the body naturally seeks rest to recover. However, if fatigue is excessive, it might lead to an overtired state where the patient finds it difficult to relax and fall asleep. Normal ranges of physical activity and resulting fatigue can actually promote better sleep patterns by helping to regulate the body's natural sleep-wake cycle.

Choice B reason: The ability to talk about the day's events can be therapeutic and help in reducing stress levels. It allows the patient to process emotions and experiences, potentially leading to a calmer state of mind which is conducive to sleep. This is particularly true if the conversation is positive or neutral rather than rehashing stressful or traumatic events.

Choice C reason: The presence of pain is a significant factor that can disrupt sleep. Pain can make it difficult for a person to find a comfortable position for sleep, and it can cause frequent awakenings or prevent the patient from falling asleep altogether. Pain management should be a priority in patient care, especially at night, to facilitate better sleep. For instance, arthritis pain can be particularly disruptive due to joint discomfort, and addressing this with appropriate pain relief can greatly improve sleep quality.

Choice D reason: While unfamiliar stimuli can disrupt sleep, their absence is not typically a factor that would negatively affect sleep patterns. In fact, a lack of unfamiliar stimuli, meaning a quiet and consistent environment, is generally beneficial for sleep as it reduces the chances of disturbances.

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Correct Answer is A

Explanation

Choice A reason: Avoiding large amounts of fluids before bedtime can help prevent disruptions in sleep due to the need to urinate during the night.

Choice B reason: Consuming alcohol, even in the form of a glass of wine, just before bedtime can interfere with the sleep cycle and lead to disrupted sleep.

Choice C reason: Engaging in brisk exercise before bedtime can be stimulating and may make it more difficult to fall asleep.

Choice D reason: Performing muscle relaxation techniques in the afternoon can help reduce overall tension but doing them closer to bedtime would be more beneficial for promoting sleep.

A. "It sounds like you're having a difficult time." B. "Have you talked to your provider about this yet?" C. "Why do you think you are so anxious?" D. "Everyone has trouble sleeping at times."

Correct Answer is A

Explanation

Choice A reason: This response demonstrates empathy and active listening. It acknowledges the client's feelings without judgment and opens the door for further discussion about their concerns. It is a therapeutic communication technique that helps build rapport and trust between the nurse and the client. When a client feels understood, it can reduce their anxiety and promote a sense of safety, which may improve their ability to sleep and concentrate.

Choice B reason: While it is important for clients to communicate with their healthcare providers, this response might make the client feel dismissed or that their immediate concerns are not being addressed by the nurse. It could be perceived as deflecting the responsibility to someone else, rather than the nurse providing support at that moment.

Choice C reason: Asking the client to self-reflect on the reasons for their anxiety could be helpful, but it might also be overwhelming for them if they are already in a heightened state of anxiety. This question should be asked with caution and at an appropriate time when the client is more likely to engage in productive self-reflection.

Choice D reason: This statement minimizes the client's experience by suggesting that their problem is common and insignificant. It fails to acknowledge the severity of the client's distress and does not offer any comfort or assistance. It is not a therapeutic response because it does not validate the client's feelings or encourage further communication.

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A client complains of an inability to sleep through the night since admission three days ago. Which of the following factors is most likely to negatively affect the patient's sleep patterns?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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