A nurse in a provider's office is collecting data from an older adult client. The client states that he is having difficulty sleeping. Which of the following strategies should the nurse recommend to promote sleep?
"Take a 1-hour nap each day."
"Watch television in bed."
"Take a long walk before bedtime."
"Drink a glass of milk before bedtime."
The Correct Answer is D
A. Napping during the day may disrupt nighttime sleep patterns by reducing sleep drive.
B. Watching television in bed can stimulate the brain and interfere with sleep due to the blue light emitted from screens.
C. Engaging in vigorous physical activity close to bedtime may increase alertness and make it harder to fall asleep.
D. Drinking a glass of milk before bedtime can promote sleep due to the presence of tryptophan, which aids in the production of serotonin and melatonin, neurotransmitters involved in sleep
regulation.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Completing an incident report about the breach of confidentiality may be necessary, but it
should not be the first action. The immediate concern is addressing the behavior and reminding the nurse of proper protocol.
B. While it may be true that permission from the risk manager is required to access certain
records, this response does not address the immediate issue of the unauthorized access. It's more important to address the behavior directly.
C. This is the most appropriate action because it directly addresses the unauthorized access to the client's medical record. Reminding the nurse of the proper protocol for accessing medical records can help prevent further breaches of confidentiality.
D. Contacting facility security to remove the nurse from the unit may be excessive at this stage and should be considered if the behavior persists after reminders about proper protocol.
Correct Answer is A
Explanation
A. This response acknowledges the client's decision and expresses concern for their well-being and the potential impact on their loved ones. It also opens the door for the client to discuss their decision-making process and receive support in communicating their decision to others.
B. This response may be perceived as judgmental or dismissive of the client's autonomy and decision-making capacity. It does not provide support or address the client's emotional or psychosocial needs.
C. Delaying the discussion may leave the client feeling unsupported or uncertain about their
decision. It's important to address the client's concerns and provide support in a timely manner.
D. This response minimizes the client's concerns and does not offer support or encouragement for discussing their decision with loved ones. It may also convey a lack of empathy or
understanding of the client's situation.
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