A nurse is assessing a client who has insomnia. Which of the following questions is the highest priority for the nurse to ask the client?

A. Consuming hot cocoa, especially if it contains caffeine or sugar, is generally not advisable before bedtime. Caffeine is a stimulant that can interfere with the ability to fall asleep, and sugar can lead to disruptions in sleep. Even if the hot cocoa is caffeine-free, having a liquid right before bed can cause frequent awakenings during the night.
B. Alcohol can initially make a person feel drowsy, but it often disrupts sleep patterns later in the night, leading to poorer quality sleep. Reducing or eliminating alcohol consumption before bedtime can improve sleep quality and promote better rest.
C. While regular physical activity is beneficial for sleep, exercising too close to bedtime can actually be stimulating and make it harder to fall asleep. It is generally recommended to complete vigorous exercise at least 2-3 hours before going to bed to avoid interfering with sleep.
D. Muscle relaxation techniques, such as progressive muscle relaxation, are effective for reducing stress and improving sleep quality. However, performing these techniques in the afternoon is less beneficial compared to doing them closer to bedtime.

A. Using a friction-reducing device, such as a slide sheet or transfer sheet, is a recommended method for moving clients with partial assistance needs. The device reduces friction, making it easier and safer to reposition or move the client with minimal physical strain. Two nurses working together with a friction- reducing device can effectively and safely move the client while minimizing the risk of injury for both the client and the nurses.
B. This method is not ideal for moving clients who have limited mobility or who are only partially able to assist. Relying on the client to push with their feet while the nurse lifts can be unsafe and ineffective,
especially if the client’s strength or coordination is compromised.
C. Lifting a client under the shoulders can be uncomfortable and potentially harmful for the client, especially if they have limited mobility or if proper body mechanics are not used. This method also places significant strain on the nurses’ backs and may lead to injury.
D. A trapeze bar can be a helpful aid for clients who have some upper body strength and can assist with repositioning. However, relying solely on one nurse to lift the client’s legs while the client uses the trapeze bar may not provide adequate support for a complete and safe repositioning.