A nurse is assisting with a workshop for clients who have increased stress. Which of the following recommendations should the nurse include?
"Nap several times during the day to promote sleep at night."
"Exercise 1 hour before bedtime to prevent sleep interruption."
"Limit coffee to no more than 6 cups per day."
"Listen to your favorite music to enhance feelings of calm."
The Correct Answer is D
A. "Nap several times during the day to promote sleep at night.": Frequent daytime naps can disrupt the sleep-wake cycle and make it more difficult to fall asleep at night, potentially worsening insomnia and stress. Short naps earlier in the day may be beneficial, but multiple naps are not recommended as a general strategy for stress reduction.
B. "Exercise 1 hour before bedtime to prevent sleep interruption.": Vigorous exercise immediately before bedtime can increase heart rate and adrenaline levels, making it harder to fall asleep. For stress management, exercise is most effective when performed earlier in the day or at least a few hours before sleep to promote relaxation and improve sleep quality.
C. "Limit coffee to no more than 6 cups per day.": Consuming six cups of coffee daily exceeds recommended caffeine limits and can contribute to anxiety, restlessness, and sleep disturbances. Effective stress management includes limiting caffeine intake to moderate levels, generally less than 200–400 mg per day, depending on individual tolerance.
D. "Listen to your favorite music to enhance feelings of calm.": Listening to music is a recognized nonpharmacologic strategy for stress reduction. It can decrease sympathetic nervous system activity, lower heart rate and blood pressure, and promote relaxation. Music therapy supports emotional well-being and can be incorporated easily into daily routines to manage stress.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Tell the family to adhere to the facility menu when choosing food for the child: Forcing adherence to the facility menu may conflict with the child’s cultural preferences and could lead to poor intake or refusal to eat. Respecting cultural practices promotes adequate nutrition and comfort.
B. Advise the family to offer a 14 serving size of solid foods at mealtime: A 14-serving portion is excessive for a 2-year-old and could lead to overeating, digestive discomfort, or obesity. Appropriate serving sizes for toddlers should be small, age-appropriate portions that meet nutritional needs.
C. Instruct the family to bring familiar food from home for the child: Allowing culturally familiar foods supports adequate nutrition, encourages eating, and respects the family’s cultural preferences. Familiar foods can also reduce anxiety and improve acceptance of hospital or care environment meals.
D. Inform the family to offer a cup of juice with each meal: Excessive juice can contribute to diarrhea, dental caries, or nutritional imbalance. Guidelines recommend limiting juice for toddlers to no more than 4–6 ounces per day, not with every meal.
Correct Answer is B
Explanation
A. Report the location of the fire: Notifying appropriate personnel or the fire alarm system is important for mobilizing help and initiating emergency response. However, it is not the first action because immediate threats to client safety must be addressed before communication.
B. Protect clients from immediate injury: The priority in any fire situation is the safety of clients and staff. Removing clients from immediate danger or shielding them from harm takes precedence over reporting, containing, or extinguishing the fire. This aligns with the first step of the RACE protocol (Rescue) in fire safety.
C. Contain the fire to one area: Containing the fire by closing doors and windows is critical to prevent spread, but it follows after ensuring that clients and staff are safe from immediate harm. Containment cannot protect individuals already in danger.
D. Extinguish the fire if possible: Extinguishing a fire is part of the RACE protocol, but attempting to put out a fire is secondary to rescuing individuals at risk. Only small, controllable fires should be attempted after ensuring safety of clients and staff.
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