A nurse is assisting with evaluating teaching with a client who reports insomnia. Which of the following client statements indicates an understanding of the teaching?

I will go to bed at the same time, even if I am not tired.

I will stop exercising at least 2 hours before bedtime.

I will watch television in my bedroom before I go to sleep.

I will take a short nap each day.

Answer and Explanation

The Correct Answer is B

Choice A reason : Going to bed at the same time every night, even when not feeling tired, can help regulate the body's clock and aid in falling asleep at a regular time. However, lying in bed awake can lead to frustration and should be avoided. If sleep does not come within 20 minutes, it's recommended to get up and do something relaxing until feeling sleepy.

Choice B reason : Exercising can increase alertness and endorphin levels which can make it difficult to fall asleep if done too close to bedtime. Stopping exercise at least 2 hours before bedtime allows the body to wind down and prepare for sleep, making this statement correct and indicative of an understanding of good sleep hygiene practices.

Choice C reason : Watching television or engaging in other stimulating activities in the bedroom can associate the space with wakefulness rather than sleep. The light from screens can also suppress melatonin production, making it harder to fall asleep. Therefore, this statement does not reflect an understanding of the teaching on good sleep practices.

Choice D reason : Taking long naps, especially in the late afternoon or evening, can interfere with nighttime sleep. If naps are necessary, they should be limited to 20-30 minutes and taken earlier in the day. This statement suggests a misunderstanding of the impact of napping on sleep quality at night.

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Correct Answer is ["B","D","E"]

Explanation

Choice A reason : Using a cane to ambulate is generally a measure to improve stability and reduce the risk of falling for individuals who may have balance or mobility issues. It is not inherently a risk factor for falls; rather, it is a compensatory strategy to mitigate the risk of falls1.
Choice B reason : Macular degeneration can significantly impact visual acuity and contrast sensitivity, leading to difficulties in navigation and increasing the risk of tripping or misjudging distances. Poor vision is a well-documented risk factor for falls, especially in unfamiliar or complex environments.
Choice C reason : A grab bar in the bathroom is a safety device installed to provide stability and support for individuals while they are using the bathroom facilities. It is a preventive measure against falls and does not increase the risk of falling.
Choice D reason : An electrical cord on the floor over a walkway is a tripping hazard. It is a common home hazard that can cause falls, especially in the elderly or those with mobility and visual impairments78.
Choice E reason : Unsecured throw rugs over tile floors are a recognized fall hazard. They can easily slip underfoot or cause tripping if the edges are not secured, which is particularly dangerous in areas like the kitchen where spills can make the floor even more slippery.

A. Provide limited explanations of procedures needed for the client. B. Provide honest answers to the client's questions. C. Avoid eye contact with the client during care. D. Avoid giving the client choices regarding their care.

Correct Answer is B

Explanation

Choice A reason : Provide limited explanations of procedures needed for the client.Providing limited explanations of procedures can increase anxiety and discomfort for clients, especially those facing a new cancer diagnosis. It is important to give comprehensive information to help them understand their condition and the treatments they will undergo.

Choice B reason : Provide honest answers to the client's questions.Providing honest answers to the client's questions is crucial in promoting comfort and trust. It allows the client to make informed decisions about their care and helps them to prepare mentally and emotionally for the treatments and their potential outcomes.

Choice C reason : Avoid eye contact with the client during care.Avoiding eye contact can make the client feel isolated and unimportant. Maintaining eye contact is a non-verbal way of showing respect, concern, and willingness to engage with the client.

Choice D reason : Avoid giving the client choices regarding their care.Avoiding giving choices can lead to a feeling of loss of control, which can be distressing for clients. It is important to involve clients in decisions about their care to promote their autonomy and comfort.

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A nurse is assisting with evaluating teaching with a client who reports insomnia. Which of the following client statements indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a client. Exhibits A nurse in a provider’s office is assisting with the review of fall risk data collected on a client. Which of the following findings places the client at risk for a fall? Select all that apply.

Correct Answer is ["B","D","E"]

Explanation

A nurse is caring for a client who has a new diagnosis of bladder cancer. Which of the following interventions should the nurse take to promote comfort?

Correct Answer is B

Explanation

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