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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason : Change in marital status.A change in marital status is considered a social stressor rather than a physiological one. It relates to the personal and emotional aspects of one's life, impacting mental and emotional well-being rather than directly causing a physiological response.
Choice B reason : Financial difficulties.Financial difficulties are categorized as social stressors. They can lead to significant stress but do not directly cause a physiological response. Instead, they can indirectly affect health over time through sustained stress.
Choice C reason : Academic pressure.Academic pressure is a psychological stressor. It involves cognitive and emotional challenges that can lead to stress but is not a direct physiological stressor.
Choice D reason : Burn injury.A burn injury is a physiological stressor. It causes an immediate physical response in the body, triggering pain receptors, inflammatory responses, and the need for physical healing processes.
Correct Answer is D
Explanation
Choice A reason : Inability to form healthy relationships is not typically associated with fixation at the oral stage of development. Freud's theory suggests that this issue is more related to the Oedipal conflict during the phallic stage, where the individual's interactions with parental figures shape their future relationships.
Choice B reason : Feelings of shame are generally associated with the anal stage of Freud's psychosexual development, where the child's experiences with toilet training can lead to outcomes that manifest as either excessive orderliness or messiness in adulthood, rather than shame, which is not directly linked to the oral stage.
Choice C reason : Bedwetting is not a condition associated with the oral stage of development. It is more related to the anal stage, where issues of control and independence are central, and bedwetting can be a manifestation of conflicts around toilet training.
Choice D reason : Overeating is a classic example of an oral stage fixation. According to Freud, if an individual's needs are not properly met during the oral stage (0–1 years), they may develop habits such as overeating or smoking to satisfy the residual need for oral stimulation.
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