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 D

Explanation

Choice A reason : Denial is the first stage of the Kübler-Ross model of grief. In this stage, individuals believe the diagnosis is somehow mistaken, and cling to a false, preferable reality. It is a defense mechanism that buffers the immediate shock of the loss, numbing us to our emotions.

Choice B reason : Anger is the second stage of grief. As the masking effects of denial begin to wear off, reality and its pain re-emerge. The intense emotion is deflected from our vulnerable core, redirected and expressed instead as anger. The anger may be aimed at inanimate objects, complete strangers, friends, or family.

Choice C reason : Bargaining is the third stage. It involves the hope that the individual can avoid a cause of grief. Usually, the negotiation for an extended life is made with a higher power in exchange for a reformed lifestyle.

Choice D reason : Acceptance is the final stage of grief. In this stage, individuals embrace mortality or the inevitable future, or that of a loved one, or other tragic event. People dying may precede the survivors in this state, which typically comes with a calm, retrospective view for the individual, and a stable condition of emotions.

A. Decrease in body fat B. Increase in muscle mass C. Increase in gag reflex D. Decrease in systolic blood pressure

Correct Answer is A

Explanation

The correct answer is: a. Decrease in body fat

Choice A: Decrease in body fat

Older adults typically experience a decrease in lean body mass and an increase in body fat percentage. However, the absolute amount of body fat may decrease due to overall weight loss and muscle mass reduction.

Choice B: Increase in muscle mass

This statement is incorrect because muscle mass generally decreases with age due to sarcopenia, a condition characterized by the loss of muscle mass and strength.

Choice C: Increase in gag reflex

This statement is incorrect because the gag reflex often diminishes with age. Older adults may experience a reduced gag reflex due to decreased sensitivity and muscle tone.

Choice D: Decrease in systolic blood pressure

This statement is incorrect because systolic blood pressure usually increases with age due to arterial stiffness and other cardiovascular changes.

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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 caring for a client who has a terminal diagnosis and states, "I am ready to update my will." The nurse should identify that the client is experiencing which of the following Kübler-Ross stages of grief?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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