A nurse is caring for an adult client who reports having trouble getting to sleep at night. Which of the following recommendations should the nurse make?

"Remain in bed until you fall asleep."

"Keep the television volume low while you are trying to fall asleep."

"Sleep longer hours on the weekend."

"Establish a daily exercise routine."

Answer and Explanation

The Correct Answer is D

Choice A reason: Staying in bed awake reinforces insomnia by associating bed with wakefulness. Sleep hygiene advises leaving bed if sleep doesn’t come soon.

Choice B reason: Low TV volume still stimulates the brain, delaying sleep onset. Screen light disrupts melatonin, worsening insomnia rather than aiding rest.

Choice C reason: Longer weekend sleep disrupts circadian rhythm, confusing sleep cycles. Consistent sleep timing is key, so this hinders nightly sleep improvement.

Choice D reason: Daily exercise boosts sleep quality by reducing stress and regulating circadian rhythm. It’s a proven insomnia remedy, promoting faster sleep onset naturally.

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Correct Answer is B

Explanation

Choice A reason: Advance directives outline future care wishes, unlike consent for immediate treatment. This conflates distinct legal documents, misinforming the client.

Choice B reason: Advance directives ensure autonomy, letting clients dictate care preferences pre-surgery. This accurately conveys their purpose in healthcare decision-making.

Choice C reason: Lawyer approval isn’t required; forms are legally valid with witnesses. This overstates complexity, deterring clients from creating directives.

Choice D reason: Directives apply to all, not just life-threatening cases. They’re proactive for any surgery, so this limits their broad applicability.

A. Place the bedside table 2 feet away from the bed. B. Keep lighting in the home dim. C. Place area rugs on slick floor surfaces. D. Move the client's bed to the main floor of the house.

Correct Answer is D

Explanation

Choice A reason: A bedside table 2 feet away hinders reach, increasing fall risk. It should be closer for safe access to essentials in bed.

Choice B reason: Dim lighting obscures hazards, raising fall risk. Bright, even illumination is needed to enhance visibility for a client prone to falling.

Choice C reason: Area rugs on slick floors create tripping hazards, worsening fall risk. Secure or remove them to stabilize footing for safety.

Choice D reason: Moving the bed downstairs eliminates stair falls, a major risk. It’s a key environmental adaptation for safe mobility in at-risk clients.

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A nurse is caring for an adult client who reports having trouble getting to sleep at night. Which of the following recommendations should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care to a client who is preparing to undergo surgery. The client inquires about advance directives. Which of the following statements should the nurse make?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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