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?
"Sleep longer hours on the weekend."
"Keep the television volume low while you are trying to fall asleep."
"Establish a daily exercise routine."
"Remain in bed until you fall asleep."
The Correct Answer is C
Regular physical exercise has been shown to promote better sleep. Engaging in daily exercise can help regulate the sleep-wake cycle, promote relaxation, reduce anxiety and stress, and increase overall sleep quality. It is important to note that exercise should ideally be done earlier in the day, at least a few hours before bedtime, as exercising too close to bedtime may actually have a stimulating effect and make it harder to fall asleep.
The other options listed are not the most appropriate recommendations for addressing difficulty in falling asleep:
1. "Sleep longer hours on the weekend." This suggestion may disrupt the client's sleep routine and can lead to inconsistent sleep patterns throughout the week, potentially making it more challenging to fall asleep on subsequent nights.
2. "Keep the television volume low while you are trying to fall asleep." It is generally recommended to create a sleep-friendly environment, which includes reducing external stimuli like noise, light, and electronic devices in the bedroom. However, watching television right before bedtime can interfere with sleep as the bright light and stimulating content can keep the mind awake.
3. "Remain in bed until you fall asleep." This recommendation may contribute to increased frustration and anxiety if the client is unable to fall asleep quickly. It is generally advised to practice good sleep hygiene, which includes getting out of bed if unable to fall asleep after a reasonable amount of time and engaging in a relaxing activity until feeling sleepy again.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The priority is to address any significant changes in the child's behavior, such as withdrawal, as it may indicate emotional or psychological distress. Switching daycare providers can be a significant event for a young child, and it is essential to explore the reasons behind the child's withdrawal and address any potential underlying issues. The nurse should gather more information, assess the child's emotional well-being, and discuss any concerns or observations with the guardian. This will help identify appropriate interventions or support for the child's emotional adjustment.
While the other statements may also warrant attention, the potential emotional impact of the daycare provider change on the child's behavior and well-being takes priority in this case. The nurse should address the other concerns raised by the guardian during the assessment process, but the immediate focus should be on addressing the child's withdrawal and ensuring their emotional well-being.
Correct Answer is ["A","C","D"]
Explanation
Correct answers: A, C, D
A. Provide a stimulating environment for the client. A structured and stimulating environment can help maintain cognitive function and reduce restlessness or agitation. Activities such as music therapy, puzzles, or light exercise can be beneficial.
C. Limit the number of choices for the client. Too many choices can be overwhelming for a client with Alzheimer's disease, leading to frustration and anxiety. Providing limited and simple choices helps them feel more in control without confusion.
D. Use written signs to assist the client with locating the bathroom. Clients with Alzheimer's may have difficulty recognizing familiar places. Labeling key areas, such as the bathroom or bedroom, with clear written signs or pictures can help them navigate their environment independently.
Incorrect:
B. Use confrontation to manage the client's behavior. Confrontation can lead to increased agitation, anxiety, or aggression in clients with Alzheimer's. Instead, caregivers should use redirection, reassurance, and validation therapy to manage behaviors.
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