A nurse is reinforcing teaching about promoting rest and sleep with a client who reports insomnia. Which of the following statements should the nurse identify as an indication that the client understands the teaching?

Choice A reason: Gloves are typically removed first because they are likely to be the most contaminated. They should be removed carefully to avoid contaminating the hands, using the glove-in-glove or beak method.

Choice B reason: The gown should be removed after the gloves because it may also be contaminated. The nurse should reach up to the shoulders and carefully pull the gown forward and away from the body, touching only the inside of the gown.

Choice C reason: Eyewear is removed after the gown. The nurse should handle the eyewear by the arms, avoiding touching the front part that has been exposed to contaminants.

Choice D reason: The mask should be removed last because it protects the mucous membranes of the mouth and nose from infectious droplets. It should be taken off by handling the ties or elastic bands from behind the head and pulling it away from the face without touching the front of the mask.

Choice A reason: Moderate fatigue typically encourages sleep as the body naturally seeks rest to recover. However, if fatigue is excessive, it might lead to an overtired state where the patient finds it difficult to relax and fall asleep. Normal ranges of physical activity and resulting fatigue can actually promote better sleep patterns by helping to regulate the body's natural sleep-wake cycle.

Choice B reason: The ability to talk about the day's events can be therapeutic and help in reducing stress levels. It allows the patient to process emotions and experiences, potentially leading to a calmer state of mind which is conducive to sleep. This is particularly true if the conversation is positive or neutral rather than rehashing stressful or traumatic events.

Choice C reason: The presence of pain is a significant factor that can disrupt sleep. Pain can make it difficult for a person to find a comfortable position for sleep, and it can cause frequent awakenings or prevent the patient from falling asleep altogether. Pain management should be a priority in patient care, especially at night, to facilitate better sleep. For instance, arthritis pain can be particularly disruptive due to joint discomfort, and addressing this with appropriate pain relief can greatly improve sleep quality.

Choice D reason: While unfamiliar stimuli can disrupt sleep, their absence is not typically a factor that would negatively affect sleep patterns. In fact, a lack of unfamiliar stimuli, meaning a quiet and consistent environment, is generally beneficial for sleep as it reduces the chances of disturbances.