One thing the nurse would ask the patient to do to try to locate the reason for her insomnia is to:.
take a warm bath each time she cannot go back to sleep.
review times in her life when she had no insomnia.
keep a diary related to sleep and problems encountered.
discuss the problem with her friends.
The Correct Answer is C
Choice A rationale:
Taking a warm bath before trying to go back to sleep is a relaxation technique that may help with sleep but does not address the underlying causes of insomnia. It is more of a short-term coping strategy rather than a method for locating the reasons for the insomnia.
Choice B rationale:
Reviewing times in her life when she had no insomnia is not a practical approach to addressing the current issue of insomnia. It does not help in identifying the specific factors or triggers contributing to the patient's current sleep problems.
Choice C rationale:
Keeping a diary related to sleep and problems encountered is a practical and effective approach to identify the factors contributing to the patient's insomnia. This diary can help track patterns, such as bedtime routines, diet, stressors, and other variables that may be linked to the sleep problem. Identifying these factors can aid in developing a plan to address the specific causes of the insomnia.
Choice D rationale:
Discussing the problem with her friends may provide emotional support but is unlikely to help identify the root causes of the insomnia. Friends may offer advice or share their experiences, but a structured approach like keeping a sleep diary is more likely to yield valuable information.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
NREM (Non-Rapid Eye Movement) sleep is characterized by slow-wave sleep and is often considered restorative. It is the stage of sleep where the body repairs and regenerates tissues, and it is essential for feeling rested and rejuvenated. NREM sleep consists of three stages, with stages 3 and 4 being the deepest and most restful, also known as slow-wave sleep. These stages are essential for physical recovery.
Choice B rationale:
NREM sleep is not characterized by irregular respirations. Irregular breathing patterns are more commonly associated with certain sleep disorders, such as sleep apnea, rather than NREM sleep itself.
Choice C rationale:
NREM sleep is not characterized by increased heart rate. In fact, during NREM sleep, the body typically experiences a decrease in heart rate and blood pressure. The body's physiological functions tend to slow down during NREM sleep to promote rest and recovery.
Choice D rationale:
NREM sleep is not characterized by daytime activity. In contrast, NREM sleep occurs during the night and is a state of deep rest, during which the body is not engaged in daytime activities. It is essential for physical and mental recovery, especially after a day of activity.
Correct Answer is D
Explanation
Choice A rationale:
Bradycardia, a slow heart rate, is not typically associated with acute pain. In response to pain, the body usually experiences increased heart rate (tachycardia) as part of the stress response.
Choice B rationale:
A decreased respiratory rate is not an expected finding in response to acute pain. Acute pain often leads to increased respiratory rate as the body attempts to manage the pain and stress.
Choice C rationale:
Hypoglycemia, a low blood sugar level, is not a typical physiological response to acute pain. Acute pain is more likely to induce a release of stress hormones, such as cortisol and adrenaline, which can lead to increased blood sugar levels.
Choice D rationale:
Hypertension, or elevated blood pressure, is an expected physiological response to acute pain. Pain activates the body's stress response, leading to increased sympathetic nervous system activity, which can cause vasoconstriction and increased blood pressure. This response helps prepare the body to cope with the pain and stress. Monitoring blood pressure in a client reporting acute pain is essential to assess the impact of pain and determine appropriate pain management strategies.
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