The nurse is caring for a client who is having difficulty sleeping in the hospital environment. How can the nurse intervene? (SELECT ALL THAT APPLY)

Offer the client a few pieces of chocolate before bedtime.

Monitor the temperature in the client's room.

Make certain bed linens are clean and dry.

Assess the client for any issues with discomfort.

Move the client closer to the nursing station.

Answer and Explanation

Correct Answer : B,C,D

B. Temperature can significantly affect sleep quality. Ensuring the room is kept at a comfortable temperature (not too hot or cold) can promote better sleep. This intervention is appropriate.

C. Clean and dry bed linens contribute to comfort, which is essential for promoting sleep. This intervention is appropriate.

D. Discomfort can be a major barrier to sleep. Addressing any discomfort, such as pain, anxiety, or positioning issues, can help improve the client's ability to fall and stay asleep. This intervention is appropriate.

A. Offering chocolate, which contains caffeine, close to bedtime is not recommended as caffeine can interfere with sleep. Therefore, this option is not appropriate.

E. Moving the client closer to the nursing station may increase noise and disrupt sleep, especially if there are frequent activities or conversations near the nursing station. Therefore, this option is not typically recommended unless the client requires closer monitoring due to medical reasons.

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Correct Answer is B

Explanation

B Watching exciting or stimulating movies, especially horror movies, before bedtime can hinder sleep onset. Such activities can increase arousal and make it more difficult to relax and fall asleep. This statement suggests a lack of understanding of good sleep hygiene practices. Further teaching is needed to discourage stimulating activities before bedtime.

A. Consistency in sleep schedule helps regulate the body's internal clock (circadian rhythm) and can promote better sleep quality. There is no need for further teaching regarding this statement.

C. This statement reflects good sleep hygiene advice. Getting up and engaging in a quiet, boring activity if unable to fall asleep after about 30 minutes can prevent frustration and anxiety associated with lying awake in bed. This practice helps condition the mind to associate the bed with sleep rather than wakefulness. There is no need for further teaching regarding this statement.

D. This statement also reflects good sleep hygiene practices. Going to bed when feeling naturally tired can enhance the ability to fall asleep quickly. It aligns with the concept of associating the bed with sleepiness and promotes sleep onset. There is no need for further teaching regarding this statement.

A. "What are you using for birth control B. "Are you currently in a relationship?" C. "Is your wife a good cook? D. "What does your husband do?

Correct Answer is B

Explanation

B. This question is also inclusive as it does not assume the client's sexual orientation or relationship status. It allows the client to disclose their current relationship status, whether they are in a relationship with a partner of the same or different gender, or if they are single.

A. This question uses assumes the client's gender and sexual orientation.

C. This question assumes a heterosexual relationship and also implies traditional gender roles. It may not be inclusive as it assumes that the client has a wife and further stereotypes the role of a wife as a cook.

D. This question assumes a heterosexual relationship and may not be inclusive of clients who do not have husbands or who are in same-sex relationships. It also reinforces traditional gender roles by assuming that a husband is the primary breadwinner or has a defined occupation.

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The nurse is caring for a client who is having difficulty sleeping in the hospital environment. How can the nurse intervene? (SELECT ALL THAT APPLY)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which statement made by a client experiencing insomnia indicates a need for the nurse to do further teaching

Correct Answer is B

Explanation

Which of these questions, used by the nurse, shows appropriate use of inclusive language?

Correct Answer is B

Explanation

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