Which statement made by a client experiencing insomnia indicates a need for further education by the nurse? "I
set my bedroom temperature at 65 degrees at night."
like to take a long walk at about 3:00 PM every day."
used to pay my bills in bed. but I don't anymore."
drink a few scotch and sodas while I watch TV at night before I go to sleep."
The Correct Answer is D
D. Consuming alcoholic beverages, especially close to bedtime, can disrupt sleep patterns and exacerbate insomnia. While alcohol may initially have a sedative effect and induce drowsiness, it can lead to fragmented and poor-quality sleep later in the night, resulting in worsened insomnia symptoms. Therefore, this statement indicates a need for further education by the nurse regarding the negative impact of alcohol consumption on sleep and the importance of avoiding alcohol before bedtime to improve sleep quality.
A. Keeping the bedroom cool (around 65 degrees Fahrenheit) is generally recommended for promoting sleep because a cooler temperature can help facilitate the body's natural temperature drop, which occurs during sleep onset.
B. Engaging in regular physical activity, such as taking a long walk during the day, can be beneficial for promoting better sleep. Physical activity during the day can help regulate the sleep-wake cycle, reduce stress, and improve overall sleep quality. Therefore, this statement reflects a positive sleep hygiene practice and does not indicate a need for further education.
C. This statement suggests an understanding of the importance of associating the bed with sleep and avoiding activities that may interfere with sleep, such as paying bills or working in bed. Maintaining the bed as a place primarily for sleep and intimacy can help condition the mind and body to associate the bed with relaxation and sleep.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
D. While considering the opinions of the deceased when making decisions may reflect a continued emotional connection to the deceased partner, it does not necessarily indicate unresolved grief. Many individuals maintain a sense of connection to deceased loved ones and may consider their perspectives or values when making decisions, even after a significant amount of time has passed since the loss. This behavior can be a way of honoring the memory of the deceased and integrating their influence into decision-making processes.
A. Attending grief support group meetings indicates that the client is actively seeking support and processing their grief in a supportive environment. This behavior is consistent with healthy grieving and can contribute to the process of grief resolution by providing opportunities for validation, sharing experiences, and receiving support from others who have experienced similar losses.
B. Being future-oriented and able to discuss the details of everyday life suggests that the client is able to focus on present and future aspects of life, rather than being consumed by grief. This can be a positive sign of adaptation and adjustment to life without the deceased partner. It indicates that the client is able to engage in activities of daily living and plan for the future, which are important aspects of grief resolution.
C. Grief is a complex and individual process that often involves periods of intense emotions, including waves of grief triggered by reminders of the deceased loved one. Experiencing occasional waves of grief triggered by pictures or events is a common experience in the grieving process and does not necessarily indicate unresolved grief. Instead, it reflects the ongoing nature of grief and the client's emotional connection to the deceased.
Correct Answer is C
Explanation
C. Full compensation typically occurs within 2 to 3 days (approximately 72 hours) after the onset of an acid-base disturbance. During full compensation, the primary acid-base disorder (e.g., respiratory acidosis or alkalosis, metabolic acidosis or alkalosis) is still present, but the compensatory mechanisms have effectively brought the pH, pCO2, and bicarbonate (pHCO3) levels back towards normal range.
A. Full compensation occurs when both the primary disorder (respiratory or metabolic) and the compensatory mechanism (renal or respiratory) are functioning to return the pH towards normal. In this option, while the pO2 is within the normal range, the pH, pCO2, and bicarbonate (pHCO3) are all abnormal, indicating an ongoing imbalance.
B. Full compensation occurs when all components of the ABG are within or approaching normal range, indicating that the body's compensatory mechanisms have effectively counteracted the primary acid- base disturbance. In this option, the bicarbonate (pHCO3) is mentioned as starting to change, indicating incomplete compensation.
D. While the pH is within the normal range, both the pCO2 and pO2 are abnormal, indicating a primary respiratory disturbance. In the case of full compensation, the pH, pCO2, and bicarbonate (pHCO3) levels would all be within or approaching normal range, indicating that the compensatory mechanisms have effectively counteracted the primary acid-base disturbance.
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