An older adult client is talking with the nurse about sleep ...

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An older adult client is talking with the nurse about sleep problems. Which fact regarding sleep should the nurse teach this client?
 
  A) All elderly individuals experience disrupted sleep and depression.
  B) The need for sleep decreases with age.
  C) Normally, a person should not awaken more than once during the night.
  D) The elderly do not experience as much deep sleep as a younger person.

Question 2

During an assessment, the nurse notes leukoplakia when examining the client's mouth. The client is a smoker and explains to the nurse that it has been there for more than a month.
 
  After documenting the finding and informing the healthcare provider, what should the nurse anticipate next?
  A) Antifungal medication will be prescribed.
  B) A biopsy will be performed.
  C) An order to provide thorough mouth care
  D) A dental consult

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Answer to Question 1

Answer: D

Starting at age 20, there is a reduction in slow wave sleep, which is the deepest sleep. This reduction in deep sleep progresses with aging. Waking up three or more times during the night is considered abnormal. Generally, the amount of sleep needed is about the same for the youth, middle-aged, and older adult. The elderly may have more difficulty obtaining quality and quantity of sleep. Not all elderly people experience depression and sleep disturbances.

Answer to Question 2

Answer: B

Leukoplakia is a smooth irregular white patch found on the tongue, lips, cheeks, or oral mucosa that can be rubbed off with force and is considered a precursor to oral cancer. A patch that lasts more than 2 weeks is generally biopsied. Mouth care and antifungal medication would not address the possibility of oral cancer. A dental consult may be advised, but a biopsy would take priority.