Author Question: A 57-year-old patient is concerned about the inability to fall/stay asleep at night. This started ... (Read 155 times)

viki · **on:** Jul 22, 2018

A 57-year-old patient is concerned about the inability to fall/stay asleep at night. This started about 3 months ago. The nurse asks about recent changes in lifestyle and activities of daily living.

Which of the following changes is probably most responsible for the change in sleeping pattern? a. Changing to a later evening mealtime
b. Using blackout blinds
c. Exercising 3 hours before bed time
d. Buying a new support mattress

Question 2

A nurse is caring for an adult patient who retired last year. While rendering care, the nurse identifies that the patient is struggling emotionally with this change. This situation is most likely associated with what self-concept component?

a. Role performance
b. Identity stressors
c. Self-esteem
d. Body image stressors

nhea · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
Alterations in routine that disrupt sleep patterns include performing unaccustomed heavy work or exercise, engaging in late-night social activities, and changing evening mealtime. Eating a large, heavy, and/or spicy meal within 3 to 4 hours of bedtime sometimes results in indigestion that interferes with sleep. The physical environment in which a person sleeps has a significant influence on the ability to fall and remain asleep. Exercising 2 or more hours (patient exercised 3 hours) before bedtime allows time for the body to cool and maintain a state of fatigue that promotes relaxation. A new support mattress will promote relaxation and sleep. Proper ventilation, a comfortable temperature, and a darkened (blackout blinds) or softly lit room are essential for restful sleep.

Answer to Question 2

A
Role performance is the way in which a person views his or her ability to carry out significant roles. Common roles include mother or father, wife or husband, daughter or son, sister or brother, employee or employer, and nurse or patient. Identity stressors affect an individual's identity, but identity is particularly vulnerable during adolescence. Self-esteem stressors vary with developmental stages. Potential self-esteem stressors in older adults include health problems, declining socioeconomic status, spousal loss or bereavement, loss of social support. Body image stressors involve attitudes related to the body, including appearance, femininity and masculinity, youthfulness, health, and strength.