The nurse is working on a hospital committee tasked with reducing ...

[folubunmi]

The nurse is working on a hospital committee tasked with reducing environmental distractions to sleep within the hospital. Which recommendations by the committee would be helpful?
 
  1. Turn off all overhead lights on the unit and use night-lights and flashlights.
  2. Establish a time at which radios and televisions should be turned off or down.
  3. Discontinue use of the paging system after 2100.
  4. Conduct nursing reports in the hallway.
  5. Open curtains between beds in semiprivate rooms.

Question 2

A client tells the nurse that because of work and life responsibilities, sleep has become optional. What is the best response the nurse should make to this client?
 
  1. Be sure to get extra sleep when you can.
  2. A lack of sleep can affect hormone levels and bodily functions.
  3. Everyone has different needs for sleep to function.
  4. You must be very productive.

[TINA]

Answer to Question 1

Correct Answer: 2
Rationale 1: It is not possible to turn off all overhead lights and use only night-lights and flashlights, but those lights that can be eliminated should be.
Rationale 2: Establishing a time at which radios and televisions should be turned off or down will reduce the amount of disturbance to clients.
Rationale 3: Discontinuing use of the paging system at 2100 will also reduce noise.
Rationale 4: Nursing reports should be conducted in an area away from the client beds.
Rationale 5: Closing the curtains and not opening the curtains between beds in semiprivate rooms will also decrease disturbance.

Answer to Question 2

Correct Answer: 2
Rationale 1: This statement implies that the client is not getting sufficient sleep. It would be more appropriate for the nurse to suggest the client obtain more sleep on a routine basis and not just when able.
Rationale 2: Different biological functions occur during sleep that become altered with the lack of sleep. The nurse should explain what is affected by a lack of sleep.
Rationale 3: Although this might be true, everyone needs sleep. The client's statement of sleep becoming optional indicates that the client is not getting sufficient sleep.
Rationale 4: There are studies that indicate that errors occur and changes in response times are altered with a lack of sleep. The client might not be productive with a lack of sleep.