Author Question: The nurse and a client are discussing possible behaviors that might be interfering with the client's ... (Read 73 times)

Starlight · **on:** Jul 23, 2018

The nurse and a client are discussing possible behaviors that might be interfering with the client's ability to fall asleep.

Which of the following assessment questions is most likely to identify possible problems with the client's sleep routine that possibly are contributing to the difficulty?
1. When do you usually retire for the night?
2. What do you do to help yourself fall asleep?
3. How much time does it usually take for you to fall asleep?
4. Have you changed anything about your presleep ritual lately?

Question 2

Which of the following may improve the sleep of an older adult client?

1. Drinking an alcoholic beverage before bedtime
2. Using an over-the-counter sleeping agent
3. Eliminating naps during the day
4. Going to bed at a consistent time even if not feeling sleepy

anyusername12131 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 2
As people try to fall asleep, they close their eyes and assume relaxed positions. Stimuli to the RAS decline. If the room is dark and quiet, activation of the RAS further declines. At some point the BSR takes over, causing sleep. If the client engages in activities such as reading or watching television as a means of falling asleep, this could be causing the problem. Although the other questions are not inappropriate, they are not as directed toward the cause of the problem.

Answer to Question 2

ANS: 3
To promote sleep, daytime naps should be eliminated. If naps are used, they should be limited to 20 minutes or less twice a day. Alcohol should be limited in the late afternoon and evening be-cause it has an insomnia-producing effect. The use of nonprescription sleeping medications is not advisable. Over the long term, these drugs can lead to further sleep disruption even when they initially seemed to be effective. Following a bedtime routine should be consistent, not necessarily going to bed. The client should engage in quiet activities that promote relaxation and then may go to bed. If the client has not fallen asleep in 30 minutes, the client should get up out of bed and do some quiet activity until feeling sleepy enough to go back to bed.