An older patient in a long-term care facility does not sleep much at night and prefers to stay up late reading. The patient takes power naps during the day. How should the nurse respond to this patient's plan to acquire adequate sleep?
1. Naps are sufficient to restore the missed sleep time.
2. Older people do not need as much sleep as younger adults.
3. Napping may simply contribute to the problem getting to sleep at night.
4. There is no problem as long as the total number of hours slept per 24-hour period is at least 8.
Question 2
A home care nurse is completing the follow-up visit of a 92-year-old client. During the visit the client describes feelings that everyone is out to get him.
He continues to describe paranoid thoughts and seems to become increasingly angry and frustrated. The nurse's assessment of this behavior indicates the need to
A) call the family to come and calm the client.
B) avoid further discussion of the problem because the client is upset.
C) contact the client's physician to obtain further psychological assessment of the paranoia.
D) no intervention, this is a normal finding in the elderly as a result of hearing loss.
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