An older female adult maintains an active lifestyle playing ...

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An older female adult maintains an active lifestyle playing various games with friends. She reports to the nurse that she experiences wakefulness during the night and an inability to fall asleep after waking up at night.
 
  Which intervention should the nurse implement to improve the quality of this woman's sleep? a. Recommend preparation for sleep.
  b. Suggest trying a cup of warm milk at bedtime.
  c. Inquire about her nightly sleep rituals.
  d. Propose volunteer work at a thrift shop.

Question 2

An older male adult who has activity intolerance due to pulmonary fibrosis barks orders and commands at the nursing staff when he cannot help himself. Which is the nurse's priority patient outcome for planning care to resolve these problems?
 
  a. Verbalizes requests in calm, respectful, and appreciative manner
  b. Identifies potential triggers of anger and redirects energy positively
  c. Expresses an understanding of the need to balance rest and exercise
  d. Resolution of pulmonary fibrosis to restore baseline activity tolerance

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Answer to Question 1

C

Feedback
A Incorrect. Preparing for sleep is a reasonable intervention to propose after com-pleting an assessment.
B Incorrect. Sipping warm milk is a reasonable intervention to suggest after com-pleting an assessment.
C Correct. The nurse completes an assessment of the woman's sleeping habits and other pertinent information before planning care and implementing nursing in-terventions to individualize therapy.
D Incorrect. Engaging in meaningful activities can improve the quality of sleep and is a reasonable intervention to propose after the assessment.

Answer to Question 2

C

Feedback
A Incorrect. This is not the nurse's priority patient outcome because the physio-logical need is more important to resolve; lower basic human needs must be met before higher level needs can be managed effectively.
B Incorrect. This is not the nurse's priority because physiological needs must be met first.
C Correct. This individual becomes frustrated and angry when activity intolerance limits his independence and ability to perform activities of daily living. Even though pulmonary fibrosis cannot be cured, helping this older adult to manage his physiological limitations by balancing rest and exercise, along with other strategies, is the nurse's priority patient outcome because potential behavioral disorders cannot be managed effectively until the physiological needs of the pa-tient are met according to Maslow's Hierarchy of Needs.
D Incorrect. Pulmonary fibrosis is not curable; the patient will have pulmonary fibrosis until death.