A nurse is working with a psychiatric client who was admitted to ...

[Anajune7]

A nurse is working with a psychiatric client who was admitted to the inpatient facility and is being discharged. The client asks the nurse what he should do when he goes home to promote getting adequate sleep.
 
  Which response by the nurse would be most appropriate?
 
  A) Go to bed at the same time every night and watch a television show that relaxes you.
  B) Save your bedroom for sleeping; that means no work and no TV in the bedroom.
  C) Why don't you ask your psychiatrist for a prescription for a sleeping pill?
  D) Make sure to keep the bedroom warm and toasty.

Question 2

A nurse is assessing the sleep patterns of a female client age 70 years with a mental disorder. Based on the knowledge of circadian rhythms and the influence of age,
 
  which of the following would the nurse anticipate that the client would report about her sleep pattern?
 
  A) When I was younger, I didn't notice any differences in how I felt in the morning or evening.
  B) Now it seems like I have difficulty falling asleep or staying asleep even when circumstances are adequate for sleep.
  C) When I worked days, I'd always have trouble feeling sleepy in the morning.
  D) When I was younger, the amount of sleep I got didn't seem to matter.

[tanna.moeller]

Answer to Question 1

Ans: B
The nurse can help the client develop bedtime rituals and good sleep hygiene. Bedtime should be at a regular hour, and the bedroom should be conducive to sleep. Preferably, the bedroom should not be a place where the individual watches television or does work-related activities. The bedroom should be viewed as a room for sleeping and sex, and the environment should be cool, with minimal lighting.

Answer to Question 2

Ans: B
Insomnia has a greater prevalence among older people and among divorced, separated, and widowed adults. Increasing age, female sex, and comorbid disorders (e.g., medical, mental disorders, and substance use) are all risks for developing insomnia disorder.