Author Question: Which questions should the nurse ask to determine if a patient has an underlying sleep-wake ... (Read 46 times)

imowrer · **on:** Jul 19, 2018

Which questions should the nurse ask to determine if a patient has an underlying sleep-wake disorder? Select all that apply.

1. Do you have issues with snoring?
2. Do you wake feeling tired and not restored?
3. Do you suffer from excessive daytime sleepiness?
4. Do you apply appropriate sleep hygiene to your routine?
5. Do you think your sleep is affecting your daytime functioning

Question 2

What health promotion and lifestyle strategies will the nurse suggest to a patient with shift work disorder? Select all that apply.

1. Avoid working excessive overtime.
2. Arrive to work as rested as possible.
3. Use caffeine to stay awake while driving home.
4. Exercise regularly, especially if job is sedentary.
5. Allow at least a 5 hour sleep period without interruption.

Laurenleakan · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Answer: 1, 2, 3, 5
Explanation: Asking the patient about snoring, if the patient feels tired on waking, if the patient is especially sleepy during the day, and if the patient perceives sleep as affecting daytime functioning are all appropriate questions to ask to elicit information about the patient's sleep-wake patterns. Sleep hygiene is a term that the patient may not understand. The purpose of the nursing assessment is not to diagnose a sleep disorder, but to uncover patterns that may assist the provider in determining next steps related to assessment and diagnosis.

Answer to Question 2

Answer: 1, 2, 4, 5
Explanation: Avoiding excessive overtime, arriving at work rested, exercising regularly, and allowing at least a 5 hour sleep period are all ways to promote adequate rest for those doing shift work. Caffeine should be avoided 5 hours before sleep time.