Answer to Question 1
A
Alterations in routine that disrupt sleep patterns include performing unaccustomed heavy work or exercise, engaging in late-night social activities, and changing evening mealtime. Eating a large, heavy, and/or spicy meal within 3 to 4 hours of bedtime sometimes results in indigestion that interferes with sleep. The physical environment in which a person sleeps has a significant influence on the ability to fall and remain asleep. Exercising 2 or more hours (patient exercised 3 hours) before bedtime allows time for the body to cool and maintain a state of fatigue that promotes relaxation. A new support mattress will promote relaxation and sleep. Proper ventilation, a comfortable temperature, and a darkened (blackout blinds) or softly lit room are essential for restful sleep.
Answer to Question 2
A
Role performance is the way in which a person views his or her ability to carry out significant roles. Common roles include mother or father, wife or husband, daughter or son, sister or brother, employee or employer, and nurse or patient. Identity stressors affect an individual's identity, but identity is particularly vulnerable during adolescence. Self-esteem stressors vary with developmental stages. Potential self-esteem stressors in older adults include health problems, declining socioeconomic status, spousal loss or bereavement, loss of social support. Body image stressors involve attitudes related to the body, including appearance, femininity and masculinity, youthfulness, health, and strength.
Palpating the thyroid gland from behind the patient is a most effective way of assessing the gland f
Patient education
Effective listening skills demonstrate empathy to the patient and break down barriers to communicati
The physician uses auscultation to listen to a patient’s heart.
Foley catheter with balloon in the bladder of a male patient.
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