An 11-year-old boy in middle school is currently experiencing ...

[imowrer]

An 11-year-old boy in middle school is currently experiencing sleep-related fatigue during clas-ses. Which of the following is the most appropriate response by the school nurse when counseling the child's parents regarding this assessment?
 
  1. What are the child's usual sleep patterns?
  2. Establish bedtimes for the child, and withhold his allowance whenever those times are not adhered to.
  3. We need to explore other health-related problems, because sleep problems are not likely the cause of his fatigue.
  4. The bulbar synchronizing region of the child's central nervous system is causing these insomniac problems.

Question 2

The nurse recognizes that the sleep patterns of older adults differ and older adults generally:
 
  1. Are more difficult to arouse
  2. Require more sleep than middle-age adults
  3. Take less time to fall asleep
  4. Have a decline in stage 4 sleep

[pratush dev]

Answer to Question 1

ANS: 1
A school-age child will be tired the following day if allowed to stay up later than usual. The nurse should ask a question to assess the child's usual sleep patterns. The nurse should first assess the child's usual sleep pattern to determine if the child is adhering to a bedtime. A sleep problem is often the cause of fatigue.

Answer to Question 2

ANS: 4
As people age, there is a progressive decrease in stages 3 and 4 NREM sleep; some older adults have almost no stage 4, or deep, sleep. Older people do not become more difficult to arouse, not do they require more sleep than the middle-age adult. An older adult awakens more often during the night, and it may take more time for an older adult to fall asleep.

[imowrer]

Gracias!

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