A patient with chronic insomnia asks the nurse about ways to ...

[cnetterville]

A patient with chronic insomnia asks the nurse about ways to improve sleep quality. What is the nurse's best response?
 
  a. Avoid aerobic exercise during the day.
  b. Read in bed for a few minutes each night.
  c. Keep the bedroom temperature slightly warm.
  d. Try to go to bed at the same time every evening.

Question 2

A patient complains of difficulty falling asleep and daytime fatigue for the past 6 weeks. What is the best initial action for the nurse to take in determining whether this patient has chronic insomnia?
 
  a. Schedule a polysomnography (PSG) study.
  b. Arrange for the patient to have a sleep study.
  c. Ask the patient to keep a 2-week sleep diary.
  d. Teach the patient about the use of an actigraph.

[6ana001]

Answer to Question 1

ANS: D
A regular evening schedule is recommended to improve sleep time and quality. Aerobic exercise may improve sleep quality but should occur at least 6 hours before bedtime. Reading in bed is discouraged for patients with insomnia. The bedroom temperature should be slightly cool.

Answer to Question 2

ANS: C
The diagnosis of insomnia is made on the basis of subjective complaints and an evaluation of a 1- to 2-week sleep diary completed by the patient. Actigraphy and PSG studies/sleep studies may be used for determining specific sleep disorders but are not necessary to make an initial insomnia diagnosis.

[cnetterville]

Thanks for the timely response, appreciate it

[Dinolord]

Excellent