Author Question: Mary Malone, 84 years old, gets up to go to the bathroom three times a night. She has been ... (Read 13 times)

abern · **on:** Jul 11, 2018

Mary Malone, 84 years old, gets up to go to the bathroom three times a night. She has been complaining of eye problems, extreme fatigue, weakness, unsteadiness, and depression. She asks if this can be related to her changed sleep pattern.

What is the best response to her concerns?
a. As people get older, they need less sleep
b. Changes in sleeping patterns are a normal aging change
c. You may be having symptoms of sleep deprivation
d. Depression usually changes a person's sleep patterns

Question 2

Terminal restlessness

a. Is involuntary thrashing or agitation
b. Is a common occurrence at the end of life
c. Occurs as a result of progressive shutdown of body systems
d. All of the above

bbburns21 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

C
The symptoms that Mrs. Malone reports and the increased nocturia make sleep deprivation a clear concern. This response also provides the opportunity to refer her to a physician to treat the nocturia and discuss possible ways to promote rest and sleep. Responses A, B, and D are true, but they are not sensitive to Mrs. Malone's concerns and the seriousness of her symptoms.

Answer to Question 2

D
All of the above are symptoms of terminal restlessness; muscle twitching, tossing and turning, and moaning are additional symptoms.