A client in a family practice office asks questions about how to ...

[stephzh]

A client in a family practice office asks questions about how to sleep better at night. Which statement indicates to the nurse that more teaching is needed?
 
  1. I plan to work out right before going to bed so I am good and tired.
  2. I will try to avoid daytime napping.
  3. I will listen to relaxing music to decrease stress before going to bed.
  4. I need to cut back on my four daily cups of coffee.

Question 2

A client with obstructive sleep apnea (OSA) is being discharged. What client statement indicates the need for further teaching?
 
  1. I hope to lose some weight.
  2. My antidepressant seems to be helping.
  3. I may try the oral appliance that one doctor recommended.
  4. I do not think it is necessary to cut back on my drinking at this time.

[micaelaswann]

Answer to Question 1

ANS: 1
Option 2, 3, and 4 are all good sleep hygiene. Option 1 is incorrect since physical exercise before bed is not helpful for sleep, and therefore more teaching is needed.

Answer to Question 2

ANS: 4
Options 1, 2, and 3 are all positive strategies to help with OSA. Sedating substances like alcohol seem to exacerbate the problem, so option 4 indicates that more education is needed in this case.

[stephzh]

Gracias!

[epscape]

Excellent