Bernice is a 73-year-old grandmother. She complains to her ...

[09madisonrousseau09]

Bernice is a 73-year-old grandmother. She complains to her daughter Kate, who is a nurse, about waking up early and not being able to return to sleep. On investigation, Kate finds that her moth-er does not go to bed until after the evening news.
 
  Kate suspects that her mother isn't getting enough sleep due to phase advance. What is the best advice Kate can give her mother to ensure that she gets enough sleep at night? A. Take an afternoon nap.
  B. Go to bed earlier.
  C. Go to bed later.
  D. Take a sleeping aid.

Question 2

Sarah is a nurse who works in home care. She is caring for Mr. Jenkins, a 78-year-old patient with liver cancer. Mr. Jenkins lives at home with his wife of 53 years.
 
  In addition to caring for Mr. Jenkins, Sarah also assesses caregiver stress in Mrs. Jenkins. Which of the following indicates caregiver stress in Mrs. Jenkins?
  A. Increased visits from church members
  B. Mrs. Jenkins asking her daughter for help with shopping
  C. Mrs. Jenkins arranging for Meals-on-Wheels three days a week
  D. Mrs. Jenkins contracting pneumonia

[aliotak]

Answer to Question 1

B
As people age, their circadian clock shifts, causing the person to phase advance. This is com-mon in older adults and often is the reason behind the complaint of waking early in the morning and being unable to get back to sleep. People with phase advance get sleepy early in the even-ing (e.g., 8 or 9 PM). If they go to bed at that time, they will sleep for about 8 hours and wake up around 4 or 5 AM. However, when people with advanced sleep phase syndrome stay up until their customary 10 or 11 PM, their bodies still awaken at 4 or 5 AM.

Answer to Question 2

D
Assess for caregiver stress, such as tension in relationships with family and care recipient, changes in level of health, changes in mood, and anxiety and depression.