A nurse counsels an older adult with chronic insomnia. Which of the following statements should the nurse include in the teaching?
A) "Consider making your environment more conducive to sleep."
B) "Continuing with the hypnotic medications you've been prescribed should soon provide a solution."
C) "Decreased sleep is a normal age-related change that you will need to accommodate."
D) "Moderate alcohol consumption will help you fall asleep more quickly."
Ans: A
Environmental modification can be a useful intervention in promoting sleep in older adults. While age-related changes do influence sleep in older adults, this does not mean that interventions and strategies are unnecessary in mitigating these changes. Alcohol consumption and the use of hypnotics are not recommended solutions to sleep disturbances.
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The nurse knows that when clients are unable or unwilling to perform assigned family roles, the family experiences:
1. Stress and disequilibrium. 2. Recognition and communication. 3. Personal and political advocacy. 4. Acceptance.
According to Glaser and Strauss, the closed awareness model can be applied to family, friends, care providers, and the dying individual. Which of the following statements are true of the closed awareness model? (Select all that apply.)
a. Medical personnel and family keep the condition secret from the client. b. Caregivers and client know about impending death but do not talk about it. c. Caregivers and client accept death and have open conversations. d. Dying client feels isolated from the ability to share with family. e. Dying client becomes suspicious of the truth, and information is tightly controlled by family.
A nurse is screening patients that the plastic surgeon is considering for phototherapy. Which patient should the nurse exclude?
a. A 34-year-old woman with lupus erythe-matosus b. A 5-year-old child with pneumonia c. A 60-year-old man with a pacemaker d. A 23-year-old woman who is 3 months' pregnant
Auscultation should be carried out last, except when examining the:
a. neck area. b. heart. c. lungs. d. abdomen.