An older client in a long-term care facility does not sleep much at night and prefers to stay up late reading. The client takes "power naps" during the day. How should the nurse respond to this client's plan to acquire adequate sleep?
1. "Daytime napping is a positive method to restore the missed sleep time at night."
2. "You do not need the same quantity of sleep as younger adults."
3. "If you feel like you are getting enough rest at night, a daytime nap is acceptable."
4. "There is no problem as long as the total number of hours slept per 24-hour period is at least 8."
3. "If you feel like you are getting enough rest at night, a daytime nap is acceptable."
Explanation: 1. Naps do not replace the needed rest lost at night. Longer sleep cycles are essential. However, if the client prefers napping, is not experiencing cognitive issues, and is overall satisfied with the quality of nighttime sleep, the nurse does not have to address this further.
2. Older people do need similar amounts of sleep as younger adults. Older adults often do sleep less due to individual differences, medical conditions, or increased incidence of insomnia, but the physiological sleep requirements are the same.
3. Napping during the day may make it more difficult to get to sleep at night. If the client feels rested and comfortable with their sleep pattern, the nurse should support this rather than making the client conform to typical nighttime sleep patterns.
4. The goal of adequate sleep is not that the client achieves a certain number of hours. Some clients will do well with less and some require more hours of sleep. The outcome of good sleep is positive cognitive functioning.
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