A nurse in a long-term care facility notes that an older resident with Alzheimer's disease awakens frequently at night and is restless and agitated. Which of the following interventions will be most effective to help manage this resident's sleep problems?
a. Taking the resident outside in the garden for 45 minutes daily
b. Limiting fluid intake for the resident
c. Educating the resident on the association between Alzheimer's Disease and insom-nia
d. Administering a mild sedative hypnotic at bedtime
ANS: A
Behavioral strategies for persons with dementia include daily walks and exposure to light to en-hance sleep. Limiting fluid intake may or may not be effective depending on whether or not the resident has nocturia. Educating the resident about the association between AD and insomnia may be feasible depending on the resident's mental status but will not necessarily ameliorate the problem. Sedative hypnotics are not the first-line treatment for older adults with AD and sleep disturbances.
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