An adolescent reports the following: "I get up at 6 a.m., I attend early-morning band classes three times each week, I play sports for two hours each day after school, and homework takes me three hours each night. I always feel tired."

During assessment of this client, the priority history question for the nurse to ask is which of the following? 1. How many hours of sleep do you get each night?
2. Do you consume foods high in iron?
3. Do you think you are doing too much?
4. Have you considered talking with your teachers about decreasing your homework, since you have so many extracurricular activities?


1. How many hours of sleep do you get each night?

Rationale:
The data in this scenario reveal very little time for sleep; therefore, the history should focus on sleep patterns, not diet. Asking if the client thinks the number of activities or homework should be reduced does not directly address the number of hours of sleep the client is getting.

Nursing

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