The nurse should instruct the client to do which of the following to promote good sleep hygiene at home?
1. Use the bedroom only for sleep or sexual activity.
2. Eat a large meal 1 to 2 hours before bedtime.
3. Exercise vigorously before bedtime.
4. Stay in bed if sleep does not come after hour.
ANS: 1
The nurse should explain that, if possible, the bedroom should not be used for intensive studying, snacking, TV watching, or other nonsleep activity, besides sex. The nurse should instruct the cli-ent to avoid heavy meals for 3 hours before bedtime; a light snack may help. The nurse should also instruct the client to try to exercise daily, preferably in morning or afternoon, and to avoid vigorous exercise in the evening within 2 hours of bedtime. Getting out of bed and doing some quiet activity until feeling sleepy enough to go back to bed if the client does not fall asleep with-in 30 minutes of going to bed may also help.
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Which of the following statements by your ADHD child's parents indicate they need further teaching?
A. "We will establish firm but reasonable limits on his behavior." B. "We will give him his medication at night so it won't decrease his appetite." C. "We will set him up in a special program at his school so we he will get extra attention." D. "We will work to ensure he gets 8 hours of sleep a night."
A student nurse is assigned to administer oral medications to her assigned client. The client refuses
to take the medication. The student nurse should a. tell the client that she will receive a poor grade if she doesn't administer the medication. b. tell the client that refusal is not permitted and staff will require him to take the medication. c. document the client's refusal on the medication administration record without comment. d. ask the client's reason for refusing and report to the coassigned nurse.
When a series of emergencies occurred on the nursing care unit, one nurse took charge and helped everyone get through the crisis. Following this episode, other staff members treated him with great respect. The type of power described in this example is:
a. reward power. c. personal power. b. referent power. d. expert power.
A patient receiving antibiotics for 3 days reports a skin rash over the chest, back, and arms. What is your first action?
a. Ask the patient whether he or she has ever developed a rash while taking another drug. b. Reassure the patient that many people have this expected reaction to antibiotic therapy. c. Ask the patient whether the rash itches, burns, or causes other types of discomfort. d. Document the report as the only action.