Bernice is a 73-year-old grandmother. She complains to her daughter Kate, who is a nurse, about waking up early and not being able to return to sleep. On investigation, Kate finds that her moth-er does not go to bed until after the evening news

Kate suspects that her mother isn't getting enough sleep due to "phase advance." What is the best advice Kate can give her mother to ensure that she gets enough sleep at night? A. Take an afternoon nap.
B. Go to bed earlier.
C. Go to bed later.
D. Take a sleeping aid.


B
As people age, their circadian clock shifts, causing the person to "phase advance." This is com-mon in older adults and often is the reason behind the complaint of waking early in the morning and being unable to get back to sleep. People with "phase advance" get sleepy early in the even-ing (e.g., 8 or 9 PM). If they go to bed at that time, they will sleep for about 8 hours and wake up around 4 or 5 AM. However, when people with advanced sleep phase syndrome stay up until their customary 10 or 11 PM, their bodies still awaken at 4 or 5 AM.

Nursing

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