A patient whose spouse recently died is having difficulty falling asleep and does not want to take any prescription medications to induce sleep. How should the nurse respond? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply

Question

1. "Make certain your bedroom is nice and warm."
2. "There are alternative methods to treat insomnia, such as yoga, meditation, and massage therapy."
3. "Eating a large meal at bedtime will help induce sleep."
4. "Avoid caffeinated beverages, nicotine, and alcohol immediately prior to bedtime."
5. "Count sheep after lying down in order to enhance sleep."

Answer 1

2,4
Rationale 1: Sleep disturbances may be related to sleeping in a room that is too warm.
Rationale 2: Acupuncture, aromatherapy, yoga, prayer, massage, meditation, biofeedback therapy, hypnosis, guided imagery, and music therapy are alternative treatments for anxiety and insomnia.
Rationale 3: Eating a large meal prior to bedtime is a secondary cause of insomnia.
Rationale 4: Amphetamines, cocaine, caffeinated beverages, corticosteroids, sympathomimetics, antidepressants, alcohol use, nicotine, and tobacco use are secondary causes of insomnia.
Rationale 5: There is no evidence that counting sheep at bedtime helps to induce sleep.
Global Rationale: Acupuncture, aromatherapy, yoga, prayer, massage, meditation, biofeedback therapy, hypnosis, guided imagery, and music therapy are alternative treatments for anxiety and insomnia. Amphetamines, cocaine, caffeinated beverages, corticosteroids, sympathomimetics, antidepressants, alcohol use, nicotine, and tobacco use are secondary causes of insomnia. Sleep disturbances may be related to sleeping in a room that is too warm. Eating a large meal prior to bedtime is a secondary cause of insomnia. There is no evidence that counting sheep at bedtime helps to induce sleep.