Which information obtained by the nurse about an older adult who complains of occasional insomnia indicates a need for patient teaching (select all that apply)?
a. Drinks a cup of coffee every morning with breakfast
b. Has a snack every evening 1 hour before going to bed
c. Likes to read or watch television in bed on most evenings
d. Usually takes a warm bath just before bedtime every night
e. Occasionally uses diphenhydramine (Benadryl) as a sleep aid
ANS: C, E
Reading and watching television in bed may contribute to insomnia. Older adults should avoid the use of medications that have anticholinergic effects, such as diphenhydramine. Having a snack 1 hour before bedtime and/or coffee early in the day should not affect sleep quality. Rituals such as a warm bath before bedtime can enhance sleep quality.
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