Older adult clients at the community centre are having a discussion about health issues, led by a nurse volunteer. One of the participants asks the nurse what to do about not being able to sleep well at night

Which of the following activities does the nurse inform the participants may en-hance sleep in the evening? a. Drinking an alcoholic beverage before bedtime
b. Using an over-the-counter sleeping agent
c. Eliminating naps during the day
d. Going to bed at a consistent time even if not feeling sleepy


C
To promote sleep, daytime naps should be eliminated. If naps are used, they should be limited to 20 minutes or less twice a day.
Alcohol should be limited in the late afternoon and evening because it lightens and fragments sleep.
The use of nonprescription sleeping medications is not advisable. Over the long term, these drugs can lead to further sleep disruption, even when they initially seemed to be effective.
Following a bedtime routine should be consistent, but this does not necessarily include always going to bed at the same time. The client should engage in quiet activities that promote relaxa-tion, and then may go to bed. If the client hasn't fallen asleep in 30 minutes, the client should get up out of bed and do some quiet activity until he or she feels sleepy enough to go back to bed.

Nursing

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A client has a closed below-the-knee amputation of the left leg. The nurse recognizes the client will be scheduled to spend some time in the prone position each day to:

a. increase muscle strength of the thigh muscles b. prevent contractures of the hip c. prevent edema of the stump d. prevent thrombophlebitis

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Of the following nursing interventions, which would be least appropriate for a person in rehabilitation post-stroke who states "I just can't believe this happened to me. I can't wait for this to be over so I can go back to my normal life"?

a. teach all of the information the person will need to know to adapt to life after stroke b. provide reassurance and emotional support c. provide essential information, but avoid teaching at this stage d. provide direct care, ensure safety, and involve the family

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A psychiatric nurse observes a new mother participating in a group therapy session

The new mother says, "I hate being a mother! I wish that my baby would just disappear!" A 34-year-old mother of three states, "You need to stop talking like that! How would you feel if your mom said that about you?" What role is the 34-year-old group member playing? A) Aggressor B) Initiator C) Gatekeeper D) Blocker

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