The older man in a long-term care facility consistently wakes at 3 AM and does not return to sleep. The nurse records this behavior as:
a. sleep initiation insomnia.
b. sleep maintenance insomnia.
c. terminal insomnia.
d. undifferentiated insomnia.
ANS: C
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An older patient with multiple health problems asks the nurse for advice about recurrent insomnia. Which statement made by the nurse is most accurate?
A) "Caffeine obviously makes it hard for you to sleep, while a moderate amount of alcohol at bedtime is useful.". B) "You should try over-the-counter sleep aides for several weeks before you move on to prescription options.". C) "It's very normal for the quality of sleep to decrease with age, so this is usually a problem that requires accommodation rather than treatment.". D) "A lot of medications have the potential to interfere with sleep, so it would be useful to review your medications with your physician or a pharmacist.".
A young patient tells the nurse that it is taboo to date before the age of 18 years. How should the nurse interpret this patient's statement?
A) Everyone dates before the age of 18 years. B) Dating before the age of 18 years is not permitted. C) Dating before the age of 18 years can be done with permission. D) Dating before the age of 18 years is permitted in large groups only.
When caring for a client whose last dose of heroin was self-administered just prior to admission, the nurse anticipates the client's withdrawal symptoms will peak in:
a. 6-8 hours c. 36-48 hours b. 12-18 hours d. 5-10 days
In applying for a job on a nursing unit that requires frequent patient positioning, the nurse should be aware that nurses
a. Are at low risk for back injury. b. Are especially at risk for high back injuries. c. Should be aware of agency policies. d. Should not need to use assistive devices.