During the night, an older woman complains to the nurse that she has not slept more than 2 hours since admission to the hospital. Which intervention should the nurse implement to increase the duration of this woman's sleep?
a. Inquire about her sleep habits used at home.
b. Suggest that she avoid napping during the day.
c. Tell her that sleep is fragmented in older people.
d. Offer a book to her or suggest watching a movie.
A
Hospitalization often disrupts normal sleeping patterns; therefore reestablishing those patterns is the best first step to improving the quality of sleep in the hospital. Avoiding napping during the day is a reasonable approach to complaints of sleeplessness, but it may not be this woman's problem. Sleep is increasingly fragmented in older adults; however, understanding that issue may or may not help this woman sleep for longer periods. A book or movie can help some people become drowsy, but becoming drowsy will not usually increase the quality or duration of sleep. In fact, books and movies can be stimulating and decrease the ability to fall asleep.
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