A night shift worker reports, "I'm having trouble getting to sleep after a night's work. I have a hearty breakfast with coffee, read the paper, do my exercises, and then go to bed
However, I just lie awake until it is nearly time to get up to be with my family for dinner." What changes should the nurse suggest? Select all that apply.
a. Drink juice with breakfast rather than coffee.
b. Exercise after awakening rather than before.
c. Turn on the television when going to bed.
d. Do not read the paper.
e. Eat a light breakfast.
ANS: A, B, E
Sleep can be disrupted by caffeine, a central nervous system stimulant, exercise performed just before trying to sleep, and eating a heavy meal before retiring. Reading the newspaper is not likely to be so stimulating that it disrupts the patient's ability to sleep. Television will be disruptive to sleep.
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