A client with clinical depression asks the nurse for suggestions on how to improve the quality of sleep. After reviewing the client's history, which suggestion by the nurse is the most appropriate?

Select all that apply.
A) Avoid the use of alcohol late in the evening.
B) Consume a cup of tea before bed to relax.
C) Adjust the temperature in the room to a comfortable level.
D) Change the time of aerobic exercise to 1 hour prior to sleep.
E) Avoid smoking before bedtime.


Answer: A, C, E

A comfortable room temperature will promote sleep. Alcohol interferes with REM sleep and should be consumed well before bedtime. Nicotine is a stimulant and may prevent the client from falling asleep. Exercise within a few hours of bedtime acts as a stimulant and can cause the client to be unable to sleep. Tea contains caffeine, which is a stimulant. The nurse could suggest non-caffeinated tea before bedtime unless this causes the client to wake during the night to urinate.

Nursing

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