The nurse is talking to the parent of a 5-year-old child who refuses to go to sleep at night. What intervention should the nurse suggest in helping the parent to cope with this sleep disturbance?
a. Establish a consistent punishment if the child does not go to bed when told.
b. Allow the child to fall asleep in a different room and then gently move the child to his or her bed.
c. Establish limited rituals that signal readiness for bedtime.
d. Allow the child to watch television until almost asleep.
ANS: C
An appropriate intervention for a child who resists going to bed is to establish limited rituals such as a bath or story that signal readiness for bed and consistently follow through with the ritual. Punishing the child will not alleviate the resistance problem and may only add to the frustration. Allowing the child to fall asleep in a different room and to watch television to fall asleep are not recommended approaches to sleep resistance.
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