An older patient asks a nurse, "I really have trouble sleeping and my doctor does not want to prescribe a sleeping pill for me. He says they are not good for older people. I really don't under-stand his response. Can you help me?"
The best response by the nurse is:
a. "Sleeping medications have many adverse effects in older people and only have minimal effects in improving sleep."
b. "Prescription sleeping medications have many adverse effects in older people. Why don't you try using an over-the-counter medication?"
c. "Sleeping medications do not provide any improvement in sleep for older people."
d. "Sleep problems are common in older peo-ple. There really is nothing that you can do to help with that."
ANS: A
Adverse effects of sleep medications, including over-the-counter medications, include problems with daily function, changes in mental status, motor vehicle accidents, daytime drowsiness, and increased risk of falls with only minimum improvement in sleep. Sleep problems are common in older adults; however, there are many nonpharmacologic interventions that can be utilized to im-prove sleep.
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