The nurse is completing an assessment on an older patient who is having difficulty falling asleep. Which factor has the potential to contribute to this difficulty?
a. Depression
b. Smoking
c. Alcohol
d. Fatigue
ANS: A
Older adults and other individuals who experience depressive mood problems experience delays in falling asleep, earlier appearance of REM sleep, frequent awakening, increased total bed time, feelings of sleeping poorly, and early awakening. Smoking (nicotine) decreases the total sleep time and REM and causes awakening or difficulty staying asleep. Alcohol speeds the onset of sleep. A person who is moderately fatigued usually achieves restful sleep.
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a. transportation of supplies. b. storage of supplies. c. management of supplies. d. prediction of supplies used.
What is included in the spiritual beliefs of Native Americans?
a. There is no life after death. b. All things in the world have a spirit. c. After death, the spirit stays as part of the tribe. d. The spirit world is the protector of health.
Which diet would the nurse recommend to the mother of a child who is having mild diarrhea?
a. Rice, potatoes, bread, and cereal b. Bananas, rice, applesauce, and toast c. Apple juice, hamburger, and salad d. Whatever the child would like to eat
A patient has had emphysema (lung disease) for many years. When approached by the nurse, the patient states "I would be better off dead."
The patient supports the family, and now because of oxygen dependency the patient must quit work. The patient's spouse will have to go to work. Which action should the nurse take? a. Develop a plan of care for the family. b. Contact psychiatric services for a referral. c. Assure the patient that things will work out. d. Focus the plan of care solely on maximizing patient function.