An older adult tells a nurse that he is experiencing difficulty falling asleep, he routinely gets into bed at 8:30 PM and watches his favorite television shows until 11:00 PM, and often lies awake for hours after
Which of the following suggestions are appropriate for the nurse to give to this patient? (Select all that apply.)
a. Go to bed only when sleepy.
b. If unable to sleep within a reasonable time (15-20 minutes), get out of bed and pursue relaxing activities.
c. Engage in moderate exercise to induce fatigue.
d. Do not watch television or work in bed.
e. If unable to sleep, engage in enjoyable ac-tivities on the computer.
ANS: A, B, D
Some interventions to improve sleep include going to bed only when sleepy, matching the num-ber of hours in bed to the actual hours of sleep, and reserving the bed for sleep and sex only. En-gaging in exercise immediately before sleep will not assist the person in falling asleep, and use of the computer is also discouraged as it can disturb sleep.
You might also like to view...
Which patient should not be offered a back rub at bedtime?
A) A patient with a blood pressure of 140/88 with a medical diagnosis of cerebrovascular accident (CVA). B) A patient with a respiratory rate of 22 and medical diagnosis of emphysema. C) A patient with a blood pressure of 80/40, atrial fibrillation, and medical diagnosis of myocardial infarction (MI). D) A patient with a pulse of 50, blood pressure of 100/50, and medical diagnosis of congestive heart failure (CHF).
A patient with schizophrenia believes a local minister stirred evil spirits and threatens to bomb a local church. The psychiatrist notifies the minister. Select the answer with the correct rationale. The psychiatrist:
a. released information without proper authorization. b. demonstrated the duty to warn and protect. c. violated the patient's confidentiality. d. avoided charges of malpractice.
The nurse is caring for a group of clients on a psychiatric unit. One client has become highly agitated and is threatening other clients and some of the staff. The nurse escorts the client to the isolation room, leaving the door open
Which statement by the nurse is most appropriate? A) "I can't believe you behaved in this manner and upset everyone else." B) "I'm going to stay here with you in case you want to talk about what happened." C) "If you do not calm down, I will sedate you for your own safety." D) "You scared the other clients."
Self-care instructions for the client being discharged on oral ritodrine include:
a. avoid sexual intercourse. b. limit sexual intercourse to once per week. c. avoid breast massage. d. maintaining strict bedrest.