A factory night shift worker tells the industrial nurse that he is having trouble getting to sleep when
he goes home after a night's work.
He mentions that he has a hearty breakfast and a few cups of
coffee, reads the paper, does his exercises, and then goes to bed and lies awake until it is nearly time
to get up to be with his family at dinner. What change should the nurse suggest? (More than one
answer may be correct.)
A. Drink decaffeinated coffee after 3 AM.
B. Do not read the paper.
C. Exercise after awakening.
D. Eat a light breakfast.
A, C, D
Rationale: Sleep can be disrupted by caffeine, a central nervous system stimulant, exercise
performed just before trying to sleep, and eating a heavy meal before retiring. Option B: Reading the
newspaper is not likely to be so stimulating that it disrupts the client's ability to sleep.
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