The nurse is caring for a patient who is having a great deal of difficulty going to sleep and staying asleep. The nurse suggests implementing which strategies? Select all that apply
1. Providing relaxation with music or a massage before bed
2. Making sure the room is dark to facilitate sleeping
3. Ensuring that the environment is quiet by reducing staff noise
4. Arranging for the provider to order benzodiazepines at bedtime
5. Coordinating care to avoid waking the patient during the night, if possible
Answer: 1, 2, 3, 5
Explanation: Sleep hygiene strategies appropriate for use in hospital settings include providing music or a massage; darkening the room; reducing staff noise; and coordinating care to avoid waking the patient as much as possible. Although the patient might need a medication sleep aid at some point, it is most beneficial to try sleep hygiene strategies first.
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