The client is having difficulty falling asleep. Which does the nurse implement to facilitate relaxation and sleep?

Question

1. Offer a soothing back massage with lotion.
2. Report client difficulty to oncoming nurses.
3. Assess for physical or cultural sleep factors.
4. Tell client to recline in bed and read quietly.

Answer 1

3
3. The nurse assesses the client for physical and cultural factors related to sleep and relaxation before implementing a specific technique. Before attempting a relaxation technique, the nurse eliminates pain and physical problems contributing to sleepless-ness. The nurse also assesses for psychosocial factors because many clients do not want to be touched for personal and cultural reasons; thus, using touch or massage on these clients is likely to exacerbate tension and delay sleep.
1. A massage is potentially an effective relaxation technique provided the client has no objection.
2. The nurse reports the client's problem to the oncoming nurses to provide continuity of care; however, the report does not directly affect the client's difficulty. The nurse needs to address the sleeplessness because the nurse is the person to whom the client reported the problem and addressing the problem fulfills the nurse's duty to the client.
4. Reading can be an ineffective relaxation technique for the client and potentially aggravate the client's sleeping problem. While assessing the client, the nurse deter-mines previous sleeping habits the client used to induce sleep and facilitates the im-plementation of those techniques.