A 75-year-old client with cardiac disease describes a decline in the amount of sleep he gets and difficulty falling asleep at night. Which of the following should the nurse consider is occurring with this client?
1. Signs of anxiety and depression
2. Normal signs of aging
3. Normal signs of cardiac disease
4. Normal signs of respiratory disease
1. Signs of anxiety and depression
Rationale:
Drastic changes in sleep patterns may be early signs of underlying anxiety and depression and should be investigated and not written off as normal changes of aging. Pain, respiratory disease, and cardiac disease can also interfere with sleep, but sleep pattern disturbances need to be assessed further to determine if there is an underlying psychiatric problem.
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