A patient admitted to the psychiatric-mental health unit tells the nurse she is having trouble sleeping because of "all the commotion" in the hospital. The patient adds that she does not normally have problems with sleep
What is the best statement by the nurse?
1. "You should go on a brisk walk right before bed."
2. "You should turn on the TV to mask the noises on the unit."
3. "I'll talk to the doctor and ask him to order you a sleeping pill."
4. "I will get you some ear plugs so that you won't hear as much noise at night."
Answer: 4
Explanation: Because the patient does not have a history of insomnia, the noise of the unit is probably contributing to her sleeplessness. Addressing the noise with ear plugs is a reasonable first step. Medication is not the first option. Turning on a TV to mask other noise is not a good sleep hygiene practice. Exercise should be completed at least 3 hours before bed to prevent wakefulness.
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