The nurse in the assisted living facility notices that a resident seems to be restless most nights and sits in the lounge area reading. When questioned, the client reports suffering from insomnia
The resident tells the nurse this is "not a big deal.". Which of the following does the nurse expect as an outcome if the client continues with this pattern of sleep? 1. The nurse is concerned about the liability created by a resident who is unsupervised in the lounge areas.
2. The nurse recognizes that insomnia is linked to cardiac dysfunction if it is not managed.
3. The nurse is aware that the client's ability to adequately function during the day may be hindered by these episodes.
4. The nurse is concerned that the client is demonstrating significant underlying problems.
3. The nurse is aware that the client's ability to adequately function during the day may be hindered by these episodes.
Rationale:
Insomnia is defined as an inability to fall asleep or stay asleep on most nights for over a month. The individual experiencing insomnia is at risk for daytime drowsiness and may experience problems with concentration and function. Insomnia is not a cause for liability; it is up to the nurse to make sure that hospitalized clients are safe, but they cannot be restricted from moving about. There is no evidence that insomnia leads to cardiac problems. There is no evidence that the client is demonstrating underlying problems.
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