A nurse is caring for a client who reports frequent insomnia. Based on the client's assessment, what are the possible causes of insomnia? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1. Darkened room
2. Stress
3. Caffeine
4. Quiet sleeping area
5. Early morning exercise
Correct Answer: 2, 3
Rationale 1: A quiet, dark room promotes sleep.
Rationale 2: Stress can be a cause of insomnia.
Rationale 3: Caffeine intake can be a cause of insomnia.
Rationale 4: A quiet, dark room promotes sleep.
Rationale 5: Exercise done early in the morning does not cause insomnia.
Global Rationale: Stress and caffeine intake can be causes of insomnia. A darkened room and a quiet, dark sleep environment promote sleep. Early morning exercise is not a known cause of insomnia.
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