A patient tells the nurse that one result of his chronic stress is that he has considerable fatigue. He usually sleeps from 11:00 PM to 6:30 AM
He reports he now sets his alarm to give himself an extra 30 minutes of sleep each morning but feels no better and is rushed for work. Which nursing response would best address the patient's concerns? a. "You may need to speak to your doctor about taking a sedative to help you sleep.".
b. "Exercising just before retiring for the night may help you to sleep better.".
c. "Perhaps going to bed a half hour earlier would work better than sleeping later.".
d. "A glass of wine in the evening might take the edge off and help you to rest.".
C
Sleeping later in the morning may disturb circadian rhythms and in this case is adding, rather than reducing, the stress in his life. Going to bed earlier and arising at the usual time alleviates fatigue more effectively. Sedatives may offer some benefit but are a short-term intervention with potential side effects, and other nonpharmacological interventions might work as well or better. Exercise earlier in the evening could induce tiredness and ease the process of falling asleep, but doing so right before bedtime would likely be stimulating and interfere with sleep instead. Alcohol is sedating but is also potentially addictive, and encouraging its use could increase the risk of using alcohol maladaptively as a response to stress in general.
You might also like to view...
A 12-year-old patient has undergone knee surgery. She has an order for pain medication, which can be given by several different routes. Which of the following routes of administration will provide the fastest pain relief?
a. Transcutaneous b. Intravenous c. Oral d. Rectal
The staffing method used when units are staffed below maximum workload conditions and staff is then supplemented when needed is called:
a. fixed staffing. b. variable staffing. c. strategic staffing. d. staffing by acuity.
The appropriate theoretical distribution for constructing confidence intervals around an odds ratio is:
a. A sampling distribution of the mean b. A normal distribution c. A t distribution d. A binomial distribution
The nurse is interviewing Jessica, 18 years old, about her eating behaviors. Jessica's parents have brought her to treatment because her mother suspects that Jessica has been binge eating and vomiting
The nurse asks Jessica if she ever feels that she cannot control her eating. Jessica is silent for a moment, and her mother states, "I know she can't control it; she ate an entire cake last night!" Which of the following comments by the nurse is best? A) "I see. Jessica, why did you feel like you have to eat so much?" B) "Do you often have to answer for your daughter?" C) "Jessica, is what your mother said true?" D) "I see. Jessica, do you ever feel as though you cannot control your eating?"