There are four adult clients who see the nurse for complaints of fatigue. The adult client at greatest risk is the one who gets:
B. 10 hours of sleep
Rationale: Data from over one million adult
Americans revealed that the group that slept more than 8.5 hours each night had
the greatest mortality.
The nurse knows that the client understands education about promoting restful sleep when the client says:
A. "I'll make a list of things to do the next day and put it by my bedside to look at before I go to bed.“
B. "I bought some flannel sheets to help me stay warm at night.“
C. I'll do push-ups before bedtime so I will be worn out and tired.“
D. "I won't take my water pill anymore because it makes me get up in the night to go to the bathroom."
Answer B.
"I bought some flannel sheets to help me stay warm at night."
Rationale: A comfortable, quiet, and calmenvironment induces sleep. Mental and physical exercise stimulate the mind andbody, preventing sleep. Diuretics taken earlier in the day will prevent nocturia.
During a preschool screening, a parent asks how many hours of sleep a child of 3 years requires each night. What is the correct answer?
A. 10-12 hours
Rationale: Growing children require more sleep than adults. Toddlers need 10-12 hours per day. About 20-30% is REM sleep. Children of this age usually spend about 50% or a little less sleeping at night. Bedtime is disliked, but is facilitated with rituals.
A) client was sexually assaulted two days ago. She is afraid to go to sleep. The most appropriate nursing diagnosis related to the sleep problem is:
A. ) Disturbed Sleep Pattern, difficulty falling asleep related to fear
Rationale: Fear is the etiology of difficulty falling asleep. Insomnia is a type of sleep-pattern disturbance. The client does not complain of fatigue.
A client complains of inadequate sleep quantity and quality for the past month. The client wakes in the morning feeling tired. Which question provides the nurse with the best information about factors that may be contributing to this
sleep problem?
C. ) What brought this on?
Rationale: Insomnia usually has an identifiable cause. What brought this on? addresses factors contributing to the problem. All of the incorrect responses do provide information about sleep, but do not directly address factors contributing to the problem.
List the types of Restorative/Continuing Care
Environmental Controls Comfort
Physiological Disturbances
Pharmacological Approaches (Medication hypnotics)
Author
Anonymous
ID
147015
Card Set
Foundations
Description
Test #4 Sensory, Sleep, End of Life care, Caring and Cam, Ethics, philosophy
