A client is concerned about their sleep quality and is seeking help. What would be the appropriate action for the nurse to take?

Advise the client to continue with their current sleep habits.

Recommend the client to use their bed for activities like reading and watching TV.

Educate the client about sleep hygiene and behavioral interventions.

Prescribe medications without consulting a healthcare provider.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Advising the client to continue with their current sleep habits would not be appropriate because if the client is seeking help for sleep quality concerns, their current habits might be contributing to the issue. Without proper assessment and guidance, this could exacerbate the problem.

Choice B rationale:

Recommending the client to use their bed for activities like reading and watching TV is not ideal. The bed should be associated with sleep and relaxation, and engaging in stimulating activities can hinder the client's ability to fall asleep and stay asleep.

Choice C rationale:

Educating the client about sleep hygiene and behavioral interventions is the appropriate action. Sleep hygiene education includes teaching the client about practices that promote good sleep, such as maintaining a regular sleep schedule, creating a comfortable sleep environment, avoiding caffeine and heavy meals close to bedtime, and engaging in relaxing activities before sleep. Behavioral interventions can help address specific sleep problems and develop healthy sleep habits.

Choice D rationale:

Prescribing medications without consulting a healthcare provider is not within the nurse's scope of practice. Furthermore, medication should not be the first line of treatment for sleep concerns, and it's important to explore non-pharmacological interventions first.

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Correct Answer is C

Explanation

Choice A rationale:

Medical disorders can contribute to sleep and wakefulness disorders. Conditions such as sleep apnea, restless legs syndrome, and chronic pain can disrupt sleep patterns. Various medical conditions affect sleep architecture and can lead to sleep disturbances, affecting overall sleep quality.

Choice B rationale:

Mental health disorders are well-documented causes of sleep and wakefulness disorders. Conditions like insomnia, depression, anxiety, and bipolar disorder can directly impact sleep initiation, maintenance, and overall sleep quality. The bidirectional relationship between mental health and sleep is widely recognized in clinical literature.

Choice C rationale:

Genetic predisposition can play a role in sleep disorders, but it is not among the most common causes or risk factors. Some sleep disorders, such as narcolepsy and certain circadian rhythm disorders, have a genetic component. However, other factors like lifestyle, environment, and medical conditions often have more significant contributions.

Choice D rationale:

Medications and substance use are recognized contributors to sleep and wakefulness disorders. Many medications can interfere with sleep patterns, including stimulants, antidepressants, and certain antihypertensive drugs. Substance use, particularly alcohol and recreational drugs, can disrupt sleep architecture and lead to insomnia and poor sleep quality.

A. "Do you often find yourself experiencing excessive daytime sleepiness?". B. "Have you been sleeping for more than 9 hours a night?". C. "Are you experiencing episodes of abnormal respiratory patterns during sleep?". D. "Have you been falling asleep at inappropriate times during the day?".

Correct Answer is A

Explanation

Choice A rationale:

Excessive daytime sleepiness is a common consequence of insomnia. This question aims to assess whether the client experiences daytime impairment due to poor sleep initiation or maintenance. Inquiring about excessive daytime sleepiness is crucial because it reflects the potential impact of insomnia on the client's daily functioning.

Choice B rationale:

Asking about whether the client sleeps for more than 9 hours a night is not directly related to insomnia. While prolonged sleep can be seen in certain conditions like hypersomnolence, it doesn't address the core symptom of difficulty initiating or maintaining sleep associated with insomnia.

Choice C rationale:

Inquiring about abnormal respiratory patterns during sleep is relevant for sleep disorders like sleep apnea, which can cause disruptions in sleep due to breathing difficulties. However, this question is not specific to the symptoms of insomnia, which involve difficulties falling asleep or staying asleep.

Choice D rationale:

Asking about falling asleep at inappropriate times during the day is more aligned with narcolepsy, a disorder characterized by sudden and uncontrollable episodes of falling asleep. While some individuals with insomnia might experience daytime sleepiness, it's not a defining feature of the disorder.

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A client is concerned about their sleep quality and is seeking help. What would be the appropriate action for the nurse to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a group of individuals about the factors contributing to sleep and wakefulness disorders. Which of the following categories is NOT among the common causes or risk factors for these disorders?

Correct Answer is C

Explanation

A nurse is assessing a client who reports difficulty initiating or maintaining sleep, causing impairment and distress. Which of the following statements made by the nurse reflects an appropriate assessment?

Correct Answer is A

Explanation

A nurse is teaching a patient with sleep pattern disturbance about cognitive-behavioral therapy (CBT) techniques. Which statement accurately describes CBT for sleep disorders?

A client is seeking information about a sleep disorder involving abnormal movements of the limbs or body during sleep. Which of the following conditions is characterized by repetitive or stereotyped movements during sleep or while falling asleep?

A nurse is explaining the potential impacts of sleep and wakefulness disorders to a client. Which of the following statements accurately reflects a possible impact on quality of life?

A client is discussing the potential consequences of sleep and wakefulness disorders with a nurse. Which of the following statements accurately reflects a possible impact on sexual function?

A client is prescribed a medication to help manage their sleep disorder. Which statement accurately reflects a guideline for using medications to treat sleep and wakefulness disorders?

A nurse is discussing the possible effects of sleep deprivation with a patient. Which of the following statements accurately represents a potential impact on immune function?

A nurse is conducting an assessment with a client who has been experiencing difficulty adjusting to different time zones due to frequent travel. Which aspect of sleep and wakefulness disorders is the client likely experiencing?

(Select all that apply):. A nurse is educating a group of patients about the treatment options for sleep and wakefulness disorders. Which of the following options would the nurse include in the discussion? Select all that apply.