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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D"]
Explanation
Choice A rationale:
Increased appetite is not a common symptom associated with sleep and wakefulness disorders. While sleep disturbances can affect appetite regulation, leading to weight gain or loss, increased appetite itself is not a direct symptom of these disorders.
Choice B rationale:
Excessive daytime sleepiness is a hallmark symptom of sleep and wakefulness disorders such as narcolepsy, sleep apnea, and insufficient sleep syndrome. It is characterized by an overwhelming urge to sleep during the daytime, often resulting in unintentional napping or falling asleep in inappropriate situations.
Choice C rationale:
Heightened sense of smell is not typically associated with sleep and wakefulness disorders. This sensory alteration is not directly linked to sleep disruptions or disorders. It is important to focus on symptoms that are more directly related to sleep patterns.
Choice D rationale:
Snoring during sleep is a common symptom of sleep-disordered breathing, particularly obstructive sleep apnea. Snoring can be caused by the partial obstruction of the upper airway during sleep, leading to noisy and disrupted breathing patterns. It is important to assess snoring as it can indicate underlying sleep-related breathing issues.
Choice E rationale:
Enhanced physical strength is not a common symptom of sleep and wakefulness disorders. Sleep disturbances are more likely to result in fatigue and decreased physical performance due to disrupted sleep patterns, rather than enhanced strength.
Correct Answer is C
Explanation
Choice A rationale:
These symptoms are normal and do not require further assessment. Rationale: This choice is not accurate. The client's symptoms of frequently waking up too early, feeling tired during the day, difficulty concentrating, and irritability are not considered normal sleep patterns. These symptoms could indicate an underlying issue that requires further assessment and intervention.
Choice B rationale:
These symptoms are indicative of a healthy sleep pattern. Rationale: This choice is incorrect. The symptoms described by the client are not indicative of a healthy sleep pattern. Waking up too early, feeling tired during the day, difficulty concentrating, and irritability are signs of disrupted sleep rather than a healthy sleep pattern.
Choice C rationale:
These symptoms align with sleep and wakefulness disorders. Rationale: This choice is the correct answer. The client's reported symptoms are consistent with sleep and wakefulness disorders. Waking up too early (early morning awakenings), feeling tired during the day, difficulty concentrating, and irritability are commonly associated with disorders like insomnia or sleep apnea. Further assessment and evaluation are needed to determine the specific disorder and appropriate treatment.
Choice D rationale:
These symptoms are primarily related to a lack of physical activity. Rationale: This choice is incorrect. While physical activity can contribute to overall well-being and sleep quality, the client's symptoms are not primarily related to a lack of physical activity. The described symptoms are more indicative of sleep-related issues rather than solely being attributed to a lack of exercise.
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