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
Explanation
Choice A rationale:
Monitoring the patient's adherence to follow-up appointments is not the appropriate method for assessing changes in sleep patterns and symptoms. While follow-up appointments are important for tracking progress, they do not directly measure the patient's sleep patterns or symptoms.
Choice B rationale:
Asking the patient to rate their daytime sleepiness on a scale of 0-10 is a valid method for assessing changes in sleep patterns and symptoms. The Epworth Sleepiness Scale (ESS) is a commonly used tool for this purpose. It provides a subjective measure of the patient's level of daytime sleepiness, which can help gauge the effectiveness of interventions aimed at improving sleep.
Choice C rationale:
Measuring the patient's physical activity levels before and after treatment might be relevant to overall health assessment but is not a direct method of assessing changes in sleep patterns and symptoms. Physical activity can influence sleep, but it does not specifically measure the impact of interventions on sleep disorders.
Choice D rationale:
Reviewing the patient's family history of sleep disorders is important for understanding potential genetic predispositions to sleep problems. However, it is not a method for directly assessing changes in the patient's sleep patterns and symptoms resulting from interventions.
Correct Answer is ["A","C","D"]
Explanation
Choice A rationale:
Continuous positive airway pressure (CPAP) device. This is a correct choice. CPAP is the primary treatment for obstructive sleep apnea (OSA). It involves wearing a mask that delivers a constant stream of air to keep the airway open during sleep, preventing the breathing interruptions characteristic of OSA.
Choice B rationale:
Oral appliance therapy (OAT). While OAT can be used for mild to moderate OSA, it is not as commonly used as CPAP. It involves wearing a custom-fitted oral device that helps keep the airway open by repositioning the jaw during sleep.
Choice C rationale:
Weight loss. This is a correct choice. Weight loss can significantly improve OSA, especially in cases where excess weight contributes to airway obstruction. Losing weight reduces the amount of tissue that can narrow the airway during sleep.
Choice D rationale:
Surgery. Surgical interventions may be considered for severe cases of OSA that don't respond well to CPAP or other treatments. Surgeries can involve removing excess tissue from the throat, repositioning the jaw, or creating a new airway passage. However, surgery is not as commonly used as CPAP or weight loss.
Choice E rationale:
Medication (dopamine agonists). Medications are not commonly used for the treatment of obstructive sleep apnea (OSA). Dopamine agonists are typically used to treat conditions like Parkinson's disease and restless legs syndrome, not OSA.
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