A newly admitted 72-year-old resident of a long-term care facility naps frequently during the day, stating that he is tired. What is the best action by the nurse?
Obtain an order from the primary caregiver for a sedative.
Ask the patient if he is sleeping well at night.
Tell the patient that he cannot take any more naps.
Plan activities to keep the patient awake during the day.
The Correct Answer is B
A. Obtain an order from the primary caregiver for a sedative
Not appropriate as a first step; sedatives in the elderly increase the risk of falls and confusion and should only be used after thorough evaluation.
B. Ask the patient if he is sleeping well at night
This helps identify underlying sleep disturbances, such as nocturia or insomnia, which may be the cause of daytime fatigue.
C. Tell the patient that he cannot take any more naps
Restricting naps without assessing the cause of tiredness is inappropriate and may worsen fatigue.
D. Plan activities to keep the patient awake during the day
May be helpful after assessing nighttime sleep habits and determining the cause of daytime drowsiness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Inability to advance past the present stage
Erikson’s stages are developmental tasks for specific age groups. Older adults do not move to a "next" stage after ego integrity, so this is not applicable.
B. Needs to repeat a previous stage
Erikson doesn’t propose repeating previous stages, but unresolved conflicts from earlier stages may affect current development.
C. Experiences despair
If older adults look back with regret or a sense of failure, they may experience despair, the opposite of ego integrity.
D. Experiences disappointment
While disappointment may be present, despair is the psychosocial conflict Erikson specifically described when ego integrity is not achieved.
Correct Answer is C
Explanation
A. Wrinkles
Caused by loss of collagen and elasticity, not directly by oil loss.
B. Brown spots
Caused by sun exposure and aging, unrelated to skin oil content.
C. Itching
Loss of skin oils leads to dryness, which commonly causes pruritus (itching).
D. Infection
Infection may result from skin breaks, but is not a direct result of oil loss.
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