A nurse in a long-term care facility is caring for a client who has dementia and reports difficulty falling asleep at night. Which of the following actions should the nurse take to promote adequate rest?
Schedule the client for a morning group fitness class at the facility.
Limit the client to no more than four caffeinated beverages a day.
Walk around the hallway with the client an hour before bedtime
Allow the client several hours in the afternoon to take a nap
The Correct Answer is A
A. Schedule the client for a morning group fitness class at the facility: Regular morning exercise promotes healthy sleep patterns by helping regulate the body's circadian rhythm. Engaging in physical activity early in the day can reduce restlessness at night.
B. Limit the client to no more than four caffeinated beverages a day: While caffeine should be limited, the most effective approach is to avoid caffeine entirely in the afternoon and evening to prevent sleep disruption, rather than just limiting it to four beverages a day.
C. Walk around the hallway with the client an hour before bedtime: Although light physical activity can promote sleep, intense exercise or walking too close to bedtime can sometimes increase alertness and make it harder for the client to fall asleep.
D. Allow the client several hours in the afternoon to take a nap: Long naps, especially in the afternoon, can disrupt the client's sleep cycle and make it more difficult for them to fall asleep at night. Limiting naps during the day is typically more helpful.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Minimize time spent gambling each week: While reducing time spent gambling can be helpful, the focus should be on addressing the underlying behaviors and emotions related to the gambling disorder. A more holistic approach is typically more effective.
B. Encourage the client to participate in a self-help group: Self-help groups, such as Gamblers Anonymous, provide valuable support for individuals with gambling disorders. These groups offer shared experiences and coping strategies, making them a crucial part of the treatment plan.
C. Ask the client why they are unable to stop gambling: Asking "why" may feel confrontational or non-supportive. Instead, the nurse should use therapeutic communication to explore the client’s thoughts and feelings in a non-judgmental way.
D. Obtain a prescription for memantine: Memantine is used to treat Alzheimer's disease and other cognitive disorders, not gambling disorder. Medications are not typically the primary treatment for gambling disorder; instead, therapy and behavioral interventions are applied.
Correct Answer is C
Explanation
A. Intellectualization: Intellectualization involves using logic or reasoning to avoid emotional response to stress, but it is not the defense mechanism demonstrated here. The client is not using abstract thinking to avoid feelings but justifying behavior.
B. Introjection: Introjection involves internalizing the beliefs or values of others, which is not what is happening in this scenario. The client is not adopting someone else’s values but rationalizing their own actions.
C. Rationalization: Rationalization is the defense mechanism the client is using. The client is justifying their drinking as a way to cope with stress, making the behavior seem reasonable or acceptable even though it may be harmful.
D. Repression: Repression involves unconsciously blocking out uncomfortable thoughts or feelings, but the client is not denying their emotions or thoughts about stress. Instead, they are justifying their behavior, which aligns more with rationalization.
Complete the following sentence by using the lists of options.
The client is at risk of developing