A nurse in a long-term care facility notes that an older resident with dementia awakens frequently at night and is restless and agitated. Which of the following interventions most effective to help manage this resident's sleep problems?
Administering a mild sedative hypnotic at bedtime
Limiting fluid intake for the resident
Educating the resident on the association between dementia and insomnia
Passive music therapy at bedtime
The Correct Answer is D
A. Sedative-hypnotics are generally not recommended for older adults with dementia due to risks of increased confusion, falls, and adverse drug effects.
B. While limiting fluids at night can help reduce nocturia, it does not address the core issues of agitation and sleep disruption related to dementia.
C. Individuals with dementia often have limited capacity to understand or retain education, making this intervention ineffective for managing sleep issues.
D. Passive music therapy is a non-pharmacologic, calming intervention shown to improve sleep and reduce agitation in individuals with dementia, making it the most effective and safest option in this context.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Candida albicansis a fungal infection typically found in moist skin folds, not commonly on the heels, sacrum, or bony prominences.
B. Melanomais a type of skin cancer that presents as an abnormal mole or pigmented lesion, not pressure-related ulcers.
C. Keratosisrefers to a skin condition involving thickened skin (e.g., seborrheic or actinic keratosis) and is unrelated to pressure or vascular disease.
D. Pressure injuries(also known as pressure ulcers or bedsores) often occur on bony prominenceslike the heels, sacrum, elbows, knees, and ears. People with peripheral vascular diseaseare at increased riskdue to poor circulation and impaired healing, and 25–35% occur on the heels, making this the correct answer.
Correct Answer is A
Explanation
A. Hypothermiais clinically defined as a core body temperature below 95.0°F (35°C). It is a medical emergency, especially in older adults who may have reduced thermoregulation.
B. 97.5°F is within the normal rangefor body temperature and does not indicate hypothermia.
C. 93.2°F is considered moderate hypothermia, but the diagnostic threshold is 95.0°F.
D. 90.5°F would indicate severe hypothermia, but again, the official definition begins at <95.0°F.
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