A nurse in a provider's office is collecting data from an adult client. The client states that they are having difficulty sleeping. Which of the following strategies should the nurse recommend to promote sleep?

"Take a 1-hour nap each day."

"Watch television in bed."

"Drink a glass of milk before bedtime."

"Take a long walk before bedtime."

Answer and Explanation

The Correct Answer is C

A. "Take a 1-hour nap each day.": Napping during the day, especially for an hour, can interfere with the ability to fall asleep and stay asleep at night.

B. "Watch television in bed.": The bed should be used only for sleep and intimacy. Watching TV provides "blue light" and mental stimulation that disrupts the circadian rhythm.

C. "Drink a glass of milk before bedtime.": Milk contains L-tryptophan, an amino acid that serves as a precursor to serotonin and melatonin, which helps induce sleep.

D. "Take a long walk before bedtime.": Vigorous exercise shortly before bed increases core body temperature and heart rate, which can make falling asleep more difficult.

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Correct Answer is A

Explanation

A. The client holds the cane on the stronger side of their body.: Holding the cane on the unaffected (stronger) side provides a wider base of support and shifts weight away from the weaker leg.

B. The top of the cane is at the same height as the client's waist.: The top of the cane should reach the level of the greater trochanter or the wrist crease.

C. The client moves their stronger leg forward first.: The cane and the weaker leg should move forward together first, followed by the stronger leg.

D. The client advances the cane forward 12.7 cm (5 in).: Standard instruction is to advance the cane 15 to 25 cm (6 to 10 inches) to maintain stability.

A. "Don't worry. Everything will work out for you." B. "We should talk about your decision later." C. "How will you discuss this decision with your loved ones?" D. "Your quality of life will be compromised if you make this decision."

Correct Answer is C

Explanation

A. "Don't worry. Everything will work out for you.": This provides false reassurance and dismisses the client's feelings.

B. "We should talk about your decision later.": This is avoidant and dismisses the client's current need for support.

C. "How will you discuss this decision with your loved ones?": This is an open-ended, therapeutic response that encourages the client to explore their support system and the implications of their decision.

D. "Your quality of life will be compromised if you make this decision.": This is judgmental and uses a "scare tactic" rather than supporting the client's autonomy.

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A nurse in a provider's office is collecting data from an adult client. The client states that they are having difficulty sleeping. Which of the following strategies should the nurse recommend to promote sleep?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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