A nurse is assessing a client who reports difficulty initiating or maintaining sleep, causing impairment and distress. Which of the following statements made by the nurse reflects an appropriate assessment?

"Do you often find yourself experiencing excessive daytime sleepiness?".

"Have you been sleeping for more than 9 hours a night?".

"Are you experiencing episodes of abnormal respiratory patterns during sleep?".

"Have you been falling asleep at inappropriate times during the day?".

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Excessive daytime sleepiness is a common consequence of insomnia. This question aims to assess whether the client experiences daytime impairment due to poor sleep initiation or maintenance. Inquiring about excessive daytime sleepiness is crucial because it reflects the potential impact of insomnia on the client's daily functioning.

Choice B rationale:

Asking about whether the client sleeps for more than 9 hours a night is not directly related to insomnia. While prolonged sleep can be seen in certain conditions like hypersomnolence, it doesn't address the core symptom of difficulty initiating or maintaining sleep associated with insomnia.

Choice C rationale:

Inquiring about abnormal respiratory patterns during sleep is relevant for sleep disorders like sleep apnea, which can cause disruptions in sleep due to breathing difficulties. However, this question is not specific to the symptoms of insomnia, which involve difficulties falling asleep or staying asleep.

Choice D rationale:

Asking about falling asleep at inappropriate times during the day is more aligned with narcolepsy, a disorder characterized by sudden and uncontrollable episodes of falling asleep. While some individuals with insomnia might experience daytime sleepiness, it's not a defining feature of the disorder.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

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.

A. "It's a good idea to exercise vigorously right before bedtime to tire yourself out.". B. "Drinking a cup of coffee in the evening can help you relax and fall asleep faster.". C. "You should use your bed for activities like watching TV and reading to help you wind down.". D. "Creating a quiet and comfortable sleeping environment can improve the quality of your sleep.".

Correct Answer is D

Explanation

Choice A rationale:

Exercising vigorously right before bedtime can actually have a counterproductive effect on sleep. Intense physical activity can increase alertness and body temperature, making it more difficult to fall asleep. It's recommended to finish exercising at least a few hours before bedtime.

Choice B rationale:

Drinking a cup of coffee in the evening is not advised for promoting better sleep quality. Caffeine is a stimulant that can interfere with sleep by increasing alertness and delaying the onset of sleep. It's generally recommended to avoid caffeine-containing beverages several hours before bedtime.

Choice C rationale:

Using the bed for activities like watching TV and reading can associate the bed with wakeful activities rather than sleep. This can confuse the brain and make it harder to fall asleep when you actually get into bed. To improve sleep quality, the bed should primarily be associated with sleep and intimate activities.

Choice D rationale:

Creating a quiet and comfortable sleeping environment is indeed a key sleep hygiene recommendation. A conducive sleep environment includes factors like a comfortable mattress and pillows, proper room temperature, minimal noise and light, and a relaxing bedtime routine. These factors can significantly contribute to better sleep quality.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is assessing a client who reports difficulty initiating or maintaining sleep, causing impairment and distress. Which of the following statements made by the nurse reflects an appropriate assessment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is concerned about their sleep quality and is seeking help. What would be the appropriate action for the nurse to take?

Correct Answer is C

Explanation

A nurse is providing education to a group of patients in a sleep clinic about sleep hygiene measures. Which of the following statements accurately represents a sleep hygiene recommendation for promoting better sleep quality?

Correct Answer is D

Explanation

A nurse is educating a group of individuals about the methods used in diagnosing sleep and wakefulness disorders. Which of the following assessment components involves monitoring brain waves, eye movements, muscle activity, heart rate, breathing patterns, and body position during sleep?

(Select all that apply):. A nurse is educating a group of patients about the treatment options for sleep and wakefulness disorders. Which of the following options would the nurse include in the discussion? Select all that apply.

A nurse is providing education on treatment options for sleep-related breathing disorders. Select all of the following interventions that are commonly used for obstructive sleep apnea (OSA).

A nurse is conducting an assessment with a client who has been experiencing difficulty adjusting to different time zones due to frequent travel. Which aspect of sleep and wakefulness disorders is the client likely experiencing?

A client is seeking information about the potential effects of sleep deprivation on physical health. Which of the following statements reflects a possible consequence of sleep deprivation on metabolic function?

(Select all that apply):. A nurse is assisting a patient with implementing good sleep hygiene practices. Which of the following actions would the nurse recommend to the patient? Select all that apply.

A client is describing their sleep patterns to the nurse, mentioning that they frequently wake up during the night and have difficulty falling back asleep. Which statement indicates an understanding of the client's symptoms?

A nurse is educating a group of clients about sleep and wakefulness disorders. Select all the potential impacts of sleep deprivation mentioned in the text.