A nurse is assisting with teaching a client about the sleep-wake cycle. The nurse should include that which of the following factors can interfere with the sleep-wake cycle?

Drinking caffeinated beverages in the evening

Emotional stress

Bright light

A 20-minute nap during the day

Answer and Explanation

The Correct Answer is A

Choice A reason : Drinking caffeinated beverages in the evening.Caffeine is a stimulant that can significantly disrupt the sleep-wake cycle. Consuming caffeinated beverages in the evening can lead to difficulty initiating sleep because caffeine blocks the action of adenosine, a chemical that promotes sleep. The effects of caffeine can last several hours, thus affecting the quality and duration of sleep.

Choice B reason : Emotional stress activates the body's stress response, causing the release of hormones like cortisol, which increases alertness and can delay the onset of sleep. Chronic stress can lead to a hyperarousal state, making it difficult to fall asleep and stay asleep.

Choice C reason : Bright light.Exposure to bright light, especially blue light from screens, can interfere with the production of melatonin, the hormone that signals the body to prepare for sleep. This can shift the circadian rhythm and disrupt the sleep-wake cycle, making it harder to fall asleep at the usual time.

Choice D reason : A short nap during the day, typically 20-30 minutes, can be beneficial and usually does not interfere with nighttime sleep. However, longer or later naps can make it more difficult to fall asleep at night.

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Correct Answer is ["B","D","E"]

Explanation

Choice A reason : Using a cane to ambulate is generally a measure to improve stability and reduce the risk of falling for individuals who may have balance or mobility issues. It is not inherently a risk factor for falls; rather, it is a compensatory strategy to mitigate the risk of falls1.
Choice B reason : Macular degeneration can significantly impact visual acuity and contrast sensitivity, leading to difficulties in navigation and increasing the risk of tripping or misjudging distances. Poor vision is a well-documented risk factor for falls, especially in unfamiliar or complex environments.
Choice C reason : A grab bar in the bathroom is a safety device installed to provide stability and support for individuals while they are using the bathroom facilities. It is a preventive measure against falls and does not increase the risk of falling.
Choice D reason : An electrical cord on the floor over a walkway is a tripping hazard. It is a common home hazard that can cause falls, especially in the elderly or those with mobility and visual impairments78.
Choice E reason : Unsecured throw rugs over tile floors are a recognized fall hazard. They can easily slip underfoot or cause tripping if the edges are not secured, which is particularly dangerous in areas like the kitchen where spills can make the floor even more slippery.

A. Improved data collection on clients B. Impaired therapeutic relationship with clients C. Increased amount of time spent with each client D. Reduced health care disparities

Correct Answer is B

Explanation

Choice A reason : Cultural bias can negatively impact data collection by causing healthcare providers to make assumptions based on stereotypes rather than individual assessments. This can lead to incomplete or inaccurate data, as certain symptoms or health issues may be overlooked or misattributed to cultural factors.

Choice B reason : Cultural bias can significantly impair the therapeutic relationship between healthcare providers and clients. When providers have preconceived notions about a patient's culture, they may communicate less effectively, make incorrect assumptions, or fail to build trust. This can result in a lack of adherence to treatment plans and decreased patient satisfaction.

Choice C reason : While spending more time with each client could be seen as beneficial, cultural bias does not inherently lead to this outcome. In fact, bias may cause providers to spend less time with clients from certain backgrounds due to misconceptions or communication barriers.

Choice D reason : Cultural bias is a known contributor to healthcare disparities, not a solution to them. Biases can lead to unequal treatment, access, and outcomes across different cultural groups.

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A nurse is assisting with teaching a client about the sleep-wake cycle. The nurse should include that which of the following factors can interfere with the sleep-wake cycle?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a client. Exhibits A nurse in a provider’s office is assisting with the review of fall risk data collected on a client. Which of the following findings places the client at risk for a fall? Select all that apply.

Correct Answer is ["B","D","E"]

Explanation

A nurse is assisting with teaching a class about cultural bias in health care. The nurse should include that which of the following can occur as a result of cultural bias?

Correct Answer is B

Explanation

A nurse is assisting with evaluating teaching with a client who reports insomnia. Which of the following client statements indicates an understanding of the teaching?

A nurse is assisting with teaching a class about sources of stress. The nurse should include that which of the following is an example of a physiological stressor?

A nurse is assisting with teaching a class about physiological changes that occur during sleep. The nurse should include that which of the following changes occur during non-rapid eye movement (NREM) sleep?

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A nurse is assisting with teaching a class about expected physiological changes in older adult clients. Which of the following changes should the nurse include?

A nurse is assisting with teaching a class about vulnerable populations that are at risk for health disparities. The nurse should include that a client who lives in a crowded apartment building is at risk for which of the following conditions?

A nurse is assisting with teaching a class on prenatal development. The nurse should instruct that advanced maternal age increases the risk for which of the following conditions?

A nurse is caring for a client whose partner died 3 years ago and reports that they are still unable to accept the loss. The nurse should identify that the client has manifestations of which of the following types of grief?