A nurse is caring for a client who is being treated for posttraumatic stress disorder (PTSD). The client states, "I'm not able to fall asleep easily or stay asleep." Which of the following recommendations should the nurse make?
Catch up on lost sleep by napping during the daytime.
Avoid reading in the evenings prior to bedtime.
Dim the screen on your cellphone when using it in your bedroom.
Try meditation before you go to bed at night.
The Correct Answer is D
Choice A reason: Napping during the daytime can interfere with nighttime sleep patterns and is generally not recommended for individuals with insomnia. It can create a cycle of fragmented sleep and may exacerbate difficulties in falling and staying asleep at night.
Choice B reason: While avoiding stimulating activities such as reading in the evening can be helpful for some individuals, it is not a universal recommendation. Reading can actually be a relaxing activity for many people and may help them wind down before bedtime.
Choice C reason: Dimming the screen on electronic devices can reduce exposure to blue light, which can interfere with the body's natural sleep-wake cycle. However, it is generally recommended to avoid the use of electronic devices altogether in the bedroom to promote better sleep hygiene.
Choice D reason: Meditation is a relaxation technique that can be beneficial for individuals with PTSD and sleep disturbances. It can help calm the mind, reduce stress, and prepare the body for sleep. Mindfulness meditation, in particular, has been shown to improve sleep quality and is a recommended practice for those experiencing insomnia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Cautioning the client against feeling angry at the deceased sibling could invalidate the client's natural grieving process. Anger is a common and expected emotion in the stages of grief, and acknowledging it can be therapeutic. It is important for the nurse to provide a safe space for the client to express all emotions related to their loss.
Choice B reason: Recommending more solitary activities might not be beneficial for a client experiencing depression after a significant loss. Social support and engagement in social activities can be crucial for recovery. Isolation can exacerbate feelings of loneliness and depression. Instead, the nurse should encourage the client to maintain connections with supportive friends and family members.
Choice C reason: Explaining that the duration of grief is highly variable and can last for years is important. Grief does not have a set timeline, and individuals experience it differently. Providing this information can help normalize the client's feelings and reassure them that what they are experiencing is a part of the healing process.
Choice D reason: Encouraging the client to avoid discussing the events surrounding the sibling's death can hinder the grieving process. Open communication about the loss and the associated emotions is essential for healing. The nurse should encourage the client to share their feelings and memories when they feel ready, as this can be a part of the therapeutic process.
Correct Answer is B
Explanation
Choice A reason: Providing detailed explanations to a client with moderate anxiety might overwhelm them and exacerbate their anxiety. While information is important, too much detail can be counterproductive in this context.
Choice B reason: Using short, simple sentences can help ensure that the client with moderate anxiety comprehends the information without becoming overwhelmed. This approach is conducive to learning and retention, especially when the client is anxious.
Choice C reason: Avoiding asking the client questions may seem like a way to reduce stress, but it can actually hinder engagement and understanding. Questions can help clarify the client's comprehension and provide them with a sense of involvement in their care.
Choice D reason: Showing a 30-minute teaching video might be informative, but it could be too lengthy for a client with moderate anxiety. The client may benefit more from interactive and personalized teaching methods that allow for breaks and questions as needed.
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