A nurse is caring for a client who states, "I have been having trouble sleeping for the last several months." Which of the following responses should the nurse make?

"You should take a 2-hour nap during the afternoon."

"You should relax by watching a television show in bed before going to sleep."

"You should avoid stressful activities prior to going to sleep."

"You should plan to exercise 2 hours before going to sleep."

Answer and Explanation

The Correct Answer is C

Choice A reason:
The statement "You should take a 2-hour nap during the afternoon" is not advisable. While short naps can be beneficial, long naps, especially those taken late in the day, can interfere with nighttime sleep by reducing sleep drive. It is generally recommended to limit naps to 20-30 minutes and to avoid napping late in the afternoon.

Choice B reason:
The statement "You should relax by watching a television show in bed before going to sleep" is not recommended. Watching television or using other electronic devices before bed can negatively impact sleep quality. The blue light emitted from screens can suppress melatonin production, making it harder to fall asleep. It is better to engage in relaxing activities that do not involve screens, such as reading a book or listening to calming music.

Choice C reason:
The statement "You should avoid stressful activities prior to going to sleep" is the correct response. Engaging in stressful activities before bed can increase anxiety and make it difficult to fall asleep. It is important to establish a relaxing bedtime routine that includes activities such as deep breathing exercises, meditation, or gentle stretching to promote better sleep.

Choice D reason:
The statement "You should plan to exercise 2 hours before going to sleep" is partially correct but not ideal. While regular exercise can improve sleep quality, exercising too close to bedtime can have the opposite effect for some people. It is generally recommended to finish exercising at least 3-4 hours before bedtime to allow the body to wind down.

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 A

Explanation

Choice A reason:
The statement "Identify the client's current stage of grief" is the correct response. Understanding the client's current stage of grief is crucial for providing appropriate interventions. Grief can manifest in various stages, such as denial, anger, bargaining, depression, and acceptance. By identifying the stage, the nurse can tailor interventions to meet the client's specific needs and provide the most effective support.

Choice B reason:
The statement "Inform the client that feelings of anger are expected" is important but not the priority. While it is essential to validate the client's emotions and normalize their feelings, this intervention comes after understanding the client's current stage of grief. Knowing the stage helps in addressing the emotions more effectively.

Choice C reason:
The statement "Encourage the client to participate in physical activities" is beneficial but not the priority. Physical activities can help alleviate some symptoms of grief, such as depression and anxiety, by releasing endorphins and providing a distraction. However, this intervention should be based on the client's readiness and current stage of grief.

Choice D reason:
The statement "Discuss the use of a spiritual grief counselor with the client" is also important but not the priority. Spiritual counseling can provide significant support for clients experiencing complicated grief, especially if they have a strong spiritual or religious background. However, this intervention should be considered after assessing the client's current stage of grief to ensure it aligns with their needs and beliefs.

A. Inability to maintain employment B. Reluctance to discard worthless objects C. Avoidance of interpersonal relationships D. Intense efforts to avoid abandonment

Correct Answer is D

Explanation

Choice A reason:
The statement "Inability to maintain employment" is not a primary characteristic of borderline personality disorder (BPD). While individuals with BPD may struggle with maintaining employment due to emotional instability and interpersonal difficulties, this is not a defining feature of the disorder.

Choice B reason:
The statement "Reluctance to discard worthless objects" is more indicative of hoarding disorder, not BPD. Hoarding disorder involves persistent difficulty discarding or parting with possessions, regardless of their actual value.

Choice C reason:
The statement "Avoidance of interpersonal relationships" is more characteristic of avoidant personality disorder. Individuals with BPD often have intense and unstable relationships rather than avoiding them.

Choice D reason:
The statement "Intense efforts to avoid abandonment" is the correct response. A hallmark of BPD is the fear of abandonment and frantic efforts to avoid real or imagined abandonment. This can lead to unstable relationships and emotional distress.

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 caring for a client who states, "I have been having trouble sleeping for the last several months." Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has complicated grieving following the death of her child. Which of the following interventions should the nurse identify as the priority?

Correct Answer is A

Explanation

A nurse in a mental health clinic is assessing a client who has borderline personality disorder. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A nurse is caring for a client who has narcissistic personality disorder. Which of the following treatments should the nurse recommend?

A nurse in an acute care mental health facility is caring for a client who has been placed in seclusion following an acute violent episode. Which of the following actions should the nurse take?

A nurse is caring for a client who just received lorazepam 1 mg IM for anxiety. Which of the following actions should the nurse take?

A nurse is caring for a client who is taking lithium and reports experiencing lethargy, muscle weakness, and blurred vision. Which of the following responses should the nurse make?

A nurse is planning overall strategies to address problems for a client who has borderline personality disorder. Which of the following strategies is the priority for the nurse to incorporate in the plan of care?

A nurse is preparing to teach a client who has moderate anxiety about what to expect after their upcoming cardiac catheterization. Which of the following actions should the nurse plan to take?

A nurse is caring for a client who states, "I have been having trouble sleeping for the last several months." Which of the following responses should the nurse make?

A nurse is reviewing laboratory results of a client who has schizophrenia and is taking risperidone. For which of the following findings should the nurse notify the provider?