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."
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason:
Suggesting the client make a list of things that make him angry can be a useful therapeutic activity, but it is not the priority action in a situation where the client is currently being aggressive. The immediate concern is to ensure the safety of the client and others. Once the situation is de-escalated, exploring triggers and coping strategies can be beneficial.
Choice B Reason:
Role modeling healthy ways to express anger is an important part of long-term therapeutic intervention, but it is not the priority when a client is actively aggressive. The nurse's immediate priority should be to assess the risk of harm and take steps to ensure safety. Role modeling can be incorporated into the care plan once the immediate threat is managed.
Choice C Reason:
Asking the client if he intends to harm others is the priority action. This assessment helps determine the level of risk and the necessary interventions to ensure safety. Understanding the client's intentions allows the nurse to take appropriate measures, such as initiating de-escalation techniques or seeking additional support. Safety is the primary concern in managing aggressive behavior.
Choice D Reason:
Assisting the client to explore techniques to reduce stress is a valuable intervention for managing aggression in the long term. However, it is not the immediate priority when the client is currently aggressive. The nurse must first ensure the safety of all individuals involved before focusing on stress reduction techniques.
Correct Answer is ["1.4"]
No explanation
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