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 A
Explanation
Choice A Reason:
Offering the medication at the next scheduled dose time respects the client's autonomy and right to refuse treatment. Even though the client is involuntarily admitted, they still retain certain rights, including the right to refuse medication. The nurse should document the refusal and offer the medication again at the next scheduled time, ensuring that the client understands the importance and benefits of the medication. This approach maintains a therapeutic relationship and encourages the client to participate in their own care.
Choice B Reason:
Implementing consequences until the client takes the medication is not an appropriate or ethical approach. This method can be coercive and may damage the therapeutic relationship between the nurse and the client. It is important to respect the client's autonomy and work collaboratively to address their concerns and encourage adherence to the treatment plan.
Choice C Reason:
Administering the medication via IM injection without the client's consent is not appropriate unless there is an immediate risk to the client's safety or the safety of others. Forced medication should only be used as a last resort and in accordance with legal and ethical guidelines. The nurse should first attempt to address the client's concerns and encourage voluntary compliance with the prescribed treatment.
Choice D Reason:
Informing the client that they do not have the right to refuse the medication is incorrect and violates the client's rights. Even involuntarily admitted clients have the right to refuse treatment, except in certain emergency situations where the client poses a danger to themselves or others. The nurse should provide education about the medication and its benefits, and respect the client's decision while continuing to offer support and encouragement.
Correct Answer is B
Explanation
Choice A reason:
The statement "Disulfiram" is not appropriate for managing acute alcohol withdrawal. Disulfiram is used as a deterrent for alcohol consumption by causing unpleasant effects when alcohol is ingested. It is not effective in treating the symptoms of acute withdrawal.
Choice B reason:
The statement "Chlordiazepoxide" is the correct response. Chlordiazepoxide is a benzodiazepine commonly used to manage acute alcohol withdrawal symptoms. It helps reduce the risk of seizures and provides sedation to alleviate withdrawal symptoms.
Choice C reason:
The statement "Bupropion" is not suitable for treating acute alcohol withdrawal. Bupropion is an antidepressant and smoking cessation aid. It does not address the symptoms of alcohol withdrawal and is not used in this context.
Choice D reason:
The statement "Buprenorphine" is not appropriate for managing acute alcohol withdrawal. Buprenorphine is used to treat opioid dependence and pain management. It does not address the symptoms of alcohol withdrawal.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.