A nurse is collecting data from a client who has insomnia. The nurse should identify that which of the following is likely to disrupt sleep?
Exercise three times a week in the mornings.
Go to bed at the same time every evening.
Have two glasses of wine every night before bedtime.
Get out of bed when unable to sleep.
The Correct Answer is C
Choice A reason: Regular morning exercise can actually promote better sleep. It helps to regulate the body's clock and can lead to deeper, more restful sleep. However, exercising too close to bedtime may have the opposite effect.
Choice B reason: Going to bed at the same time every evening can help establish a consistent sleep-wake cycle, which is beneficial for people who have insomnia. This regularity can make it easier to fall asleep and wake up naturally.
Choice C reason: Alcohol consumption before bedtime can disrupt sleep patterns. While it may initially help someone fall asleep, it often leads to poorer quality of sleep and can cause awakenings throughout the night.
Choice D reason: If unable to sleep, getting out of bed can be a good strategy. It's part of stimulus control therapy for insomnia, which advises leaving the bed if you can't sleep, so you don't associate the bed with wakefulness
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This documentation is correct as it includes the pulse rate and the client's position when the measurement was taken, which can affect the reading.
Choice B reason: The temperature is documented with the correct unit of measurement, but it does not specify the method of measurement (oral, axillary, tympanic, etc.), which is important for accurate interpretation.
Choice C reason: Respirations should be observed, not auscultated, and the documentation should include the client's position. The term 'even' is unnecessary and could be confusing.
Choice D reason: The blood pressure reading is correctly documented with both systolic and diastolic values. However, it should also include the client's position and the arm in which the measurement was taken for clarity.
Correct Answer is B
Explanation
Choice A reason: Going to bed and waking up at the same times each day is a recommended practice for good sleep hygiene. It helps to regulate the body's internal clock and can improve sleep quality.
Choice B reason: Watching television until falling asleep is not recommended for healthful sleep habits. The light emitted from screens can interfere with the body's production of melatonin, the hormone that regulates sleep, and can make it more difficult to fall asleep.
Choice C reason: Avoiding naps, especially in the afternoon or evening, can help ensure that a person is sufficiently tired at bedtime, which can improve the ability to fall asleep and maintain sleep throughout the night.
Choice D reason: Having a small snack and taking a bath before bed can be part of a relaxing bedtime routine. A light snack can prevent hunger from disrupting sleep, and a warm bath can help to relax the body and signal that it's time to wind down.
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