A nurse is planning care for a client who has recently lost a loved one and is struggling with their faith. Which intervention best supports the client's spiritual wellness?

Choice A reason: Remaining in bed when unable to sleep can reinforce insomnia. Sleep hygiene guidelines recommend getting out of bed and engaging in a quiet activity until feeling sleepy again to avoid associating the bed with wakefulness.

Choice B reason: Drinking chamomile tea before bed is a recognized non-pharmacologic strategy to promote relaxation and improve sleep onset. Chamomile contains apigenin, a compound that binds to benzodiazepine receptors and has mild sedative effects.

Choice C reason: Exercising in the evening can increase alertness and body temperature, potentially interfering with sleep. Morning or early afternoon exercise is generally recommended to support circadian rhythm and sleep quality.

Choice D reason: Taking naps during the day, especially long or late naps, can disrupt nighttime sleep patterns and worsen insomnia. Sleep hygiene promotes consistent sleep-wake schedules and limiting daytime naps.

Choice A reason: Safety is the second foundational level in Maslow’s hierarchy, immediately following physiological needs. For a client experiencing domestic violence, ensuring physical safety is paramount before addressing legal, emotional, or social needs. Securing confidential housing removes the client from immediate harm and provides a stable environment where other needs can be addressed. Without safety, the client cannot effectively engage in legal processes or emotional healing.

Choice B reason: While legal advice is important for long-term protection and justice, it does not address the immediate threat to the client’s physical safety. Legal processes can be lengthy and may not provide immediate relief from danger. This action aligns more with higher-level needs such as security and autonomy, which are secondary to basic safety.

Choice C reason: Support groups are valuable for emotional healing and social connection, which fall under Maslow’s third level—love and belonging. However, these needs cannot be prioritized until the client’s safety is secured. Attending a support group while still in a dangerous environment may expose the client to further risk.

Choice D reason: Providing clothing addresses physiological needs, but it is not the most urgent priority in this context. While clothing is essential, the threat of violence poses a more immediate risk to life and well-being. Safety must be ensured before other physiological needs are addressed.