A nurse is planning care for a patient with insomnia. Which of the following goals would be appropriate for this patient?
"The patient will report increased daytime sleepiness and fatigue.".
"The patient will demonstrate adherence to a variable sleep schedule.".
"The patient will use caffeine-containing beverages to improve alertness during the day.".
"The patient will verbalize understanding of the available treatment options for sleep disorders.".
The Correct Answer is D
Choice A rationale:
The goal for a patient with insomnia is to reduce daytime sleepiness and fatigue, not increase them. Therefore, aiming for the patient to report increased daytime sleepiness and fatigue would be counterproductive to the treatment of insomnia.
Choice B rationale:
A variable sleep schedule might worsen insomnia symptoms. Consistency in sleep timing is important to regulate the body's internal clock. Introducing variability in the sleep schedule could disrupt the circadian rhythm and exacerbate sleep difficulties.
Choice C rationale:
Using caffeine-containing beverages to improve alertness during the day contradicts the goal of treating insomnia. Caffeine is a stimulant that can interfere with sleep and exacerbate insomnia symptoms if consumed later in the day.
Choice D rationale:
The correct choice, this goal is appropriate for a patient with insomnia. It focuses on ensuring that the patient understands the available treatment options for sleep disorders. Educating the patient about treatment options empowers them to make informed decisions about their care. Treatment options may include lifestyle modifications, behavioral therapies, and, in some cases, pharmacological interventions. Informed patients are more likely to engage in effective self-management and collaborate with healthcare providers to develop an individualized treatment plan.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Increased irritability and anxiety are indeed potential impacts of sleep deprivation, but they primarily affect the emotional aspect of the individual rather than cognitive function.
Choice B rationale:
Altered metabolic function such as obesity is a potential impact of sleep deprivation, but it's related to metabolic processes rather than cognitive function.
Choice C rationale:
Impaired judgment and decision-making are well-documented effects of sleep deprivation. Sleep plays a crucial role in cognitive processes, and lack of adequate sleep can lead to difficulties in reasoning, problem-solving, and making sound decisions.
Choice D rationale:
Decreased sexual function like low libido is a potential impact of sleep deprivation, but it's related to sexual health rather than cognitive function.
Correct Answer is D
Explanation
Choice A rationale:
Frequent sleepwalking is not often associated with obstructive sleep apnea (OSA). Sleepwalking is a separate sleep disorder that involves engaging in complex behaviors while still asleep. OSA is characterized by breathing interruptions during sleep, which is different from the behaviors seen in sleepwalking.
Choice B rationale:
Experiencing night terrors is not commonly associated with obstructive sleep apnea (OSA). Night terrors are intense episodes of fear or dread during sleep, often accompanied by screaming and physical agitation. OSA is primarily characterized by breathing disturbances during sleep rather than emotional distress.
Choice C rationale:
Restless legs syndrome (RLS) is not typically associated with obstructive sleep apnea (OSA). RLS is a neurological disorder characterized by an urge to move the legs, usually accompanied by uncomfortable sensations. OSA, on the other hand, involves the obstruction of airflow during sleep, leading to pauses in breathing.
Choice D rationale:
Pauses in breathing (apnea) during sleep are often associated with obstructive sleep apnea (OSA). OSA is characterized by repeated episodes of partial or complete obstruction of the upper airway during sleep, leading to temporary pauses in breathing. These pauses can cause oxygen levels to drop and disrupt the sleep cycle, resulting in fragmented sleep and excessive daytime sleepiness.
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