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 D
Explanation
Choice A rationale:
Insomnia refers to the difficulty of initiating or maintaining sleep or experiencing nonrestorative sleep, often resulting in daytime impairments. It doesn't involve abnormal behavioral or physiological events during sleep, making it an incorrect choice.
Choice B rationale:
Hypersomnolence is characterized by excessive daytime sleepiness and prolonged nighttime sleep, but it doesn't encompass abnormal events during sleep. It focuses on excessive sleep rather than abnormal behaviors or experiences during sleep.
Choice C rationale:
Circadian rhythm sleep-wake disorders involve disruptions in the sleep-wake cycle due to misalignment with the natural circadian rhythm. While this can lead to difficulties in falling asleep or staying awake at desired times, it doesn't specifically account for abnormal behavioral or experiential events during sleep.
Choice D rationale:
Parasomnias involve abnormal behaviors, experiences, physiological events, or psychological events occurring during sleep or sleep-wake transitions. These include disorders like sleepwalking, night terrors, sleep-related eating disorders, and rapid eye movement (REM) sleep behavior disorder. These behaviors are outside the range of normal sleep activities and differentiate parasomnias from other sleep disorders.
Correct Answer is D
Explanation
Choice A rationale: This statement incorrectly defines sleep as a state of alertness, which is not accurate.
Choice B rationale: Sleep is characterized by reduced muscle movement and decreased awareness of surroundings, not increased muscle movement and heightened awareness.
Choice C rationale: This statement describes a condition known as hypersomnia or excessive daytime sleepiness, which is a sleep disorder rather than a definition of sleep itself.
Choice D rationale: Sleep is indeed a prolonged period of unconsciousness that is necessary for maintaining well-being. It is essential for physical and mental health, allowing the body to rest, repair, and rejuvenate.
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