A nurse provides education to a client who reports difficulty falling asleep and frequent awakenings during the night. Which client statement indicates that learning was effective?
"I will remain in bed if I cannot sleep."
"I will drink chamomile tea before bed."
"I should exercise in the evenings."
"I will take naps during the day to catch up on sleep."
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: The clinical model focuses on the absence of disease or symptoms. It does not emphasize proactive lifestyle changes or self-actualization, making it less applicable to this scenario.
Choice B reason: The holistic health model considers the whole person—body, mind, and spirit—but it does not specifically emphasize behavior change or self-actualization through lifestyle improvements.
Choice C reason: The health belief model explains health behaviors based on perceived susceptibility, severity, benefits, and barriers. While it helps understand motivation, it does not actively promote self-actualization or wellness.
Choice D reason: The health promotion model emphasizes individual responsibility for health and encourages lifestyle changes that lead to higher levels of well-being and self-actualization. It aligns perfectly with the nurse’s approach in this scenario.
Correct Answer is ["A","B","C","E"]
Explanation
Choice A reason: Improving the health of the nation is a central goal of Healthy People. By promoting wellness and preventive care, it indirectly supports healthcare workers by reducing the burden of preventable disease, which can help mitigate compassion fatigue.
Choice B reason: Addressing concerns across the lifespan ensures that healthcare strategies are inclusive and proactive. This comprehensive approach helps nurses feel more supported and prepared, reducing emotional exhaustion and burnout.
Choice C reason: Disease prevention is a cornerstone of Healthy People. By focusing on prevention, nurses are less likely to encounter overwhelming caseloads of advanced illness, which contributes to compassion fatigue. Preventive care also fosters a sense of proactive impact, which can be emotionally rewarding.
Choice D reason: Increasing health disparities contradicts the mission of Healthy People. The initiative aims to reduce disparities and promote equity. This choice is incorrect and does not align with strategies to prevent compassion fatigue.
Choice E reason: Addressing health risks and needs of groups promotes targeted interventions and resource allocation, which can improve outcomes and reduce stress on healthcare providers. When nurses see their efforts making a difference in vulnerable populations, it enhances job satisfaction and reduces emotional strain.
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