A patient with diabetes and hypothyroidism is being admitted to an assisted living facility. During the admission assessment, the patient reports difficulty falling asleep. The nurse shows an understanding of sleep dysfunction and the older patient when asking:
"How do you feel about leaving your home to live here?"
"Are you taking medication for your thyroid problem?"
"Have you ever been prescribed a sleeping medication?"
"How long have you been a diabetic?"
The Correct Answer is C
A. This question addresses the emotional and psychological impact of relocating to an assisted living facility. Emotional stress and adjustment issues can affect sleep patterns. While important for understanding the patient's emotional state and potential stressors, this question may not directly address the specific physiological or medical causes of sleep difficulties.
B. This question focuses on the management of hypothyroidism, which can influence sleep patterns. Hypothyroidism and its treatment can affect energy levels and sleep quality. Medications for hypothyroidism could impact sleep if they are not well managed or if the dosage needs adjustment. However, this question alone might not cover other potential causes of sleep difficulties.
C. This question aims to identify if the patient has a history of using sleeping medications, which can help in understanding their sleep patterns and possible reliance on such treatments. Knowing whether the patient has used sleeping medications can provide insight into their current sleep issues and help the nurse assess if previous treatments have been effective or if adjustments are needed. This question is directly related to assessing and addressing sleep difficulties.
D. This question gathers information about the duration of diabetes, which can help in understanding the patient’s overall management of the condition. While the duration of diabetes is important for overall health management, it does not directly address the sleep issues the patient is experiencing. Diabetes can affect sleep, but this question does not specifically target the sleep problem.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While lack of energy can be a barrier to exercise, it is not as specific to the fear of falling.
B. This is a common barrier to exercise for many people, but it does not specifically address the fear of falling.
C. If the patient is experiencing pain with movement, it is important to address this before starting an exercise program. However, fear of falling is a more specific concern related to osteoporosis.
D. Osteoporosis is a condition characterized by decreased bone density, which can increase the risk of fractures. A walking program can help improve bone health and reduce the risk of falls. However, many people with osteoporosis may be reluctant to start a walking program due to fear of falling.
Correct Answer is D
Explanation
A. The term "State Practice Act" is not a standard term used to describe the specific law governing nursing practice. It is a broader term that could refer to various state laws related to professional practice in general, not specifically nursing.
B. A "Legislative Act" is a general term for any law passed by a legislative body. It is not specific to nursing or to the regulations surrounding nursing practice. While the Nurse Practice Act is indeed a legislative act, this term does not specifically define the nursing regulations and licensure requirements.
C. The term "Nurse Regulation Act" is not commonly used or recognized as the official name of the law governing nursing practice. It might imply a focus on regulations but does not accurately reflect the official and widely accepted terminology.
D. The Nurse Practice Act is the correct term. This law defines the scope of practice for nurses, regulates the practice of nursing within a state, and establishes the requirements for obtaining and maintaining licensure. It outlines the legal parameters within which nurses must operate and is specific to the practice of nursing. The Nurse Practice Act ensures that nursing professionals meet certain standards of competency and ethical practice.
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