An older adult client reports not being able to sleep due to a recent leg injury. Which factor(s) will the nurse assess as a source of the insomnia? (Select All that Apply.)

cultural factors

level of pain

eating habits

expectations for recovery

medications that could interfere with sleep

Answer and Explanation

Correct Answer : B,D,E

A. Cultural factors:

Cultural factors can influence sleep patterns and behaviors, such as bedtime routines, sleep hygiene practices, and beliefs about sleep. However, in this scenario where the client's reported sleep disturbance is directly linked to a recent leg injury, cultural factors might have less direct relevance compared to other factors like pain or medications.

B. Level of pain:

Pain is a common cause of insomnia, particularly in cases where there is a recent injury. Pain can make it difficult for individuals to find a comfortable sleeping position or to relax enough to fall asleep. Assessing the level and nature of pain is crucial in addressing sleep disturbances in this context.

C. Eating habits:

While eating habits can influence overall health and well-being, they might have less immediate impact on sleep disturbances related to a recent leg injury. However, certain dietary factors, such as consuming caffeine or heavy meals close to bedtime, could exacerbate insomnia. It's still important to consider eating habits as part of a comprehensive assessment, but they might not be the primary focus in this scenario.

D. Expectations for recovery:

The client's expectations for recovery can influence their emotional state and overall psychological well-being, which in turn can impact sleep patterns. Anxiety, uncertainty, or unrealistic expectations about recovery may lead to increased stress and difficulty sleeping. Assessing the client's expectations and addressing any concerns or misconceptions can be essential in managing insomnia related to a recent injury.

E. Medications that could interfere with sleep:

Certain medications, such as pain relievers, muscle relaxants, or steroids prescribed for managing the leg injury, may have side effects that interfere with sleep. It's important to review the client's medication regimen to identify any potential sleep-disrupting drugs and consider adjustments or alternative medications if appropriate.

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Correct Answer is D

Explanation

A. Beginning each day with a set of vital signs obtained for each client: While monitoring vital signs is important, performing this task daily for all clients may not always be necessary and could lead to unnecessary resource utilization. Vital signs should be assessed based on individual client needs and as indicated by their condition or treatment plan.

B. Maintaining a standardized schedule for bathing for all clients: While having a standardized schedule for bathing may streamline workflow, it may not always meet the individual needs and preferences of each client. Flexibility in scheduling based on individual preferences, care needs, and physical condition may be more appropriate to provide personalized care.

C. Encouraging clients' family members to assist with feeding: While family involvement can be beneficial, encouraging family members to assist with feeding may not always be feasible or appropriate for all clients. Some clients may require specialized feeding techniques or supervision by trained staff to ensure safety and proper nutrition.

D. Ensuring that medications are administered by nurses: This option ensures that medications are safely administered by qualified healthcare professionals who are trained to assess medication orders, administer medications correctly, monitor for potential side effects or adverse reactions, and provide education to clients regarding their medications. Adhering to this practice helps prevent medication errors and ensures the safe and effective use of medications, ultimately contributing to quality care and cost-effectiveness.

A. Ensure that medical treatments comply with cultural expectations B. Increase compliance among minority clients C. Provide individualized and culturally sensitive care D. Ensure that clients get the respect customary in their own ethnic group

Correct Answer is C

Explanation

A. Ensure that medical treatments comply with cultural expectations:

- This choice suggests the importance of aligning medical treatments with the cultural expectations of patients. While it's crucial to consider cultural factors when providing healthcare, the primary goal is not just to comply with cultural expectations, but rather to ensure that care is effective, respectful, and aligned with the individual's values and preferences within their cultural context.

B. Increase compliance among minority clients:

- This choice implies a focus on increasing adherence or compliance with medical recommendations among minority clients. While improving compliance is an important aspect of healthcare delivery, it should not be the sole focus when considering cultural factors. Instead, understanding culture should aim to provide culturally competent care that respects the beliefs, values, and preferences of minority clients, thereby fostering trust, engagement, and better health outcomes.

C. Provide individualized and culturally sensitive care:

- This choice accurately reflects the essence of understanding culture in healthcare. Providing individualized and culturally sensitive care involves recognizing and respecting the unique cultural backgrounds, beliefs, values, and preferences of each patient. It emphasizes the importance of tailoring care to meet the specific needs and preferences of diverse older adults within their cultural context, thereby promoting effective communication, engagement, and trust in the healthcare provider.

D. Ensure that clients get the respect customary in their own ethnic group:

- While ensuring respect for clients is indeed important, focusing solely on the respect customary in their own ethnic group may overlook the diversity of cultural backgrounds and preferences within that group. Understanding culture in healthcare goes beyond adherence to specific customs or norms and involves recognizing and respecting the individuality and diversity of each patient's cultural background and preferences. Therefore, while respect is important, the broader goal is to provide individualized and culturally sensitive care that respects the unique cultural perspectives and preferences of each patient.

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An older adult client reports not being able to sleep due to a recent leg injury. Which factor(s) will the nurse assess as a source of the insomnia? (Select All that Apply.)

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Correct Answer is D

Explanation

Correct Answer is C

Explanation

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