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 B

Explanation

A. "This understanding will help your clients stay younger longer and delay the onset of old age.": While understanding the aging process can inform strategies for healthy aging, it is unrealistic to suggest that it will prevent aging altogether or delay its onset significantly. This response may create unrealistic expectations and is not entirely accurate.

B. "It is important to know what happens to help your clients engage in more positive health practices.": This response is appropriate because understanding the aging process allows nurses to educate clients about age-related changes and promote behaviors that support healthy aging. It emphasizes the importance of knowledge in facilitating positive health practices among older adults.

C. "It is crucial so you can help your clients learn to accept their limitations.": While acceptance of limitations is part of adapting to aging, it is not the primary reason for understanding the aging process. This response does not fully capture the breadth of knowledge needed to support older adults' health and well-being.

D. "It is important because it will help your clients live longer with their long-term disabilities.": While understanding aging can help nurses support clients with disabilities, the primary goal is to promote overall well-being and quality of life rather than simply prolonging life with disabilities. This response focuses narrowly on disabilities rather than the broader aspects of aging.

A. Absolutism B. Relativism C. Egoism D. Beneficence

Correct Answer is B

Explanation

A. Absolutism: This philosophical perspective holds that certain actions or principles are universally true or right, regardless of context or circumstances. In the context of the scenario, if the client believed in absolutism, they would likely insist that their discharge readiness is determined by fixed criteria, such as medical parameters, regardless of external factors like the waiting list in the emergency department.

B. Relativism: Relativism is the belief that truth, morality, or judgments are not absolute but are relative to individuals, cultures, or situations. In this scenario, the client's statement reflects a relativistic perspective because they assert that their readiness for discharge depends on their own health status and needs, rather than external factors like the waiting list in the emergency department.

C. Egoism: Egoism is a philosophical theory that prioritizes self-interest as the primary motivation for human actions. While the client's statement may indirectly reflect a concern for their own well-being, it does not necessarily imply that they are acting purely out of self-interest or egoism.

D. Beneficence: Beneficence is an ethical principle that emphasizes the obligation to do good and promote the well-being of others. While the client's statement may align with the idea of advocating for their own well-being, it does not directly relate to the ethical principle of beneficence, which typically involves actions taken to benefit others rather than oneself.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A gerontological nurse is conducting a program for a group of nurses who work with older adults. During the program, one of the nurses asks, "Everybody gets old. Why do we need to understand the aging process?" Which response by the nurse would be appropriate?

Correct Answer is B

Explanation

Correct Answer is B

Explanation

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