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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A central focus of adult day care is providing respite for caregivers:
Adult day care centers are designed to offer daytime care and supervision for older adults who may need assistance or supervision due to cognitive or physical impairments. One of the primary goals of adult day care is to provide respite for family caregivers, giving them the opportunity to work, attend to personal matters, or simply take a break from caregiving responsibilities while knowing that their loved one is in a safe and stimulating environment.
B. Older adults can go to a single location for their medical care:
While some adult day care centers may offer limited health-related services such as medication management or basic health monitoring, their primary focus is not to serve as a location for comprehensive medical care. Adult day care centers typically focus on socialization, activities of daily living assistance, and supervision rather than providing medical treatments.
C. Clients, primarily with severe illnesses, typically qualify for this care:
Adult day care services are not exclusively for individuals with severe illnesses. They cater to a range of older adults with varying levels of functional and cognitive abilities. While some clients may have conditions like Alzheimer's disease or other forms of dementia, others may attend for socialization, safety monitoring, or assistance with activities of daily living.
D. The main goal of adult day care is to provide protection for older adults at risk:
While ensuring the safety and well-being of older adults is an important aspect of adult day care, the primary goal is to support both the older adult and their family caregivers. This support includes providing socialization, cognitive stimulation, assistance with activities of daily living, and respite for caregivers.
Correct Answer is D
Explanation
A. Calling a local hotel to find an available room for the family: This intervention reflects a family-centered care approach by acknowledging the importance of family involvement and support. By assisting the family in finding nearby accommodations, the nurse recognizes their need to be close to the client and actively supports their presence during the client's care.
B. Apologizing to the client's grandchild that the child is too young to visit: This intervention does not reflect a family-centered care approach. Instead, it may inadvertently discourage family involvement by conveying a message that certain family members are not welcome or accommodated in the care setting.
C. Allowing visitation for 10 minutes every 2 hours: While this intervention allows for visitation, the strict time limit and schedule do not fully reflect a family-centered care approach. Family-centered care typically involves more flexible and individualized visitation policies that accommodate the preferences and needs of both the client and their family members.
D. Including the family in discussions with the health care provider: This intervention exemplifies a family-centered care approach by recognizing the importance of involving the client's family in decision-making and care planning. By including the family in discussions with the health care provider, the nurse ensures that they are informed, engaged, and empowered to participate in decisions about the client's care.
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