During a sleep history evaluation, which statement by the client requires further follow-up?

I usually fall asleep after about 15 minutes.

I wake up to urinate once each night.

I often wake up feeling tired in the morning.

I have a regular nighttime routine.

Answer and Explanation

The Correct Answer is C

This statement requires further follow-up because it indicates that the client may have poor sleep quality or quantity, which can affect their health and well-being. According to, the main components of the sleep history include defining the specific sleep problem, assessing the disorder’s clinical course, differentiating between sleep disorders, evaluating the sleep-wakefulness patterns, questioning the bed partner, and obtaining a family history of sleep disorders.

Choice A is wrong because falling asleep after about 15 minutes is normal and indicates good sleep hygiene.

Choice B is wrong because waking up to urinate once each night is not uncommon in older adults and does not necessarily disrupt their sleep continuity.

Choice D is wrong because having a regular nighttime routine is beneficial for promoting relaxation and preparing for sleep.

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Correct Answer is ["B","C","E"]

Explanation

These interventions are based on the principles of sleep hygiene and cognitive behavioral therapy for insomnia (CBT-I), which are evidence-based strategies to promote better sleep.

Choice A is wrong because alcohol can disrupt sleep quality and cause frequent awakenings during the night. It can also interfere with the normal sleep cycle and reduce REM sleep.

Choice D is wrong because reading a book 30 minutes before bedtime can be stimulating and make it harder to fall asleep. It can also violate the stimulus control therapy, which aims to associate the bed only with sleep and sex and avoid any other activities that may keep the mind alert.

Some additional sentences are:

Normal ranges for sleep vary depending on age, lifestyle, and individual factors, but generally adul,ts need about 7 to 9 hours of sleep per night.
Insomnia is a common sleep disorder that affects about 10% to 30% of adults and can have negative impacts on physical and mental health, as well as quality of life.
If insomnia persists despite following these interventions, it is advisable to consult a doctor or a sleep specialist for further evaluation and treatment options.

A. Weigh the client. B. Observe skin turgor. C. Ask client about falls. D. Obtain blood pressure. E. Obtain blood sugar.

Correct Answer is ["A","E"]

Explanation

Olanzapine is an antipsychotic drug that can cause weight gain and increased blood sugar as common side effects.

Therefore, the nurse should monitor the client’s weight and blood sugar regularly to prevent complications such as obesity and diabetes.

Choice B is wrong because olanzapine does not affect skin turgor, which is a measure of hydration status.

Choice C is wrong because olanzapine does not cause falls, although it may cause dizziness or unsteadiness as side effect.

Choice D is wrong because olanzapine does not cause significant changes in blood pressure, although it may cause orthostatic hypotension (a drop in blood pressure when standing up) as a side effect.

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During a sleep history evaluation, which statement by the client requires further follow-up?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is educating a client with insomnia how to promote better sleep. Which interventions should she include for this client? (Select all that apply).

Correct Answer is ["B","C","E"]

Explanation

A client is prescribed olanzapine for schizophrenia. How will the nurse monitor the client for adverse side effects? (Select all that apply).

Correct Answer is ["A","E"]

Explanation

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