The night nurse reports that the client, who is hospitalized with major depressive disorder, has been unable to sleep until late at night.
The client gets up, paces the hallway, wrings their hands, and appears teary.
Which interventions should the nurse advocate to add to the care plan? Select all that apply.
Encourage the client to take naps during the day to make up for lost sleep.
Have the client engage in physical exercise just before bedtime.
Arrange for the client to receive 20 minutes of natural sunlight each day.
Serve the client a glass of warm milk in the evening.
Tell the client to take a warm bath before going to bed.
Correct Answer : C,D,E
Choice A rationale
Encouraging the client to take naps during the day to make up for lost sleep can interfere with normal sleep patterns. Therefore, this is not a recommended intervention.
Choice B rationale
Having the client engage in strenuous physical exercise just before bedtime can increase brain metabolic activity and wakefulness. Hence, this is not a suitable intervention.
Choice C rationale
Arranging for the client to receive at least 20 minutes of natural sunlight each day can improve sleep patterns. This is a recommended intervention.
Choice D rationale
Serving the client a glass of warm milk in the evening can promote comfort and relaxation to aid sleepiness. This is a recommended intervention.
Choice E rationale
Suggesting that the client take a warm bath before going to bed can be a part of a relaxing activity before bedtime. This is a recommended intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
While it’s important to understand the circumstances leading to the assault, this statement does not require immediate attention from the nurse. It’s more related to the incident itself rather than the patient’s current condition.
Choice B rationale
Expressing hatred towards others can be a sign of emotional distress, but it does not require immediate medical attention.
Choice C rationale
Tingling in the fingers can be a sign of reduced blood circulation, which could be a result of the restraints. This requires immediate attention to prevent further complications.
Choice D rationale
While it’s important to address legal threats, this statement does not require immediate medical attention.
Correct Answer is D
Explanation
Bright colors in a psychiatric unit environment are often perceived as stimulating. They can enhance alertness and motivation in patients.
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