The nurse adds a nursing diagnosis of Ineffective Breathing Pattern to a patient’s care plan. Which sleep condition likely caused the nurse to assign this nursing diagnosis?

Narcolepsy

Sleep deprivation

Insomnia

Obstructive sleep apnea

Answer and Explanation

The Correct Answer is D

Choice A reason: Narcolepsy causes sudden sleep attacks and cataplexy but does not typically disrupt breathing patterns during sleep. It affects sleep-wake regulation, not airway mechanics. This condition is unlikely to cause ineffective breathing, as it lacks the respiratory obstruction linked to the nursing diagnosis.

Choice B reason: Sleep deprivation results from insufficient sleep, leading to fatigue and cognitive issues, but it does not directly cause ineffective breathing patterns. It may exacerbate other conditions, but without airway obstruction, it is not the primary cause of the respiratory diagnosis, making this choice incorrect.

Choice C reason: Insomnia involves difficulty falling or staying asleep, causing fatigue and irritability, but it does not typically affect breathing mechanics. It lacks the airway obstruction or hypoventilation associated with ineffective breathing patterns, making it an unlikely cause for the nursing diagnosis.

Choice D reason: Obstructive sleep apnea causes repeated airway collapse during sleep, leading to hypopnea, apnea, and ineffective breathing patterns. This disrupts oxygenation and ventilation, aligning with the nursing diagnosis. The nurse likely identified symptoms like snoring or pauses in breathing, making this the correct condition to monitor.

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Correct Answer is ["A","B","C","D"]

Explanation

Choice A reason: Documenting the time of body transfer and destination ensures accurate tracking of the deceased, maintaining chain of custody and compliance with legal and hospital protocols. This information supports coordination with morgue or funeral services, preventing errors in body handling and ensuring respectful, organized end-of-life care per regulatory standards.

Choice B reason: Special preparations, like cleaning or cultural rituals, must be documented to reflect respectful care aligned with patient or family wishes. This ensures continuity of care, legal compliance, and sensitivity to cultural or religious practices, preventing oversight of specific requests and supporting dignified handling of the deceased in medical records.

Choice C reason: Time and date of death are critical for legal and medical documentation, establishing the official record required for death certificates and hospital reporting. Accurate recording ensures compliance with regulations, supports family closure, and prevents discrepancies in legal or insurance processes, making it essential in end-of-life care documentation.

Choice D reason: Location of body identification tags is documented to ensure proper identification, preventing errors during transfer or postmortem procedures. This complies with hospital policies and legal standards, ensuring traceability and respect for the deceased. Accurate tagging documentation supports safe, organized handling, critical for ethical end-of-life care management.

Choice E reason: Reason for death may be noted by physicians but is not typically required in nursing end-of-life documentation unless specified. Nurses focus on procedural details like time of death or body preparation. Including this risks role confusion, as determining cause is a medical responsibility, potentially leading to inaccurate or incomplete nursing records.

A. Depression B. Muscle fatigue C. Hypertension D. Hypothyroidism

Correct Answer is A

Explanation

Choice A reason: Depression is strongly linked to insomnia in older adults, causing difficulty falling asleep due to rumination, low mood, or altered sleep architecture. Assessing for depression is critical, as it may underlie the sleep disturbance, requiring targeted interventions like therapy or antidepressants to improve sleep and mental health.

Choice B reason: Muscle fatigue may cause physical discomfort but is not a primary cause of difficulty falling asleep. It is more likely to affect sleep quality than initiation. Depression is a more common and significant contributor to insomnia in older adults, making this an incorrect choice.

Choice C reason: Hypertension can be associated with sleep apnea but is not directly linked to difficulty falling asleep. It may result from poor sleep but is less likely the cause. Depression is a more prevalent cause of insomnia, making this a less relevant condition to assess.

Choice D reason: Hypothyroidism can cause fatigue and sleepiness, not difficulty falling asleep. It is less commonly associated with insomnia compared to depression, which significantly disrupts sleep onset in older adults. This condition is less relevant to the patient’s presentation, making it incorrect.

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The nurse adds a nursing diagnosis of Ineffective Breathing Pattern to a patient’s care plan. Which sleep condition likely caused the nurse to assign this nursing diagnosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is documenting end-of-life care. Which information will the nurse include in the patient’s electronic medical record? (Select all that apply)

Correct Answer is ["A","B","C","D"]

Explanation

The nurse is completing an assessment on an older-adult patient who is having difficulty falling asleep. Which condition will the nurse further assess for in this patient?

Correct Answer is A

Explanation

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