The nurse is caring for a hospitalized patient who states, "I cannot sleep at night in this hospital and it's making me crazy." Which of the following should the nurse ask first?

"I can tell your family not to visit you close to bedtime."

"Would you like me to provide you with earplugs?"

"I can get you a mental health consult if you think that would help."

"Tell me why you think you may not be sleeping at night."

Answer and Explanation

The Correct Answer is D

A. "I can tell your family not to visit you close to bedtime." While this could be a consideration, it does not address the patient's immediate concerns and the possible causes of their sleep issues.

B. "Would you like me to provide you with earplugs?" This is a possible solution but does not investigate the underlying cause of the sleep issue.

C. "I can get you a mental health consult if you think that would help." A mental health consult may be helpful, but it is not the first step in understanding and addressing the immediate concern.

D. "Tell me why you think you may not be sleeping at night." This is the best initial response as it allows the nurse to understand the root cause of the patient's sleep disturbances and address specific issues, such as noise, light, or discomfort.

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Correct Answer is A

Explanation

A. "Can you describe the feeling you are experiencing?" Asking the patient to describe their sensation helps identify the nature of their discomfort and guides appropriate pain management or further investigation.

B. "Would you like me to give you some pain medication?" Offering pain medication may address the discomfort, but it is important to first understand the nature and severity of the pain.

C. "Do you feel better sitting in the chair?" This question assesses the patient’s comfort but does not address the cause of the pain or discomfort.

D. "Let me know if you are still uncomfortable in the chair." This is a follow-up question rather than an initial assessment, and it may not be proactive enough in addressing the cause of pain.

A. Immunization record B. Daily activity level C. Patient's response after the activity or exercise D. Problems with mobility or exercise E. External factors affecting mobility

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

Explanation

A. Immunization record: While important for overall health, the immunization record is less directly related to current activity levels and exercise.

B. Daily activity level: This provides important information about the patient's current physical activity, which is relevant for assessing overall health and mobility.

C. Patient's response after the activity or exercise: Understanding how the patient responds after activity helps assess the impact of exercise on their health and mobility.

D. Problems with mobility or exercise: Identifying any problems with mobility or exercise helps in tailoring the patient’s activity plan and addressing any issues related to physical function.

E. External factors affecting mobility: External factors, such as environmental barriers or equipment, can significantly impact the patient’s mobility and should be considered in the assessment.

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The nurse is caring for a hospitalized patient who states, "I cannot sleep at night in this hospital and it's making me crazy." Which of the following should the nurse ask first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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

Explanation

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