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 C

Explanation

A. Small muscle twitching. Small muscle twitching is more common during REM sleep, not Stage IV NREM sleep.

B. An increase in temperature. Stage IV NREM sleep is associated with stable body temperature rather than an increase.

C. Difficult to arouse. Stage IV NREM sleep is known as deep sleep, and individuals are indeed difficult to arouse during this stage.

D. An increase in pulse rate. Stage IV NREM sleep typically features a stable or decreased pulse rate, not an increase.

A. sexually transmitted infections B. communicable diseases C. cardiovascular disease D. mental health alterations

Correct Answer is A

Explanation

A. Sexually transmitted infections: This is relevant for young adults as preventive measures can help avoid STIs, which is an important health issue in this age group.

B. Communicable diseases: While important, communicable diseases are a broader category and might not be as specific to the preventive focus for young adults.

C. Cardiovascular disease: Cardiovascular disease becomes a more significant concern in middle adulthood, so it is less relevant to preventive measures for young adults.

D. Mental health alterations: Mental health issues are significant and relevant for young adults, but cardiovascular disease is more specific to preventive measures for the transition into middle adulthood.

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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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