The nurse is performing a health assessment with a 74-year-old client. When questioned about sleep habits, the client says, "I used to sleep like a baby but for the last few years, I seem to be a very light sleeper. Why would this be?" What would be the nurse's best response?

Do you take any sleep medications?

That is interesting. Sleep patterns are usually genetically determined.

That change is common because periods of REM sleep is prolonged for older adults.

That is possible because as we age people spend less time in the deeper stages of sleep.

Answer and Explanation

The Correct Answer is D

A. Do you take any sleep medications?: This response shifts the focus to external factors without addressing the physiological concerns of the client. While pertinent, it does not provide the educational rationale requested regarding the "why" of changed patterns. It is a follow-up question rather than an explanatory answer.

B. That is interesting. Sleep patterns are usually genetically determined.: This statement is clinically vague and does not account for the well-documented age-related changes in neurobiology. While genetics play a role in circadian rhythms, they do not explain the progressive shift toward lighter sleep in senescence. It ignores the developmental context.

C. That change is common because periods of REM sleep is prolonged for older adults.: This statement is physiologically incorrect because REM sleep actually tends to decrease or remain stable in older adults. Aging is specifically associated with a reduction in the duration of Rapid Eye Movement cycles. This does not explain increased nocturnal awakenings.

D. That is possible because as we age people spend less time in the deeper stages of sleep.: Geriatric sleep architecture is characterized by a significant decrease in Stage 3 and Stage 4 non-REM sleep. These deep stages are responsible for the most restorative rest and higher arousal thresholds. Consequently, older adults experience more frequent disruptions and light sleep.

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Free Nursing Study Resources

Correct Answer is ["3"]

Explanation

Dose prescribed /Dose available=Number of capsules

900mg300mg=3

Correct Answer is ["0.3"]

Explanation

Dose prescribed /Dose available× Volume=Amount to administer

40 mg /125mg×1ml=0.32

Round to nearest tenth

0.32≈0.30

Correct Answer: 0.3

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The nurse is performing a health assessment with a 74-year-old client. When questioned about sleep habits, the client says, "I used to sleep like a baby but for the last few years, I seem to be a very light sleeper. Why would this be?" What would be the nurse's best response?

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["3"]

Explanation

Correct Answer is ["0.3"]

Explanation

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