The nurse is reviewing sleep habits with a patient who reports difficulty sleeping. When evaluating sleep disturbances, the nurse should ask which of the following? Select all that apply.

"How would you describe your sleep problem?"

"What types of sleep treatments have you tried?"

"What do you think is the cause of the sleep problem?"

"How does the sleep problem affect your everyday living?"

"Don't you think when you get tired enough, you'll sleep well?"

Answer and Explanation

Correct Answer : A,B,C,D

A. "How would you describe your sleep problem?" Understanding how the patient describes their sleep problem provides insight into the nature of the disturbance and its potential causes.

B. "What types of sleep treatments have you tried?" Knowing what treatments have been tried helps identify what has or hasn’t worked and can guide further management.

C. "What do you think is the cause of the sleep problem?" Understanding the patient’s perspective on the cause can help in assessing their awareness and any possible underlying issues.

D. "How does the sleep problem affect your everyday living?" This question assesses the impact of sleep disturbances on daily life and overall well-being, providing context for the severity of the problem.

E. "Don't you think when you get tired enough, you'll sleep well?" This statement does not address the underlying problem and might dismiss the patient’s concerns. It is not useful in assessing or managing sleep disturbances.

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Correct Answer is A

Explanation

A. The client with a left lower extremity fracture. Somatic pain is related to damage to body tissues, such as fractures. This type of pain is typically localized and can be acute or chronic.

B. The client with a bowel obstruction. Pain from a bowel obstruction is typically visceral rather than somatic, as it involves internal organs.

C. The client with a skin tear to the upper extremity. While this involves the skin, it is typically considered superficial somatic pain, but the context of the question suggests a deeper musculoskeletal issue.

D. The client with pneumonia. Pain from pneumonia is usually visceral due to inflammation in the lungs.

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 reviewing sleep habits with a patient who reports difficulty sleeping. When evaluating sleep disturbances, the nurse should ask which of the following? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a group of clients for somatic pain. Which of the following client's would be experiencing this type of pain?

Correct Answer is A

Explanation

The nurse is obtaining a history from a patient reference activity. Which of the following should be included? Select all that apply.

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

Explanation

The nurse is caring for a patient diagnosed with a terminal illness who is interested in signing a healthcare Advanced Directive. Which of the following are included in this type of end-of-life planning? Select all that apply.

The nurse is instructing a hospitalized patient about ways to perform isometric exercises. Which of the following exercises demonstrate appropriate instruction?

The nurse is administering a subcutaneous injection to a client. Which of the following actions should the nurse take?

The nurse is discussing the difference between a Do Not Resuscitate (DNR) order and a Allow Natural Death (AND) order to a patient with a terminal illness. Which of the following correctly explains the difference of these two orders?

The home health nurse is visiting with an older retired adult who states, "My children do not want me to drive anymore, they say I am a dangerous driver." Which of the following responses would be most appropriate?

The home health nurse is visiting with a client with terminal cancer whose partner has become the primary caregiver. The partner states, "Maybe I will lose weight since I rarely have time to eat." Which of the following responses should the nurse make?

The nurse is assessing a group of clients for psychosocial stressors. Which of the following client's should the nurse identify as having this type of stressor?

The nurse is caring for a client who recently experienced the death of a partner. Which of the following statements would indicate to the nurse that the client is demonstrating appropriate coping strategies?