Which assessment finding indicates to the nurse why the patient is having difficulty sleeping at night?
The patient follows an organic, low-carbohydrate diet.
The patient now works in Alaska with extended daylight hours.
The patient’s job includes many hours of hard labor each day.
The patient enjoys doing crossword puzzles and reading.
The Correct Answer is B
Choice A reason: This is an incorrect choice because the patient follows an organic, low-carbohydrate diet is not an assessment finding that indicates to the nurse why the patient is having difficulty sleeping at night. A low-carbohydrate diet may have some benefits for weight loss, blood sugar control, and cardiovascular health, but it does not have a direct impact on the sleep quality or quantity of the patient.
Choice B reason: This is the correct choice because the patient now works in Alaska with extended daylight hours is an assessment finding that indicates to the nurse why the patient is having difficulty sleeping at night. Extended daylight hours can disrupt the circadian rhythm, which is the natural cycle of sleeping and waking that follows a 24-hour pattern. The circadian rhythm is influenced by the exposure to light and dark, and it regulates the production of melatonin, a hormone that promotes sleep. When the daylight hours are longer, the melatonin levels may be lower, and the patient may have trouble falling asleep or staying asleep.
Choice C reason: This is an incorrect choice because the patient’s job includes many hours of hard labor each day is not an assessment finding that indicates to the nurse why the patient is having difficulty sleeping at night. Hard labor may have some effects on the physical and mental health of the patient, but it does not necessarily cause insomnia or poor sleep. In fact, hard labor may increase the need for sleep and rest, and the patient may sleep better after a long day of work.
Choice D reason: This is an incorrect choice because the patient enjoys doing crossword puzzles and reading is not an assessment finding that indicates to the nurse why the patient is having difficulty sleeping at night. Crossword puzzles and reading are hobbies that may stimulate the brain and enhance the cognitive function of the patient, but they do not have a negative effect on the sleep quality or quantity of the patient. However, the nurse should advise the patient to avoid doing these activities close to bedtime, especially if they involve bright screens or lights, as they may interfere with the melatonin production and the sleep onset.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: This is an incorrect choice because exposure-related accident is not the type of error when the wrong type of medication is administered to the patient. Exposure-related accident is an incident that occurs when a person is exposed to a harmful substance or environment, such as radiation, chemicals, or extreme temperatures.
Choice B reason: This is the correct choice because procedure-related accident is the type of error when the wrong type of medication is administered to the patient. Procedure-related accident is an incident that occurs when a person is harmed by a medical or surgical procedure, such as a wrong-site surgery, a medication error, or a catheter infection.
Choice C reason: This is an incorrect choice because organization-related accident is not the type of error when the wrong type of medication is administered to the patient. Organization-related accident is an incident that occurs due to a failure of the system or the management of an organization, such as a lack of communication, a poor policy, or a staffing shortage.
Choice D reason: This is an incorrect choice because equipment-related accident is not the type of error when the wrong type of medication is administered to the patient. Equipment-related accident is an incident that occurs due to a malfunction or misuse of a device or a machine, such as a ventilator, a defibrillator, or a syringe.
Correct Answer is B
Explanation
Choice A reason: This is incorrect. Presbyopia is not a term for age-related hearing loss. Presbyopia is a term for age-related vision loss. Presbyopia is a condition where the lens of the eye becomes less flexible and less able to focus on near objects. It can cause difficulty in reading, writing, or doing other close-up tasks.
Choice B reason: This is correct. Presbycusis is a term for age-related hearing loss. Presbycusis is a condition where the inner ear or the auditory nerve degenerates over time. It can cause difficulty in hearing high-pitched sounds, speech, or background noise. It can also affect the balance and the quality of life.
Choice C reason: This is incorrect. Meniere’s disease is not a term for age-related hearing loss. Meniere’s disease is a term for a disorder of the inner ear that causes episodes of vertigo, hearing loss, tinnitus, and ear fullness. It can affect people of any age, but it is more common in middle-aged adults. It can be triggered by stress, infection, or allergy.
Choice D reason: This is incorrect. Tinnitus is not a term for age-related hearing loss. Tinnitus is a term for a ringing, buzzing, or other sound in the ears or head that is not caused by an external source. It can affect people of any age, but it is more common in older adults. It can be caused by various factors, such as noise exposure, ear infection, medication, or hearing loss.
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