PSYC 5015 Chapter 28: Sleep Disorders: Nursing Care of Persons with Insomnia and Sleep Problems (Portage learning)

Chapter 28: Sleep Disorders: Nursing Care of Persons with Insomnia and Sleep Problems The nurse is assessing a client who was involved in a car accident 2 weeks prior. The client describes sleep quality as "poor" but is unable to elaborate further. Which intervention should the nurse recommend?  Promote relaxation.  Take melatonin.  Encourage physical activity.  Keep a sleep diary. The nurse is caring for a client who is postoperative from a total hysterectomy. The nurse should anticipate which change is going to impact the client's recovery from surgery?  Hormone fluctuations decrease sleep quality.  Hormone changes increase sleepiness.  Hormone changes cause prolonged slow-wave sleep (SWS).  Hormone changes cause episodes of extreme mood elevation. A 12-year-old client presents to a pediatric clinic for a well-child visit. The child’s parent asks the nurse, “How much sleep should my child get every night?” How should the nurse respond?  “at least 12 hours”  “about 9 to 11 hours”  “about 7 to 8 hours”  “at least 13 hours” The nurse is caring for a client on a psychiatric inpatient unit who has been prescribed fluvoxamine for major depressive disorder. The client reports having difficulty falling and staying asleep for more than five days during the hospitalization. The client has requested medication to aid sleep. The nurse recognizes which agent should be avoided for this client?  Benzodiazepine receptor agonists  Over-the-counter antihistamines  Orexin receptor antagonists  Melatonin receptor agonists The nurse is seeing a client who is employed as a long-haul truck driver. The client reports symptoms of insomnia over the past 2 weeks. The client is concerned about taking medication to aid sleep due to the risk of being over-sedated. Which nonpharmacologic intervention should the nurse recommend? Select all that apply.  The room where the client sleeps should be kept warm.  Do the same thing every day when preparing for bedtime.  Avoid any tea, coffee, or energy drinks during the day.  Complete 30 minutes of moderate exercise before getting into bed.  Tense and relax each muscle group in the body just before bedtime. The nurse has been teaching a client ways to improve sleep patterns at home. The nurse evaluates teaching to have been effective when the client states which of the following?  “There isn't enough caffeine in most drinks to really affect sleep.”  “A glass of wine before bed should help me sleep all through the night.”  “I need to take any caffeine-containing cold medicine no later than mid-afternoon.”  “I quit smoking a few days ago so I should be sleeping better already.” A client who comes to the sleep clinic reports being tired in the morning. Upon further assessment, the client discusses difficulty falling asleep at night and waking up in a bad mood in the morning. The client also acknowledges difficulty staying awake during the day. Which diagnosis would the nurse suspect?  Depression  Narcolepsy  Insomnia  Restless legs syndrome A nurse is teaching a client about sleep hygiene and ways to promote sleep. Which of the following would the nurse include in the education plan? Select all that apply.