Exam 10: Sleep and Activity

A patient in the early stage of Alzheimer's disease is being admitted to an assisted living facility.The admitting nurse best addresses the patient's need for appropriate physical activity when

An older patient is being admitted to an acute care unit after surgical repair of a fractured tibia.To minimize any negative factors affecting the patient's ability to sleep,which action should the nurse do first?

The daughter of an older cognitively impaired patient reports the patient wanders at night.She responds to the nurse's suggestion to keep her father physically active by stating,"Dad is so easily agitated it would be a major battle to take him on a walk." The nurse's initial response is based on the understanding that

A patient wants to use an herbal preparation to help with recent insomnia.What response by the nurse is best?

A patient reports waking up with frequent headaches and sore throat.What question by the nurse is most appropriate?

The nurse needs to awaken a patient to take medication in the middle of the night.The patient has not had any sleeping medications or other preparations that would cause drowsiness.The nurse has to use vigorous stimulation to awaken the patient.What stage of sleep is this patient most likely in?

What is the best bedtime snack for older adult patients with insomnia?

The nurse has instituted bedtime routines for patients with dementia in a long-term care facility.What assessment findings best indicate the program is effective?

An older patient reported to the clinic nurse that since a grandson moved in a few months ago,the patient has had problems sleeping.Which question by the nurse is most appropriate?

A patient with moderate dementia has been admitted to a long-term care facility.To address the patient's need to be engaged in purposeful activity,the nurse arranges for the patient to

The nurse is preparing to instruct a family member regarding how to appropriately assist a 76-year-old patient incorporate a healthy daily walk into the family's routine.The nurse includes a suggestion that

A confused older patient has been hospitalized for a cardiac problem that requires both antihypertensive and diuretic therapies.Which action by the nurse is best to minimize the patient's risk of disturbed sleep?

An older adult patient who has been seen at a neighborhood clinic for years tells the nurse that he will be moving to live with his son in a neighboring state.The nurse impacts the patient's health and wellness the most therapeutically when stating

When assessing a patient's report of experiencing "problems sleeping," the nurse gathers data related to which of the following? (Select all that apply. )

The nurse is caring for a hospitalized patient who needs vital signs and assessments every 4 hours.The nurse last assessed the patient at midnight,and at 2 AM the nurse answers the call light and helps the patient to the bathroom.To promote good sleep,what action by the nurse is best?

An older patient reports that sleep was being severely affected by the need to urinate frequently.The patient states he has begun restricting his fluid intake after 5 PM to help with the problem.The nurse responds

The nurse who works with older patients explains the age-related changes in sleep to a student.Which statements are consistent with this knowledge? (Select all that apply. )

A patient is discussing retirement with a nurse.What suggestion pertaining to sleep does the nurse offer?

A patient reports to the nurse that he seems to be sleeping less at night but now regularly requires at least two short naps a day.He expresses a concern that "something is wrong." Which response by the nurse is best?