Exam 11: Sleep and Activity

A 73-year-old who in the early stage of Alzheimer's disease is being admitted to an assisted living facility.The admitting nurse best addresses the client's need for appropriate physical activity when:

The daughter of an older cognitively impaired client 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:

An older frail adult client has begun displaying symptoms of sleep disturbance while being hospitalized for bilateral fractured ulnas.Since these symptoms were observed, the nurse has a bed alarm put in place because:

An older cognitively impaired adult client has been hospitalized for the stabilization of a chronic cardiac problem that requires both antihypertensive and diuretic therapies.He is admitted into a semiprivate room near the nursing station.The nurse best minimizes the client's risk of disturbed sleep by:

The nurse is preparing to instruct a family member regarding how to appropriately assist a 76-year-old client incorporate a healthy daily walk into their routine.The nurse includes a suggestion that:

An older client being treated for symptoms of seasonal allergies reports to the nurse that although she is very careful about her caffeine intake she been having trouble getting to sleep at night.The nurse responds most appropriately to this client when stating:

An older adult client 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 client's health and wellness the most therapeutically when stating:

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

A 74-year-old client with diagnoses that include moderate dementia, osteoarthritis in both hands, and type 2 diabetes has been admitted to a long-term care facility.To best address the client's need to be engaged in purposeful activity, the nurse arranges for the client to:

A 70-year-old client 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." The nurse responds that:

An 89-year-old reported to the clinic nurse that since his grandson moved in a few months ago, he has had problems sleeping.The nurse initiates the discussion about his problem by asking:

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

Recognizing that food and drink can influence sleep, the nurse caring for older adult clients who has been diagnosed with failure to thrive as well as insomnia provides a bedtime snack of:

A 78-year-old is being admitted to an acute care unit after receiving surgical treatment for a fractured tibia.To best minimize any negative factors affecting the client's ability to sleep, the nurse's initial intervention is to: