Which information regarding a patient's sleep is most important for the nurse to communicate to the health care provider?
a. 64-year-old nurse who works the night shift reports drinking hot chocolate before going to bed in the morning
b. 21-year-old student who takes melatonin to assist in sleeping when traveling from the United States to Europe
c. 41-year-old librarian who has a body mass index (BMI) of 42 kg/m2 says that the spouse complains about snoring
d. 32-year-old accountant who is experiencing a stressful week uses diphenhydramine (Benadryl) for several nights
Question 2The nurse manager of a medical/surgical unit wants to improve the alertness of nurses who work the night shift. Which action will be the most helpful?
a. Arrange for older staff members to work most night shifts.
b. Provide a sleeping area for staff to use for napping at night.
c. Post reminders about the relationship of sleep and alertness.
d. Schedule nursing staff to rotate day and night shifts monthly.
Question 3What teaching should be included in the plan of care for a patient with narcolepsy?
a. Driving an automobile may be possible with appropriate treatment of narcolepsy.
b. Changes in sleep hygiene are ineffective in improving sleep quality in narcolepsy.
c. Antidepressant drugs are prescribed to treat the depression caused by the disorder.
d. Stimulant drugs should be used for only a short time because of the risk for abuse.
Question 4Which patient statement indicates a need for further teaching about extended-release zolpidem (Ambien CR)?
a. I will take the medication an hour before bedtime.
b. I should take the medication on an empty stomach.
c. I should not take this medication unless I can sleep for at least 6 hours.
d. I will schedule activities that require mental alertness for later in the day.
Question 5The nurse cares for a critically ill patient in the intensive care unit (ICU). Which intervention should the nurse include in the plan of care to improve this patient's sleep quality?
a. Ask all visitors to leave the ICU for the night.
b. Lower the level of lights from 8:00 PM until 7:00 AM.
c. Avoid the use of opioids for pain relief during the evening hours.
d. Schedule assessments to allow at least 4 hours of uninterrupted sleep.
Question 6A patient with chronic insomnia asks the nurse about ways to improve sleep quality. What is the nurse's best response?
a. Avoid aerobic exercise during the day.
b. Read in bed for a few minutes each night.
c. Keep the bedroom temperature slightly warm.
d. Try to go to bed at the same time every evening.
Question 7A patient complains of difficulty falling asleep and daytime fatigue for the past 6 weeks. What is the best initial action for the nurse to take in determining whether this patient has chronic insomnia?
a. Schedule a polysomnography (PSG) study.
b. Arrange for the patient to have a sleep study.
c. Ask the patient to keep a 2-week sleep diary.
d. Teach the patient about the use of an actigraph.
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