How should the nurse explain rapid eye movement (REM) sleep to an older patient?
1. Is when dreaming occurs
2. Is necessary for physical restoration
3. Involves sudden sustained muscle contractions in the extremities
4. Is accompanied by slowing of the heart rate and a fall in blood pressure
Question 2A 78-year-old client expresses concern to the nurse about how she will remember to take all of the medications recently prescribed. What intervention might the nurse incorporate into the teaching plan?
A) asking family to administer the medications to the client
B) placing the client in a personal care home
C) consulting the physician to alter the drug list prescribed
D) getting the client a weekly pill box and developing a written medication schedule
Question 3Which actions should the nurse take to ensure effective sleep for older patients in a long-term care facility? Standard Text: Select all that apply.
1. Use nightlights during the night.
2. Establish consistent nighttime routines.
3. Schedule routine care in the early evening hours.
4. Put patients to bed immediately after the evening meal.
5. Reduce noise and light disruption throughout the night.
Question 4An older patient is being prescribed medication to help with sleep. What should the nurse include in this patient's plan of care?
1. Diazepam is the best benzodiazepine to use for sleep.
2. A benzodiazepine should only be used for 2 weeks.
3. Lorazepam should be avoided for sleep in the older patient.
4. A higher dose of an antidepressant medication is needed for sleep.
Question 5An 82-year-old client is admitted to the hospital for surgery. During the admission assessment the daughter of the client describes difficulties that she has observed in the client.
The daughter tells you that the client used to be a wonderful cook but now cannot even remember for what a blender is used. You consider this finding a
A) cognitive change that requires further assessment.
B) long-term memory loss.
C) short-term memory loss.
D) normal cognitive change in the elderly.
Question 6An older patient who is hospitalized has been having difficulty sleeping since admission and is prescribed a low dose of zolpidem (Ambien). What does the nurse realize about this medication?
1. Contains the hormone melatonin
2. Is associated with daytime hangover
3. Does not adversely alter the sleep architecture
4. Is safe to use along with diphenhydramine (Benadryl)
Question 7The nurse is reviewing with a 78-year-old client the discharge instructions for administration of insulin. In order to adjust to the normal changes experienced with aging, the nurse incorporates which activity into the teaching plan?
A) using tools that repeat the information until the information is understood
B) giving written materials to compensate for short-term memory losses
C) providing instruction to relatives so that the client will not need to learn everything
D) considering holding sessions for longer periods than usual so the client can learn
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