A nursing supervisor in the long-term care facility implements changes to improve environmental conditions. Which of the following should be included in these changes? (Select all that apply.)
A) Assist residents to bed at 7 PM each day.
B) Build partitions between roommates.
C) Install low-level night lights in the bathrooms.
D) Replace light bulbs with low light energy efficient bulbs.
E) Set thermostat at 72 each night.
Question 2A 64-year-old obese man is admitted to the hospital for treatment of heart failure secondary to alcoholism. For which of the following negative consequences should the nurse assess?
A) Chronic pain
B) Obstructive sleep apnea
C) Parkinson disease
D) RLS
Question 3A nurse plans care for an older adult with insomnia. The client's medication list includes zolpidem, potassium, and omeprazole. Which of the following diagnoses should the nurse include in the plan of care?
A) Risk for falls
B) Risk for suicide
C) Risk for powerlessness
D) Risk for urge urinary incontinence
Question 4An older adult with restless legs syndrome (RLS) has sought advice from the nurse in an effort to ease the problem. Which of the following statements should the nurse include in the plan?
A) There are new, over-the-counter medications that can probably resolve your RLS.
B) RLS can be a sign of a much more serious health problem, so I'd encourage you to visit your primary care provider.
C) I see that your iron level is low, let's add foods high in iron to your diet.
D) Even though it's certainly unpleasant, RLS is a normal part of the aging process.
Question 5A nurse counsels an older adult with chronic insomnia. Which of the following statements should the nurse include in the teaching?
A) Consider making your environment more conducive to sleep.
B) Continuing with the hypnotic medications you've been prescribed should soon provide a solution.
C) Decreased sleep is a normal age-related change that you will need to accommodate.
D) Moderate alcohol consumption will help you fall asleep more quickly.
Question 6A nurse orients a graduate nurse to a gerontology unit. Which of the following statements, if made by the graduate nurse, shows understanding of normal age-related changes of sleep patterns?
A) Older adults need for 10 to 20 more sleep than younger adults.
B) Older adults have fewer sleep cycles during the night.
C) Older adults fall asleep faster and staying asleep longer than younger adults.
D) Older adults spend less time in deep sleep.
Question 7A nurse teaches a nursing student about pharmacologic interventions for the treatment of sleep problems among older adults. Which of the following statements by the student shows understanding of the care of those with sleep disturbances?
A) Behavioral therapies are preferable to the use of drugs.
B) Benzodiazepines are the drug group likely to have the fewest adverse effects.
C) L-Tryptophan and melatonin are chemicals the body produces that can be supplemented to improve sleep.
D) Older adults should not use hypnotics or other pharmacologic aids for sleep.
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