Which information obtained by the nurse about an older adult who complains of occasional insomnia ...

Which information obtained by the nurse about an older adult who complains of occasional insomnia indicates a need for patient teaching (select all that apply)?
 
  a. Drinks a cup of coffee every morning with breakfast
  b. Has a snack every evening 1 hour before going to bed
  c. Likes to read or watch television in bed on most evenings
  d. Usually takes a warm bath just before bedtime every night
  e. Occasionally uses diphenhydramine (Benadryl) as a sleep aid

Question 2

Which question asked by the nurse will give the most information about the patient's metastatic bone cancer pain?
 
  a. How long have you had this pain?
  b. How would you describe your pain?
  c. How much medication do you take for the pain?
  d. How many times a day do you take medication for the pain?

Question 3

A patient complains of insomnia and daytime fatigue. What is the first action the nurse should take in addressing the patient's concerns?
 
  a. Question the patient about the use of over-the-counter (OTC) sleep aids.
  b. Suggest that the patient decrease intake of caffeine-containing beverages.
  c. Advise the patient to get out of bed if unable to fall asleep in 10 to 20 minutes.
  d. Recommend that the patient use any prescribed sleep aids for only 2 to 3 weeks.

Question 4

A patient with sleep apnea who uses a continuous positive airway pressure (CPAP) device is preparing to have inpatient surgery. Which instructions should the nurse provide to the patient?
 
  a. Remind the patient to take the CPAP device to the hospital.
  b. Plan to schedule a nighttime polysomnography (PSG) study before surgery.
  c. Discourage the patient from requesting pain medication while hospitalized.
  d. Call the hospital to ensure that mechanical ventilation will be available for the patient.

Question 5

When caring for patients with sleep disorders, which activity can the nurse appropriately delegate to unlicensed assistive personnel (UAP)?
 
  a. Interview a new patient about risk factors for obstructive sleep disorders.
  b. Discuss the benefits of oral appliances in decreasing obstructive sleep apnea.
  c. Help a patient choose an appropriate continuous positive airway pressure (CPAP) mask.
  d. Assist a patient to place the CPAP device correctly over the nose and mouth at bedtime.