Chapter 17: Sleep Touhy: Ebersole & Hess' Toward Healthy Aging, 9th Edition MULTIPLE CHOICE 1. A client who reported “a problem sleeping” shows an understanding of good sleep hygiene
by: a. b. c. d.
doing 10 pushups before bed to encourage a “pleasant tiredness.” seldom eating a bedtime snack. engaging in computer games as a pre-bed activity. limiting the afternoon nap to just 30 minutes.
ANS: D
Limiting daytime napping to 30 minutes or less is a good sleep hygiene practice. Exercise should be completed at least 4 hours before retiring while a bedtime snack is acceptable if the food is light and easily digested. Computer-focused activities are not generally encouraged as a part of a bedtime routine. DIF: Cognitive Level: Applying REF: p. 223 TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion and Maintenance 2. When an older adult client is diagnosed with restless leg syndrome (RLS), the nurse is
confident that client education on the condition’s contributing factors has been effective when the client states: a. “A warm bath at night instead of in the morning is my new routine.” b. “Eating a banana at breakfast assures me the potassium I need.” c. “I’ve cut way back on my caffeinated coffee, teas, and sodas.” d. “I elevate my legs on a pillow so as to improve circulation.” ANS: C
Increased caffeine use can be a contributing factor to RLS. There is no research to confirm that a warm bath prior to sleep or elevating the legs will minimize/prevent RLS. A potassium deficiency has not been identified as a contributing factor to RLS. DIF: Cognitive Level: Applying REF: pp. 228–229 TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion and Maintenance 3. A nurse in a long-term care facility notes that an older resident with Alzheimer’s disease
awakens frequently at night and is restless and agitated. Which of the following interventions will be most effective to help manage this resident’s sleep problems? a. Taking the resident outside in the garden for 45 minutes daily b. Limiting fluid intake for the resident c. Educating the resident on the association between Alzheimer’s Disease and insomnia d. Administering a mild sedative hypnotic at bedtime ANS: A
