Exam 34: Sleep Rest

The primary focus of the nursing interventions for a 6-year-old client who experiences somnambulation (sleep walking) would be to:

The nurse is providing care to client in the long-term care facility. The nurse notes that the night shift staff have reported that the client has appeared to have been sleepwalking this past week. What is the medical term for this behavior?

The nurse is providing teaching to the client who comes to the sleep clinic. The nurse instructs the client to start a sleep diary. What is the rationale of using a sleep diary?

The nurse is providing education to the client who has difficulty sleeping. Which of the following teachings would be most therapeutic for this client with sleep disturbance?

The nurse teaches a class for new parents promoting safe sleep for infants. The nurse determines a participant understood the important safety points when a parent makes which statement?

The client asks the nurse for suggestions to promote rest. Which of the following would be the most appropriate intervention suggestions to promote rest?

When developing a care plan for the sleep-deprived client, the nurse should consider major factors that regulate sleep. Which is a major factor regulating sleep?

The pediatric nurse is assessing the 3-year-old client when the mother states the child is having sleep disturbances lately. The pediatric nurse recognizes the most likely cause of sleep disturbances would be which of the following?

When making rounds on the night shift, the nurse observes her client to be in a deep sleep. His muscles are very relaxed. When he arouses as the nurse changes the intravenous (IV) tubing, he is confused. What stage of sleep was the client most likely experiencing?

The nurse is caring for a client admitted to the hospital's hospice unit with terminal cancer and acute cancer pain. What factors does this client have that will interrupt circadian rhythms? Select all that apply.

The nurse is providing care to the older adult client who complains of sleep issues. Which of the following statements are factors that may help resolve the client's sleep issues? Select all that apply.

A client states that many of his friends told him to ask for Valium or Ativan to help him sleep while hospitalized. The nurse knows that nonbenzodiazepines (e.g., Ambien) are often preferred over benzodiazepines (Ativan or Valium). Why is this?

Which of the following clients with inadequate or poor quality of sleep would be the best choice for a nursing diagnosis of Disturbed Sleep Patterns?

The nurse is assessing the client in the family clinic, who asks about the difference between rest and sleep. Which of the following statements would explain the main difference between sleep and rest?

The client tells the nurse, "I have terrible insomnia. It seems as though I am exhausted all the time." What question is most appropriate for the nurse to ask this client?

The client tells the nurse, "After a couple of glasses of wine, I sleep very soundly." After assessing further about the client's alcohol history, what response by the nurse is most accurate?

A mother expresses concern that her 7-year-old has episodes of nocturnal enuresis approximately three to four times per week. The nurse's best response would be which of the following? Select all that apply.

A 6-year-old boy is admitted to the hospital for a surgical procedure associated with a hospital stay. When the nurse asks his mother about the boy's sleep patterns, she says, "Sometimes he will get out of bed, walk into the kitchen, and get the cereal out of the cabinet. Then he just turns around and goes back to bed." The nurse explains that he is sleepwalking. The best nursing diagnosis for the boy would be:

The nurse is assessing the 19-month-old client in the family clinic. The mother states that she is concerned that the child doesn't sleep enough, as the child has stopped taking their usual morning nap. What is the nurse's best response to this concern?

The nurse recognizes that the client with anxiety has the potential for sleep disorders. Which of the following would be an explanation for the physiological factors in this sleep disorder?