in class practice quiz

Have the client perform simple, repetitive tasks

A frail, depressed client who frequently paces the halls becomes physically tired from the activity. What action should the nurse take to help reduce this activity?

narcolepsy

During an assessment interview the client reports overwhelming, irresistible attacks of sleep. Which sleep disorder does the nurse conclude that the client is experiencing?

Personal feelings about terminal illness

What is the most important factor relative to a therapeutic nurse-client relationship when a nurse is caring for a client who is terminally ill?

hospice

Which healthcare system focuses solely on palliative care?

Thyrotropin growth hormone cortisol

Which hormone levels peak during the client's sleep? Select all that apply.

On average, a preschooler sleeps about 12 hours a night.

Which statement is true about the sleep pattern of preschoolers?

The client is experiencing dysfunctional grief.

nurse is conducting an assessment interview with a client who has lost a life partner. In light of the information elicited, what does the nurse suspect about the client? he keeps me from moving on with my life

Environmental noise/distractors excessive caffeine stress

A nurse is assessing a client with a diagnosis of primary insomnia. Which findings from the client's history may be the cause of this disorder? Select all that apply.

denial

According to Kübler-Ross, during which stage of grieving are individuals with serious health problems most likely to seek other medical opinions?

Is able to plan to start new relationships

After counseling an older widowed client, a nurse concludes that the grieving process has been successfully completed when the client does what?

Loss of bladder control difficulty swallowing decreased thirst weak pulse

An adolescent child is in the terminal stage of cancer. The parents ask how they will know when death is imminent. The nurse discusses the physical manifestations with the parents. What are the signs and symptoms of approaching death? Select all that apply.

touch

An isolated older adult is diagnosed with cancer and fears death. Which intervention provided would help to induce relaxation and to communicate interest in the client?

Toddlers sleep more during the daytime than preschoolers do

How are toddlers different from children of other age groups?

denial anger bargaining depression

Nurses who care for the terminally ill apply the theories of Kübler-Ross in planning care. According to Kübler-Ross, individuals who experience a terminal illness go through a grieving process. Place the stages of this process in the order identified by Kübler-Ross.

the child often stays up late

The parent of a school-age child tells the nurse, "Sometimes my child is fatigued in the morning." Upon assessment, the nurse finds that the blood and urine reports of the child are normal. What could be the possible cause of the child's fatigue?

Helping the couple express to each other their feelings about his terminal illness

What is most important for the nurse to do to assist a couple to cope with their feelings about the husband's terminal illness?

Perform deep-breathing exercises follow the same bed time routine every night

A client expresses concern about insomnia and asks, "What can I do to get better sleep?" What activities should the nurse recommend? Select all that apply

fatigue weakness nervousness increase perspiration

A client is taught how to recognize indications of a hypoglycemic reaction. Which signs and symptoms identified by the client indicate to the nurse that the teaching was effective? Select all that apply

Counting backward from 100 to 0 when the mind is racing Exercising in the afternoon rather than in the evening Leaving the bedroom when unable to sleep

A client tells a nurse, "I have been having trouble sleeping and feel wide awake as soon as I get into bed." Which strategies should the nurse teach the client that will promote sleep? Select all that apply.

to ease pain from illlness

A client with colon cancer is receiving hospice care at home. What is the focus of hospice care?

hygiene and comfort

A nurse is assigned to care for a newly admitted client. The nurse performs a physical assessment and reviews the admission form and the primary healthcare provider's prescriptions. What should the nurse identify as the priorities in this client's plan of care? terminally ill

exercise daily

During a routine clinic visit, an older adult complains about being unable to sleep well at night and then feeling sleepy throughout the next day. The nurse should advise the client to use what sleep promotion technique?

Can I be of any help with traditional practices that are important to you

A nurse is with the parents of a 3-year-old child who has just died. What is the most therapeutic question for the nurse to ask the parents?

teenagers get roughly 7.5 hours of sleep each night Teenagers often have reduced hours of sleep

A nursing instructor asks a nursing student about the sleep pattern of teenagers. Which statements made by the student indicate adequate learning? Select all that apply.

Hospice care is a system of family-centered care that allows clients to remain at home in comfort while easing the pains of terminal illness.

A nursing student is recalling information about hospice care. What is hospice care?

assess patients pain before increasing their morphine

A terminally ill client in a hospice unit for several weeks is receiving a morphine drip. The dose is now above the typical recommended dosage. The client's spouse tells the nurse that the client is again uncomfortable and needs the morphine increased. The prescription states to titrate the morphine to comfort level. What should the nurse do?

Ptosis and blurred vision decreased auditory alertness

What are physiologic symptoms assessed in a client with sleep deprivation? Select all that apply

Obstructive sleep apnea

An obese smoker complains of feeling sleepy during the daytime, waking up tired in the morning, and snoring heavily while sleeping. The client is found to have enlarged tonsils. Which condition may the client have?

Lack of sleep and the presence of symptoms of depression

An older woman comes to the mental health clinic and reports, "I've not been feeling right and haven't been able to sleep or eat since my husband died 8 months ago." The nurse determines that the client is experiencing grief associated with the loss of the husband. What supports this conclusion?

Accompany the client to his or her room and encourage a discussion of his or her feelings

A depressed client whose spouse recently died attends an inpatient group therapy session in which the nurse is a co-leader. When another client talks about being divorced and the resulting feelings of abandonment, the nurse notices that tears are running down the depressed client's face. What should the nurse do to support this client?