Implementation and Evaluation of Interventions Related to Sleep

Which patient statement regarding foods that promote sleep indicates the need for further education from the nurse?

"I should drink several glasses of red wine in the evening to enhance the sleep I get overnight." Alcohol is sometimes thought to help people fall sleep, but it interferes with sleep cycles and should be avoided. This patient statement indicates the need for further education regarding foods that promote sleep.

A nurse is teaching a patient information related to the safe administration of common sleep medications. Which statement by the patient indicates need for further teaching from the nurse?

"Maybe I should take a greater dose of antidepressants since it is my first time taking them for my sleeping problems." This statement shows a need for further teaching. Antidepressants used for sleep assistance are prescribed at lower, not higher dosages for patients who are not clinically depressed and are taking them solely for sleep assistance.

A patient who recently moved to a new location is unable to sleep and asks the nurse about over-the-counter (OTC) medications for sleep. Which drug classification should the nurse suggest to this patient to promote sleep?

Antihistamines Antihistamines are available OTC and have a mild sedative effect that produces sleep with few side effects. The nurse would suggest this drug classification to the patient to promote sleep.

A patient reports of a restless night of sleep due to being awoken by the need to void. Which intervention should the nurse implement prior to sleep to decrease the likelihood of this occurring in the future?

Assisting the patient to the toilet prior to bed Assisting the patient to the toilet prior to bed allows the patient to empty the bladder decreasing the likelihood of being awoken during the night to void.

The nurse is providing care to a patient diagnosed with restless leg syndrome (RLS). Which nonpharmacologic nursing intervention is most appropriate to promote rest for this patient?

Encouraging deep knee bends Encouraging deep knee bends may temporarily relieve symptoms of RLS promoting rest for the patient.

Which coping mechanisms should the nurse encourage for a stressed patient with sleep deprivation?

Enlisting the help of friends Enlisting the help of friends, family, or clergy can help relieve the stress; thereby, help the patient's sleep deprivation. Dealing with problems at a certain time each day Dealing with problems only at a certain time each day helps the patient to quit thinking about the problems all the time, and promotes better sleep. Using relaxation techniques Relaxation techniques can help relieve stress, and if performed just before bedtime, will promote sleep for the patient.

What interventions related to sleep should the nurse suggest to the parent of a pediatric patient?

Give a warm bath Giving the child a warm bath will help increase relaxation before sleep. Read a bedtime story Reading a bedtime story is often a normal bedtime routine for a child. Normal bedtime routines help a child develop regular sleep patterns. Provide a favorite toy Providing the child with a favorite blanket, stuffed animal, or toy will help them feel safe and comfortable, which promotes sleep. Play soft, soothing music Playing soft, soothing music will help a child relax and fall asleep, as music therapy is often used to promote sleep.

Which non-pharmacologic intervention should the nurse initiate for a patient who is having difficulty falling asleep due to mild back pain?

Giving the patient a massage A massage is a non-pharmacologic intervention the nurse can initiate for a patient who is having difficulty sleeping due to mild back pain. This intervention addresses both the patient's back pain and insomnia.

Which supplements should the nurse include in a teaching session for a patient who is experiencing chronic insomnia?

Melatonin Melatonin is a supplement the nurse should include in a teaching session for a patient who is experiencing chronic insomnia. Valerian Valerian is a supplement the nurse should include in a teaching session for a patient who is experiencing chronic insomnia.

Which information should the nurse instruct a patient to include in a sleep diary?

Time of retiring The time the patient retires, or enters the bed for sleep, is information the nurse instructs the patient to include in a sleep diary. Time required to fall asleep The time it takes to fall asleep is information the nurse instructs the patient to include in a sleep diary. Foods consumed within two hours of bedtime The foods consumed within 2 hours of bedtime is information the nurse instructs the patient to include in a sleep diary. Use of an alarm clock The use of an alarm clock is information the nurse instructs the patient to include in a sleep diary.

Which type of exercise should the nurse suggest to the patient just before bed to promote sleep?

Yoga A relaxing and non-stimulating exercise, like yoga, can be done before bed to help initiate a restful night's sleep.