Comfort, Rest and Sleep ATI

A nurse is caring for a client who has narcolepsy (NT1) with cataplexy. The nurse should identify that this condition is caused by a lack of which of the following hormones?

Hypocretin

A nurse is contributing to a presentation about non-pharmacological interventions used to promote sleep. Which of the following information should the nurse recommend including in the presentation?

Non-pharmacological interventions used to help promote sleep include acupuncture and thermotherapy.

A nurse is evaluating a client after measures to promote comfort have been implemented. Which of the following statements by the client indicates that the client has been comforted?

"My health care team has helped me to feel safe during my stay".

A nurse is teaching a newly licensed nurse about the development of dreams. The nurse should include that which of the following areas of the brain transmits the sensory data that is used to develop dreams?

Thalamus

A nurse is reviewing the concept of comfort with an assistive personnel (AP). Which of the following statements by the AP indicates and understanding of comfort?

"Providing comfort to a client involves alleviating the client's physical, mental, and emotional distress using warmth and empathy."

A nurse manager is conducting an in service about the physiological functions of sleep for a group of staff nurses. Which of the following statements by one of the nurses indicates an understanding of the teaching?

"The brain and neurons continue to communicate with each other during sleep to remove toxins that built up in the brain while awake."

A nurse is caring for a client who reports that they use their smartphone at night while they are in bed. The nurse should identify that excessive smartphone use can increase the client's risk for which of the following?

Depression

A nurse is planning care for a client who is postoperative. Which of the following interventions should the nurse plan to include to promote emotional comfort for the client?

Encourage the client to verbalize their needs and concerns.

A nurse is caring for a client who has a new prescription for a non-benzodiazepine hypnotic to promote sleep. For which of the following adverse effects should the nurse monitor the client?

Hallucinations

A nurse is contributing to a presentation about hypersomnia. Which of the following information should the nurse recommend including in the presentation?

Hypersomnia does not improve with increased sleep.

A nurse is reviewing the plan of care for a client who was admitted with insomnia and recent weight gain. Which of the following is a benefit of increased sleep that could help prevent further weight gain for the client?

Increased leptin production

A nurse is assessing a client who reports difficulty staying awake during the day and experiencing involuntary episodes of lost muscle tone. The nurse should identify that these are manifestations of which of the following conditions?

Narcolepsy (NT1)

A nurse is caring for a client who is being evaluated for obstructive sleep apnea. Which of the following findings should the nurse identify as a risk factor for obstructive sleep apnea?

Obesity

A nurse is caring for an older client who reports that they wake up frequently during the night. The nurse should identify that which of the following is a characteristic of older adult sleep patterns that might explain the client's frequent awakenings?

Older adults tend to spend more time in stage 2 sleep.

A nurse is caring for a client who was admitted following a report of lumbar pain. In addition to administering pain medications, which of the following interventions should the nurse implement to promote comfort?

Present information honestly

A nurse is discussing the stages of the sleep cycle with a client. The nurse should include that the immune system is strengthened and tissues and bones are repaired during which of the following stages of the sleep cycle?

Stage 3

A nurse is caring for a client who works overnight shifts. The nurse should identify that individuals who perform shift work are at an increased risk for developing which of the following conditions?

Diabetes mellitus

A nurse is caring for a client who is having difficulty falling asleep. Which of the following interventions should the nurse implement to promote sleep for the client?

Dim the lights in the client's room at bedtime.

A nurse is caring for a client who needs to be awakened for the administration of an oral medication. Which of the following findings should indicate to the nurse that the client was in stage 3 of the sleep cycle when awakened?

The client experiences mental cloudiness for 30 to 60 min.

A nurse is caring for a client who takes an over-the-counter (OTC) sleep aid medication every evening. Which of the following findings should the nurse identify as potential adverse effect of OTC sleep aid medication?

Urinary retention

A nurse is reviewing the concepts of central sleep apnea with a colleague. Which of the following statements by the colleague indicates an understanding of central sleep apnea?

Common causes of central sleep apnea are opioid overdose and congestive heart failure.

A nurse is caring for an older adult client who is having difficulty sleeping and has a new prescription for a medication to help them sleep. Which of the following medications should the nurse identify as a first-line sleep aid for older adults?

Controlled-release melatonin