Rest, Sleep. and Activity

During a routine physical examination, the patient reports, "I have problems falling asleep at night. I regularly engage in vigorous exercise to tire myself every evening." What response by the nurse is indicated?

"Exercise is helpful, but vigorous exercise can lead to restless leg syndrome, which can contribute to insomnia."

When an older adult patient is diagnosed with restless leg syndrome (RLS), the nurse is confident that patient education on the condition's contributing factors has been effective when the patient states:

"I've cut way back on my caffeinated coffee, teas, and sodas."

A 75-year-old woman asks a nurse, "I know I should be moving, but how much is the right amount of exercise for me?" The best response of the nurse is:

"You need to engage in 30 minutes of moderate intensity exercise on at least 5 days a week."

An older woman maintains an active lifestyle playing various games with friends. She reports to the nurse that she experiences wakefulness during the night and an inability to fall asleep after waking up at night. Which intervention should the nurse implement to improve the quality of this woman's sleep?

Inquire about her nightly sleep rituals.

During the night, an older woman complains to the nurse that she has not slept more than 2 hours since admission to the hospital. Which intervention should the nurse implement to increase the duration of this woman's sleep?

Inquire about her sleep habits used at home.

An older man has Alzheimer's disease, and his wife says he is up and wandering around the house at night. Which intervention should the nurse implement to increase the man's duration of sleep?

Instruct the wife to increase his daily physical activity.

Exercises are prescribed for older adults as therapy to improve which one of the following qualities?

Muscle strength

The nurse observes that a male patient is snoring every night. Which should the nurse assess in this patient to diagnose the potential for sleep apnea? (Select all that apply.)

Number of daytime naps Headaches in the morning Irritability during the day Awakening during the night

The nurse completes an admission assessment on an older adult patient. The nurse identifies which factor that may contribute to sleep problems?

Polypharmacy

2. Which of the following is a true statement about sleeping in older adults?

Sleep disturbances in older adults can be caused by chronic illness.

What is the difference between rest and sleep?

Sleep is restorative and recuperative.

An older patient asks a nurse, "I really have trouble sleeping, and my doctor does not want to prescribe a sleeping pill for me. He says they are not good for older people. I really don't understand his response. Can you help me?" The best response by the nurse is:

Sleeping medications have many adverse effects in older people and only have minimal effects in improving sleep.

The nurse should encourage which of the following exercises to assist with balance for a patient who is at high risk for falls? (Select all that apply.)

Tai Chi Walking heel to toe

1. Which of the following is a true statement about sleep in older adults?

The time spent in bed increases, but the time spent asleep decreases.

An older adult who has a balance disorder and has sustained repeated falls is recommended to start an exercise program. Which of the following exercises would be most beneficial in improving balance in this individual? (Select all that apply.)

Yoga Tai Chi

The nurse at an assisted-living facility uses the Exercise and Screening for You (EASY) tool to plan an exercise program for a female resident who is in good health except that her height has decreased inch. Which exercise safety tip from EASY calls for the nurse to assess the resident before planning care?

Avoid stretches that cause you to bend at the waist

A nurse will be conducting an education session at the local senior citizen's center on the importance of physical activity. Which activities should the nurse include as an example of moderate-intensity aerobic activity? (Select all that apply.)

Biking Dancing

A patient who reported "a problem sleeping" shows an understanding of good sleep hygiene when?

limiting the afternoon nap to just 30 minutes.