sleep

The nurse is caring for a client who has been sleeping for 12 to 14 hours on weekend nights. The nurse instructs the client to sleep for no longer than 9 hours because excessive sleeping can lead to health issues. Which reaction might the nurse expect if the client is in the maintenance stage?

"I've been following a proper sleep pattern for more than a year."

A registered nurse is teaching a student nurse about factors that influence sleep. Which scenario explained by the registered nurse is an example of a lifestyle factor?

A client who works rotating overnight shifts reports fatigue and difficulty sleeping through the night."

When taking the history for a client who is being treated for obstructive sleep apnea, which findings would the nurse expect? Select all that apply. One, some, or all responses may be correct.

Chronic fatigue, Enlarged tonsils, Poor concentration

A client has the habit of staying up and watching movies until 4 AM on weekends. The nurse educates the client about the risks of not following a proper sleep routine. The client responds by saying, "I understand your point, but I haven't had any major problems yet." Which stage of health behavior change does the nurse recognize?

Contemplation

Which question would the nurse ask to determine a client's potential for injury because of sleep deprivation? Select all that apply. One, some, or all responses may be correct.

Do you operate heavy machinery at work?, "Does sleepiness affect your performance at work?"

Which action to promote sleep would the nurse recommend to a client?

Getting out of bed if unable to fall sleep after 20 minutes

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. Which sleep promotion technique would the nurse advise?

Include age-appropriate exercise daily

A client with insomnia takes a new medication to promote sleep. Two hours later, the client is wide awake and feeling more energized than before the medication was taken. Which type of response is the client demonstrating?

Paradoxical

Which are physiologic symptoms assessed in a client with sleep deprivation? Select all that apply. One, some, or all responses may be correct.

Ptosis and blurred vision, Decreased auditory alertness

Which sleep disorders are examples of dyssomnias? Select all that apply. One, some, or all responses may be correct.

insomnia, Restless leg syndrome, Obstructive sleep apnea